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AN JOAQUIN LOCAL HEALTH ISTRICT <br />1601 E. HAZELTON 'AVENUE, STOCKTON, CA <br />VECTOR CONTROL INSPECTION FORM <br />COMPUTER NO. <br />PERMIT NO. �- <br />STR. OPER. DBA <br />POULTRY RANCH <br />WATER WELL Premise Address <br />1. WELL CONSTRUCTION aaoo F_ <br />2. CROSS -CONNECTION <br />THE ITEMS BELOW REPRESENT CO <br />MANURE MANAGEMENT <br />3. SPREADING AND DISCING <br />_ 4. CONCRETE TANKS <br />_ 5. LAGOONING <br />_ 6. COMPOSTING -r <br />BIRD` DISPOSAL <br />_ 7. BURYING WITH 2' OF COVER <br />APPROVED CONCRETE TANK <br />_ -9. REMOVAL FROM PREMISES <br />VECTOR CONTROL 5 <br />PI U <br />_ 10. DOMESTIC FLY <br />11. FANNIA FLY <br />12. LARVAE <br />_ 13. PUPAE <br />14. ADULT <br />Ar 1 15. LIGHT POPULATION <br />16. MODERATE POPULATION <br />17. HEAVY: POPULATION a <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 />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 />AN AR'BAN R m =BY , <br />(f) EH 07-01(4/85). <br />l�. <br />.' ,- M <br />�a <br />- STOCKTON <br />466-6781 <br />- LODI <br />369-3621 <br />MANTECA <br />823 -7104 - <br />TRACY <br />835-6385 <br />Inspection Date <br />Recheck Date <br />DE VIOL IONS AND MUST BE CORRECTED: <br />l�. <br />.' ,- M <br />�a <br />