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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.PA 410 000 Phone 0209)46&3420 <br /> PERMIT NO. / 000 <br /> STR. OPER. DBA Inspection Date - <br /> P UL.T Y RANCH , i 1 - 7 - 02- <br /> WATER <br /> "WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> 2. GROSS-CONNECTION <br /> MANURE EMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> - ® 3. SPREADING AND D&I <br /> -- . CONCRETE TANKS <br /> - 5 LAGOONING <br /> - - 6. OMPOSTING <br /> BIRO DISPOSAL <br /> _ - 7. B YING WITH "OF COVER <br /> -- 8. A OVED C RETE TANK <br /> 9. R VAL F PREMISES <br /> VECTOR CONTROL <br /> -- 10. DOME FLY <br /> - - 11. FANNIA LY <br /> ® - 12. LARVA <br /> - - 13. PUPA <br /> ® ® 14. ADU <br /> - - 15. LIG TION <br /> -_ 16. ERATE LATION <br /> - ® 17. H VY POPULA ION <br /> FEEDING/WAY R <br /> - - 18. ATER TROUGHS <br /> _ 19. UPS OR BOWLS <br /> 20. FOOD STORAGE <br /> HOUSES <br /> 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL <br /> - <br /> WATER W5jL <br /> 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTIONY►1 d _ �e� SL14 �. <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER <br /> ✓'4. DRAIN <br /> :.�5. SMOOTH/CLEANABLE <br /> -- 6. COVING <br /> ® 7. CLEANING FREQUENCY <br /> WALLS sevvvc Fece--,s <br /> 8. SMOOTH/CLEANABLE <br /> 9, CLEANING FREQUENCY <br /> CAGES LA <br /> - ?"10. CONDITION Os q <br /> -- 11. SANITATION <br /> FOOD <br /> - <br /> ---f,112. STORAGE <br /> -- 13. INSECTNERMIN <br /> ANIMAL DISPOSAL <br /> ® 14. REMOVAL FROM PREMISES <br /> - s 15. OTHER <br /> SEWAGE DISPOSAL <br /> - f <br /> 16. SEPTIC SYSTEM <br /> - - 17. SEWER <br /> a <br /> RABIES VACCINATION <br /> -- 18.CERTIFICATE ON PREMISES <br /> Environmental Health Specialist Re i d By <br /> EH 07-04(&W) _ �� <br />