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SAN JOAQUIN COUNTY Ah <br /> 46 PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON,CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA � r � Ins pDate <br /> OULTRY RANCH \o(� ft (•(J <br /> TER WELL Premise)wdresl Recheck Date <br /> 1. WELL CONSTRUCTION Z p � <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT DE VIOLAVIOLATIONSjAND MUST BE CORRECTED: <br /> 3.E MANAGEMENT <br /> SPREADING AND D ING 0 W 0 0 <br /> 4. CONCRETE TAN t^ S I - ` a y- <br /> - 5. LAGOONING �Ir OV�./► <br /> 6. COMPOSTIN <br /> BIRD DI SAL V <br /> - - 7. BURYI WITH 2.OF COVER <br /> - - . APPR ED CONCRETE TANK <br /> - _ 9 R YAL FROM PREMISES <br /> VECTOR CON L <br /> -- 10. ESTIC FLY <br /> -- 11. NIA FLY y'tc) <br /> -- 1 LA VAE 1� <br /> - - 14. ADU T <br /> 15. LGH POPULATION <br /> 16. MODE TE POPULATION <br /> 17. HEAVY PULATION <br /> FEEING/WATER <br /> 18. WATER OUGHS <br /> 19. CUPS OR OWLS <br /> 20. FOOD STO AGE <br /> H USES <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> S7 R. OPER. <br /> KENNEL <br /> WATfq <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <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 /> C-�� <br /> 10. CONDITION <br /> 11. SANITATION <br /> FOOD <br /> 12. STORAGE <br /> -_ 13. INSECT/VERMIN <br /> AN DISPOSAL <br /> 14. R <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGJE DISPOSAL <br /> 6. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION [+` <br /> 18. CERTIFICATE ON PREMISES SANIT RIAN 4RECE D BY/ -� <br /> 0 EH 07-01(690) +( 1 <br />