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SAN JOAQUIN <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 />Phone (209) 468-3420 <br />PERMIT NO. <br />STR. OPER. <br />DBA <br />. <br />inspection Date <br />POULTRY R CH <br />o 1°i� . <br />l - - <br />WATER WELL <br />Premise Address <br />Recheck Date - <br />- - 1. WELL CONSTRUCTION <br />L L <br />® 2.CROSS-CONNECTION <br />MANURE MANAGEMENT <br />THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br />- ® 3. SPREADING AND DdCING <br />®- 4. CONCRETE TANKS <br />- - S. GOONING <br />p <br />11 L <br />- ® 6. d§ TING <br />BIRD DISPOSAL <br />- - 7. BURYING WITH 2' COVER <br />- - 8. APPROVED CONC TE TANK <br />- s 9. REMOVAL FR EISES <br />VECTOR CONTROL <br />- - 10. E IC Y <br />- - 11. FANNI F Y <br />- _ 12. LARVA <br />- - 13. PUPA <br />- - 14. ADU <br />- - 15. LI T LATION <br />- _ 16. ERAT POPULATION <br />- ® 17. EAVY PO LATION <br />FEEDING/W TER <br />®- 8. WATER TROD HS <br />- 19. CUPS ORBOW <br />- 20. FOOD STORAGE <br />NOUS S <br />- 21. FLOORS <br />_ 22. WALLS/CEILINGS <br />® 23. CLEANING FREQUENCY <br />STR. OPER. <br />KENNEL <br />- <br />WtTgR WELL <br />_ - 1. WELL CONSTRUCTION <br />- 2. CROSS CONNECTION <br />FLOORS <br />- 3. PROPERLY GRADED TO SEWER <br />- - 4. DRAIN <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 <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 />1G., SEPTIC SYSTEM' <br />T - 17. SEWER <br />NAMES vA <br />0�L <br />^ <br />- ® 18. CERTIFICATE PREMISES <br />g ®neneta e th Speciali St <br />Receive By <br />0 EH 07-01 (8-90) <br />