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• <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> ,QVECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. / Q'so 0 Phone(209)468-3420 <br /> PERMIT NO. �d Z <br /> STR. OPER. DBA Inspection D t <br /> IEo <br /> POULTRY RANCH /QOa'CFt.IA0'dVl1� CC1�FQTIF4 *0AD G <br /> EGC> /tAAdf( s��2'�IQcJ <br /> WATER YWLL K o O ESTV C `,�3Se Pfemise Address Recheck Date <br /> -/ 1. WELL CONSTRUCTION w/C.p/E F 3 p(v3 6 0-447 A" FA-meX/N <br /> 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> p �-p, <br /> _ 3. SPREADING AND DWCING �pyK���f^•f #C� 0!146 yo v /���t f t ",*es !`2tg�(!� 474dN <br /> 4. CONCRETE TANKS �� <br /> 5. LAGOONING b C16 Q f of R of ✓a l I of �u f t.tie. t rLS of-r--ft w C-,ft <br /> _ - 6. COMPOSTING <br /> BIRD DISPOSAL aeeA - OK, <br /> 7. BURYING WITH 2'OF COVER 0�L.• �ju �0 O'fS 0 Lt1►CG� /.. /KQrItIMG <br /> 8. APPROVED CONCRETE TANK �• �,r /� /1� .L` <br /> - 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL a <br /> - - 10. DOMESTIC FLY �/[ <br /> 11. FANNIA FLY TT[/ltSt.t �ow_t.dQ t�ta,1 A�T'R1Q8 <br /> - 12. LARVAE 1.-t13. PUPAE9 <br /> y <br /> 14. ADULT <br /> 15. LIGHT POPULATION j Of he's <br /> 16. MODERATE POPULATION ,y <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> 18. WATER TROUGHS e-o& b AA.I.t �bp Q-d'^ Lt/Q7'� ��'D f��e R {A'f0 SC f'R✓Vt` <br /> 19. CUPS OR BOWLS o� ! / f <br /> 20. FOOD STORAGE �O:sJG/S 1 ti��s/a O �'xd-c ( '$N 4,y-A--e- \a OT sO'l 7�JdKd <br /> HOUSES Q KC,L •(�0'1�Tf► QA-, OSI"- ei f� D� I <br /> _ - 21. FLOORS Jf .S j ft Ge. -06- CS`w4w U S •+GS, <br /> - 22. WALLS/CEILINGS O � r/n'4-uS <br /> _ - 23. CLEANING FREQUENCY <br /> STR. OPER. �max Tr I.3�t'� - OK- ILO b f✓ol,>; �un�c s4►1� <br /> KENNE <br /> WATE WELL 3 fhp( f• � <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION - C.It C S 4 <br /> 0as <br /> 3. PROPERLY GRADED TO SEWER f/ <br /> . RAIN f ILt tt S 3 / d!� <br /> _ 5. TH/CLEANABLE I el/� <br /> 6. OVING U@✓� w '.j /as <br /> 7 CLEANING FREQUENCY <br /> WALLS S •QR.ti I1ti_QKu �E. f4 BT JC�4Y11 T112� <br /> - 8. SMOOTH/CLEANABLE a4s �-� Ie 17ao S'C's- <br /> - 9. CLEANING FREQUENCY <br /> CAGES / <br /> 10. C DITION <br /> 11. S ITATION <br /> FOOD �/ �.r C 16�.G� Li T LZ/� '7�j rY�.e.S .�TJCr 7 t'�'�C �•✓fC.GR//Q Tom. <br /> - 12. STORAGE a.J <br /> . INSECT/VERMIN <br /> ANIMAL ISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> 1 . OTHE <br /> SEWAGE DISPOSA <br /> _- 16. S TIC SYSTEM <br /> 17 EWER <br /> RABIES VA NATION S�. <br /> -- 18. CERTIFICATE ON PREMISES SANITARIAN, RECEIVED BY <br /> ® <br /> EM 07a1 Lo-ool <br /> ` 8-,931 <br />