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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. �, YVS� Phone(209)468-3420 <br /> PERMIT NO. CZ) :OI 9? <br /> STR. OPER. DBA Inspecti nnyDate <br /> POULTRY RANCH <br /> WATER W�L Premise Address Recheck Date <br /> ✓ 1. WELL CONSTRUCTION / r� <br /> -- 2. CROSS-CONNECTION <br /> MANURE <br /> THE ITEMS BELOW REP ESENT CODE VIOLATIONS AND MU BE CORRECTED: <br /> MyYA�GEMENT <br /> 3. SPREADING AND DICCING <br /> t au <br /> 5. LAGOON NG TANKS /1 <br /> -- �r `� <br /> 6. COMPOSTIN <br /> - - �7 <br /> BIRD DISPOSAL c'! IL <br /> - - 7. BURYING WITH 2'OF COVER <br /> - - 8. APPROVED CONCRETE TANK © --4! <br /> �I <br /> - - 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL ® I ( C <br /> - - 10. DOMESTIC FLY Ji <br /> - - 11. FANNIA FLY <br /> - - 12. LARVAE <br /> - - 13. PUPAE 0 <br /> - - 14. ADULT <br /> -- 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION 11X 1 4 4 <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHSyCXJ1V� �VJ77T <br /> -- 19. CUPS OR BOWLS O <br /> - - 20. F000 STORAGE <br /> HOUSES1 , w' I AtO <br /> FLOORS �l!� <br /> - 22?�. WALLS/CEILINGS <br /> 3. CLEANING FREQUENCY 11 - <br /> STA. OPER. IJV 0p1�L Wr " *2i3O hL dgT' l JVY YMit", <br /> KENNEL � ^, - <br /> WATER WELL I:/! (' <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER �y�� <br /> -- max// <br /> 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE ,� , a,g�- <br /> - - 6. COVING N `�•' ' fes" l✓ � W� �'J <br /> -_ 7. CLEANING FREQUENCY ^ ry ll `^Ole-'aa r) C� !!W' <br /> WALLS (,�tX1 ���`{ r L �� <br /> - - 8. SMOOTH/CLEANABLE <br /> -- 9. CLEANING FREQUENCY <br /> CAGES <br /> - - 10. CONDITION- - 11. SANITATION <br /> A?4FOOD <br /> 12: STORAGES <br /> -- 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL 3 S © \ <br /> - - 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER <br /> SEWAGE DISPOSAL <br /> - - 16. SEPTIC SYSTEM IIJ <br /> - 17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES *AT IA IN RECEIVED*13Y <br /> ® tai 07-M(sow <br />