Laserfiche WebLink
• SAN JOAQUIN COUNTY is <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> (� VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. 0 Lf d OS 3 Phone(209)468-3420 <br /> PERMIT NO. 1 1 OOPE) 2-21GZ <br /> STR. OPER. DBA fnspecuoate <br /> POULTRY RANCH �� v--� 7 1,% b-s _ <br /> WATER WELL Premise Address Rec eck Date <br /> 1. WELL CONSTRUCTION --�> I <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT C06k VIOLATIONS 4AND MUST CORRECTED: <br /> MANURE MANAGEMENT <br /> _ 3. SPREADING AND DIiCING <br /> _ 4. CONCRETE TANKS <br /> _ 5. LAGOONING �(�C_2-!L__/(-.,f�s'_1( /Y!�/�CP� ..�-►� <br /> 6. COMPOSTING <br /> BIRD DISPOSAL + �" } I/✓�- � � <br /> t <br /> _ 7. BURYING WITH 2'OF COVER <br /> _ <br /> S. APPROVED CONCRETE TANK / <br /> 9. REMOVAL FROM PREMISESfl��� <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY W\ / �_� ��� �� � � �r7fCaL <br /> ' e <br /> _ 12. LARVAE <br /> 13. PUPAE <br /> 14. ADULT <br /> _ 15. LIGHT POPULATION #-CAR6dC,&&= cam- l `�_-�� A e a r <br /> 16. MODERATE POPULATION ORl` <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER 1� .rH <br /> _ 18. WATER TROUGHS � Si"a�`�+^•t�� 'T �!A f✓1-A <br /> 19. CUPS OR BOWLS 0 or <br /> _ 20. FOOD STORAGE <br /> HOUSES <br /> e6 rL. <br /> 21. FLOORS Il Nr <br /> 22. WALLS/CEILINGS 1" 13 <br /> _ 23. CLEANING FREQUENCY <br /> STR. OPER. - D L Gq \M StAIS S A- \rte <br /> KENNEL V �`- <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION �-- A <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 /> _ <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> _ 16. SEPTIC SYSTEM <br /> _ 17. SEWER <br /> RABIES VACCINATION <br /> -_ 18.CERTIFICATE ON PREMISES i <br /> ntal Health Specialist Received By <br /> ® EH 07-01(690) <br />