Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART 'T <br /> On <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> VECTOR CONTROL INSPECTION FORM <br /> POULTRY RANCH DB I�scT�f DATE <br /> Structure Operation Water Well 7a /08 <br /> ❑ ❑ 1. Well Construction PREMISE ADDRESSREINSPECTION DATE <br /> ❑ F-12. Cross-Connection <br /> Structure Operation Manure Management OWNE]Ri/OPE TOR PHONE <br /> ❑ ❑ 3. Spreading and Disking 1 <br /> ❑ ❑ 4. Concrete Tanks 1 SPECT N TYPE PRONGRRAM ELEMENT RECORD ID <br /> El5. goon' "1 5-011 <br /> ❑ [1 6. Composting The items below represent code violations and must be corrected: <br /> Structure Operation Bird Disposal <br /> ❑ ❑ 7. Burying with 2"of Cover <br /> ❑ ❑ 8. Approved Concrete Tank @ <br /> ❑ ❑ 9. e om Premises +• of r " T�e.j <br /> Structure Operation Vector Control <br /> ❑ ❑ 10. Domestic Fly rM <br /> ❑ ❑ 11. Fannia Fl <br /> ❑ ❑ 12. Larvae ® t1f°yl. j g1b '0 e S On Sr -e " <br /> ❑ 13. Pupae <br /> ❑ 14. 1 0 <br /> some- <br /> El ❑ Li ht Po ulation <br /> ❑ 16. Moderate Population s <br /> ❑ El 17. Heav Population <br /> Structure Operation I Feeding/Water <br /> ❑ 1 0 18. Water Trou hs <br /> ❑ ❑ <br /> 19..!. s ort bw I s <br /> ❑ ❑ 20. Food Stora&e <br /> StructureO ration Houses <br /> ❑ ❑ 21. <br /> ❑ ❑ 22. Walls/Ceilings IONoLY4 has deArwJ oF1 ' o <br /> ❑ El2 eantn Frs2bmencX <br /> KENNELA"-es, ttr'sV e ,fj aa,Sk <br /> Structure Operation Water Well T ( <br /> ❑ I. Well Construction IS t o <br /> ❑ 0 2. Cross Connect4n ° P <br /> Structure Operation Floors s °'� b <br /> ❑ ❑ 3. Properly G ded to <br /> 11 El 4. Drain (� C l <br /> ❑ 5. Smoo Cleanable t <br /> ❑ 6. Cod (,,.5 h COV-1 a <br /> POP- <br /> E] ❑ 7. Clianing Frequency <br /> Structure Operation <br /> wvfis flies <br /> ❑ ❑ Smooth/Cleanable <br /> 11 ❑ Cleaning Frequency r <br /> Structure Operation Cages w <br /> ❑ ❑ 10. Condition {(� <br /> ❑ Ey 11. Sanitation r <br /> Structure O won Food 0 jyj(:A herAJ and p? - <br /> ❑ El Food <br /> Storage <br /> ❑ ❑ 13. Insect/Verminwovea ie <br /> Structure Operation Animal Disposal <br /> EI El El <br /> Removal from Premises a <br /> ❑ El15. Other <br /> sero ore Operation Sewage Disposal . <br /> ❑ 16. Se 4ic S stem t <br /> ❑ 17. Sewer ✓ <br /> Structure Operation Rabies Vaccination RECEIVED BY INSPE <br /> c <br /> ❑ 0 18. Certificate on Premises <br /> EHD 40-06 6/30/2005 Page j Of <br />