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SAN JOAQUIN COUNTY i <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> n VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. lw ©�DO©S'S Phone(209)468-3420 <br /> PERMIT NO. P©O Q Z!3?-9 <br /> STR. OPER. DBA _ f Inspection Date <br /> POULT Y RANCH A L V 1 et/1 �✓EdG( /O o _ <br /> WATER W LL Premise Address Recheck Date <br /> WELL CONSTRUCTION1 <br /> 2. CROSS-CONNECTION <br /> MANURE MANAG HT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> _ 3. EADING AND DI9CING <br /> 4. C RETE TANKS <br /> 5. LAG ING <br /> 6. COM TING <br /> BIRD DISPOSAL <br /> _ 7. BURYING TH 2' COVER <br /> 8. APPROVED ETE TANK <br /> _ 9. REMOVAL FR PREMISES <br /> VECTOR CONTROL <br /> _ 10. DOMESTIC Y <br /> _ 11. FANNIA F Y <br /> 12. LARVA <br /> _ 13. PUPA <br /> 14. ADU <br /> 15. LI T POPULATION <br /> _ 16. ERATE POPULATI <br /> 17. EAVY POPULATION <br /> FEEDING/W TER <br /> WATER TROUGHS <br /> 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE <br /> NOUS <br /> _ 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> _ 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL - <br /> WATER WEtL <br /> 1. WELL CONSTRUCTION �11 <br /> 2. CROSS CONNECTION �� ��o /�-Lt� 4f <br /> (/ A <br /> FLOORS✓ <br /> PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> -:f- 6. COVING <br /> __ 7. CLEANING FREQUENCY <br /> WALLS <br /> _ JC e. SMOOTH/CLEANABLE <br /> _ _ 9. CLEANING FREQUENCY <br /> CAGES <br /> `�10. CONDITION <br /> 11. SANITATION <br /> FOOD 12. STORAGE tie <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> x/14. REMOVAL FROM PREMISES <br /> _ _ 15. OTHER <br /> SEWAGE D OSAL <br /> 16. SEPTIC SYSTEM 7 <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES � a � �t <br /> nvironmental Health Specialist ---Received By <br /> ® EH 07-01(690) <br />