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" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME <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 /> 9t`p.O'Rca yI�� yo <br /> VECTOR CONTROL INSPECTION CTIy <br /> ON F® <br /> POULTRY RANCH DBAINSPE TIOND TE <br /> a 1 �&1 <br /> Structure Operation Water Well 'P <br /> ❑ ❑ 1. Well Construction PREMISE ADDRESS REIW.3PECTIbN DATE <br /> ❑ ❑ 2. Cross-Connection t� <br /> Structure Opera son Manure Mane ement OW RJOPERATOR a PHONE <br /> ❑ 3. Spreading 4d Disking <br /> ❑ EA 4. Concrete anks INSPECTION TYPE PROGRAM ELEMENT RECORD ID <br /> ❑ ❑ 5. LagoonAg t` <br /> ❑ ❑ 6. Com sting The items below represent code violations and must be corrected: <br /> Structure Operation Bird DspOS81 <br /> ❑ ❑ 7. Bilrying with 2"of Cover <br /> ❑ ❑ 8. pproved Concrete Tank <br /> ❑ ❑ <br /> V./Removal from Premises 14-4 <br /> J,^` <br /> Structure Operation ector Control <br /> ❑ ❑ t k Domestic Fl <br /> ❑ 1111. Fannia FI <br /> ❑ 11 12. Xrvae <br /> ❑ ❑ 13. ae <br /> ❑ ❑ 14. Ad it t�^� <br /> ❑ 15. Li h Po ulation <br /> ❑ 16. Mode to Population <br /> ❑ 17. Heavy o ulation t <br /> Structure erasion Feeding/Wa r 1 m. <br /> ❑ ❑ 18. Water Tr hs <br /> El 110:1 Cups or Bo Is ' �l <br /> ❑ 11 20. Food Stora <br /> Structure Operation Houses l <br /> ❑ ❑ 21. Floors <br /> ❑ ❑ 22. Walls/Ceilin s fi^ <br /> ❑ ❑ 23. Cleaning Frequenc <br /> KENNEL <br /> Structure Operation Water Well <br /> ❑ ❑ 1. Well Construction <br /> ❑ ❑ 2. Cross Connection s <br /> Structure Operation Floors J r� <br /> ❑ ❑ 3. Properly Graded to <br /> ❑ ❑ 4. Drain f <br /> El ❑ 5. Smooth/Cleanable <br /> ❑ 0 6. Covin <br /> ❑ 0 7. Cleaning Fre uenc <br /> P B <br /> Structure Operation Walls <br /> ❑ ❑ 8. Smooth/Cleanable " <br /> ❑ 11 9. Cleaning Fre uenc <br /> Structure Operation Cages <br /> ❑ 10. Condition <br /> ❑ 0 11. Sanitation <br /> Structure Operation Food <br /> ❑ ❑ 12. Storage <br /> ❑ El 13. Insect/Vermin <br /> Structure Operation Animal Disposal <br /> 11 ❑ 14. Removal from Premises <br /> Cl ❑ 15. Other <br /> Structure I Operation Sewage Disposal <br /> ❑ 0 16. Septic System <br /> ❑ ❑ 17. Sewer <br /> Structure Operation Rabies Vaccination C WED BY INSP TOR <br /> ❑ ❑ 18. Certificate on Premises <br /> EHD 40-06 6/30/2005 Page Of <br />