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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. Pio 4-0 ®D S� <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH gl a v <br /> WATER WELL Premise Address Recheck Date <br /> -- 1. WELL CONSTRUCTION 10-7/0 C G 0 u[ ew- "/b <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DICCING <br /> _ 4. CONCRETE TANKS <br /> -- <br /> S. LAGOONING 7�{Jrol <br /> -_ 6. COMPOSTING -r J4 <br /> BIRD DISPOSAL <br /> - - 7. BURYING WITH 2'OF COVER <br /> 8. APPROVED CONCRETE TANK <br /> -_ 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> _ - 10. DOMESTIC FLY <br /> - - 11. FANNIA FLYS <br /> 12. LARVAE <br /> -- 13. PUPAE <br /> -- 14. ADULT <br /> - - 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION �� <br /> -- 17. HEAVY POPULATION I <br /> FEEDING/WATER <br /> _ - 18. WATER TROUGHS �•y <br /> _- 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES <br /> -- 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> STA. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS 7 NUJ <br /> _ = 3. PROPERLY GRADED TO SEWER l <br /> 4. DRAIN " <br /> -- 5. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> -- 7. CLEANING FREQUENCY <br /> WALLS <br /> - 8. SMOOTH/CLEANABLE s•- '� <br /> -- 9. CLEANING FREQUENCY <br /> CAGES �N <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 /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES SANITARIAN ! 2OUIV26 BY <br /> ® EH 07-01(6-110) _ <br />