Laserfiche WebLink
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 /> COMPUTER NO. Pg L!060 Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA ) Inspection Date <br /> OULTRY RANCH f��,CG( w I <br /> TER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> - 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT 6obE VIOLATIONS AND BE CORRECTED: <br /> MANAGEMENT <br /> 3. SPREADING AND D19CING <br /> _ 4. CONCRETE TANKS .�j <br /> -- 5. LAGOONING f ��/S CLiV�. C/G( C.0 e�tGt�t <br /> -- 6. COMPOSTING <br /> BIRD DISPO L <br /> 7. BURYING WITH 2'OF,,6OVER <br /> - - 8. PPROVED CONCRETE TANK <br /> -- 9. R MOVAL FROM PREMISES <br /> r <br /> VECTOR CONTRO <br /> 10. DOME IC Y <br /> -- 11. FANNIA F Y �t7 Lk <br /> - = 12. LARVA LL <br /> 13. PUP'` 'L> jam,.: Z 2`:rf� <br /> - - 14. ADULT <br /> - - 15. LIGHT POPU ION <br /> -- 16. AODERATE PO TION <br /> -- 17¢HEAVY POPULAT <br /> JFEEDIINIG/ CATER <br /> 8. WATER TROUGHS <br /> 9. CUPS OR BOWLS <br /> 0. FOOD STORAGE <br /> 1. FLOORS <br /> -_ 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> STIR. OPER. <br /> KENNEL <br /> WATER WELL LAA <br /> 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> - 3. PROPERLY GRADED TO SEWER <br /> A. 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 /> 16. SEPTIC SYSTEM <br /> _ 17. SEWER s <br /> RABIES VACCINATION <br /> -- 18.CERTIFICATE ON PREMISES SANITARIAN Otf4EIVED BY <br /> 0 EH 07-01(8-90) 11 <br />