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COMPUTER NO. Z <br />PERMIT NO. <br />1 <br />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 />Phone (209) 468,9420 <br />STR. OPER. <br />DBA Inspection Date <br />1 ®71 <br />POULTRY RANCH <br />1 IZA07M P4I= <br />WATER WELL <br />Premise Address Recheck Date <br />- - 1. WELL CONSTRUCTION <br />-3 OOD <br />_ - 2. CROSS-CONNECTION <br />THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br />MANURE MANAGEMENT <br />3. SPREADING AND D19CING <br />_ - 4. CONCRETE TANKS <br />- - 5. LAGOONING <br />C U Fi tTl A/G1 DIV 1ahE; LS- <br />- - 6. COMPOSTING <br />, MY! C _ D 1 "S5 <br />BIRD DISPOSAL <br />- - 7. BURYING WITH 2' OF COVER <br />Lij L ►yt.Tb C-O e P <br />_ - 8. APPROVED CONCRETE TANK <br />1I11 <br />L "ail <br />- - 9. REMOVAL FROM PREMISES <br />I rpM1675 1 c <br />VECTOR CONTROL <br />- - 10. DOMESTIC FLY <br />- - 11. FANNIA FLY <br />`47.0_ <br />- 12. LARVAE <br />- - 13. PUPAE <br />[ -� '�E15 PtC <br />_ - 14. ADULT <br />_ 0 15. LIGHT POPULATION <br />�' P � Vk7 <br />- - 16. MODERATE POPULATION <br />_ <br />P 2L <br />- - 17. HEAVY POPULATION <br />PMkn Lam` 8 t.S` 7 Da <br />FEEDING /WATER <br />TD L)sc r LCL Ir LL'j L S <br />o - 18. WATER TROUGHS <br />_ - 19. CUPS OR BOWLS <br />-- <br />TZ r5 15 uS f-Q1 Q ST- <br />20. FOOD STORAGE <br />20. <br />HOUSES <br />l / T; C- S C.L4- <br />- 21. FLOORS <br />p <br />-- 22. WALLS/CEILINGS <br />_ 23. CLEANING FREQUENCY <br />< <br />7D 6-DA72-D® t fL4 <br />�1U <br />STIR. OPER. <br />f <br />KEN"XL <br />WAR WELL <br />- _ 1. WELL CONSTRUCTION <br />- _ 2. CROSS CONNECTION <br />FLOORS <br />- - 3. PROPERLY GRADED TO SEWER <br />- - 4. DRAIN <br />- - 5. SLOTH/CLEANABLE <br />- - 6. COVING <br />- - 7. CLEANING FREQUENCY <br />WALLS <br />- - 8. SMOOTH/CLEANABLE <br />- - 9. CLEANING FREQUENCY <br />- CAGES <br />s _ 10. CONDITION <br />11. SANITATION <br />FOOD <br />- 12. STORAGE <br />- _ 13. INSECTNERMIN <br />ANIMAL DISPOSAL <br />- - 14. REMOVAL FROM PREMISES <br />- - 15. OTHER <br />SEWAGE DISPOSAL <br />- - 16. SEPTIC SYSTEM <br />- - 17. SEWER <br />r' <br />RAINES VACCINATION <br />- - 18. CERTIFICATE ON PREMISES <br />SAN TARIA RECEIVED <br />0 EH 0741 (&40). <br />