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SAN JOAQUIN LOCAL HEALTH ISTRICT <br />1601 E. HAZELTON AVENUE, STOCKTON, CA <br />CONTROLVECTOR INSPECTION FORM <br />COMPUTER NO. <br />PERMIT NO. <br />STR. OPER. DBA <br />POULTRY RANCH QKS <br />WATER WELL Premise Address <br />- - 1. WELL CONSTRUCTION ! <br />2. CROSS -CONNECTION <br />URE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLAI <br />MAN <br />- 3. SPREADING AND DISCING <br />466-6781 <br />4. CONCRETE TANKS <br />369-3621 <br />- - 5. LAGOONING� <br />823-7104 <br />6. COMPOSTING <br />835-6385 <br />BIRD DISPOSAL <br />--- <br />_ 7. BURYING WITH 2' OF COVER <br />_ 8. APPROVED CONCRETE TANK <br />9. REMOVAL FROM PREMISES <br />ie C <br />VECTOR CONTROL <br />_ 10. DOMESTIC FLY <br />- _5L 11. FANNIA FLY <br />- 12. LARVAE <br />- 13. PUPAE <br />- 14. ADULT <br />`® 15. LIGHT POPULATION <br />- 16. MODERATE POPULATION <br />17. HEAVY POPULATION <br />FEEDING /WATER <br />- - 18. WATER TROUGHS <br />- 19. CUPS OR BOWLS <br />- 20. FOOD STORAGE <br />HOUSES <br />21. FLOORS <br />- - 22. WALLS/CEILINGS <br />a <br />_ 23. CLEANING FREQUENCY <br />STR. OPER. <br />KENNEL <br />WATER WELL <br />1. WELL CONSTRUCTION <br />2. CROSS CONNECTION <br />FLOORS <br />3. PROPERLY GRADED TO SEWER <br />4:- DRAIN <br />_ 5. SMOOTH/CLEANABLE <br />- 6. COVING <br />7. CLEANING FREQUENCY <br />WALLS <br />8. SMOOTH/CLEANABLE <br />9. CLEANING FREQUENCY <br />CAGES <br />10. CONDITION <br />- - 11. SANITATION <br />FOOD <br />- _ 12. STORAGE <br />13. INSECT/VERMIN <br />ANIMAL DISPOSAL <br />14. REMOVAL FROM PREMISES <br />- 15. OTHER <br />`SEWAGE DISPOSAL <br />16. SEPTIC SYSTEM <br />- 17. SEWER <br />(D EH 07-01 (4/85) <br />STOCKTON <br />466-6781 <br />LODI <br />369-3621 <br />MANTECA <br />823-7104 <br />TRACY <br />835-6385 <br />Inspection Date <br />t- <br />i'AND MUST BE CORRECTED: <br />