COMPLIANCE INFO_PRIOR TO 2018 - Laserfiche WebLink

Home Browse Search

®Pat,i SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd VECTOR CONTROL INSPECTION FORM POULTRY RANCH DBA INSPECTION JATE Structure Operation Water Well a (�. DA ❑ ❑ 1. Well Construction PREMISE ADDRM REMPECTioN DATE ❑ ❑ 2. Cross-Connection to Structure Operation Manure Management OWNER/OPERATOR PP�HO�NE^� ❑ F13. Spreading and Disking ,Zl 7! ❑ ❑ 4. Concrete Tanks IN ECTION TYPE PROGRAM ELEMENT RECORD ID ❑ ❑ 5. Lagooning L„(„ LW 0A, o 5 ❑ ❑ 6. Composting The items bel w represent code violations and must be correct Structure Operation Bird Disposal ❑ ❑ 7. Burying with 2"of Cover �® ❑ ❑ 8. Approved Concrete Tank ❑ ❑ 9. Removal from Premises Structure Operation Vector Control ❑ ❑ 10. Domestic Fly j \V -e- o4s.t. ❑ ❑ 11. Fannia Fl ❑ ❑ 12. Larvae 57 I t,l1� j'A ❑ ❑ 13. Pupae ❑ ❑ 14. Adult fit,. ❑ ❑ 15. Light Po ulation ` ❑ El 16. Moderate Population Ce,C t `,9\ry ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ ❑ 18. Water Trou hs r, 1-1 E319. Cups or Bowls ❑ ❑ 20. Food Storage DJ Structure Operation Houses k.T y ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings ❑ ❑ 1 23. Cleaning Fre uenc KENNEL Structure Operation Water Well ❑ ❑ 1. Well Construction \®OA ❑ ❑ 2. Cross Connection Structure Operation Floors ❑ ❑ 3. Properly Graded to ❑ ❑ 4. Drain E> W ❑ ❑ 5. Smooth/Cleanable ❑ ❑ 6. Covin ❑ ❑ 7. Cleaning Frequency Structure Operation Walls Q\j , < Q 0 El 8. Smooth/Cleanable ❑ 0 9. Cleaning Frequency m l lam. I Structure Operation Cages ❑ 0 10. Condition ❑ ❑ 11. Sanitation Structure Operation Food ❑ El 12. Storage ❑ ❑ 13. Insect/Vermin Structure Operation Animal Disposal ❑ ❑ 14. Removal from Premises ❑ ❑ 15. Other Structure Operation Sewage Disposal ❑ 16. Septic System ❑ ❑ 17. Sewer Structure Operation Rabies Vaccination E EIVED BY 1 ECTOR 18. Certificate on Premises EHD 40-06 6/30/2005 Page , of_