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r <br /> SAN JOAQUIN COUNTY 40 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. <br /> 075 OD y I Lt Phone(209)468-3420 <br /> 11 C� <br /> PERMIT NO. F77O D0P l� / P Q-,� <br /> STR. OPER. DBA Inspection ate <br /> POULTRY RANCH �riTcr 4V`C. lLi AS <br /> WATER WELL Premise AddressRec eck Date <br /> - - 1. WELL CONSTRUCTION ?J � ; � <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUS BE CORRECTED <br /> MANURE <br /> _1EADING AND ORCIN <br /> -- 4. CONCRETE TANKS <br /> -- 5. LAGOONING " <br /> - 6. COMPOSTING <br /> IRD DISPOS / <br /> - - 7. BURYING WITH 2'OF COVER <br /> -- <br /> S. APPROVED CONCRETE TANK <br /> - - 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL � /JQ �\/ �$ <br /> - - 10. DOMESTIC FLY �f �/ CA *.,, <br /> 11. FANNIA FLY (/ <br /> - - 12. LARVAE <br /> -- 13. PUPAE ,' I l J r[cs��� �����•���+++\w) <br /> - - 14. ADULT `LI! <br /> 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION ( O�•!' I` "r'�"" <br /> - - 17. HEAVY POPULATION <br /> FEEDING/WATER c•�•, v -`� <br /> - - 18. WATER TROUGHSQ' f� <br /> AJ Yl- <br /> - - 19. CUPS OR BOWLS GGI`S / 100 . <br /> - - 20. FOOD STORAGE (� ` <br /> HOUSES <br /> 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> 4. <br /> STR. OPER. <br /> KENNEL - <br /> WATER WELLVL <br /> -- 1. WELL CONSTRUCTION /-�\ S a�/�el� �c dL�Al� \ {_C��{�S �� <br /> - - 2. CROSS CONNECTION CJ `� Gyp, <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER /�1s�" /�_ 1AO� " t 4�OV� •7b 9 <br /> - - 4. DRAIN ACS1 S Lam ° TO 'C' �JlSia5�0 <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 O vD�� l <br /> - _ 11. SANITATION � L <br /> FOOD ObSery-ca� +'�!�'l �lA�� d� •`�W L <br /> - <br /> 12. STORAGE <br /> -- 13. INSECT/VERMIN S <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES GA � GB `T <br /> V"0lrl1 T <br /> 'ots <br /> 15. OTHER `CJS L �-M pS Vy 1 KeA^ "DVw-5 <br /> O <br /> SEWAGE DISPOSAL �� t/V` �ptStS C-PJ11�V�p� t�. <br /> - - 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES <br /> al Health Specialist Received By <br /> ® ER 07-01(o-Y0) <br />