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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIO <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> Q <br /> COMPUTER NO. VIZ <br /> [.� 70q000 S 9 Phone(209)46&3420 <br /> PERMIT NO. �00000 � <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH / /(x�2 1 �� U <br /> WATER WELL Premise Address I Rechaofk Date <br /> -_ 1. WELL CONSTRUCTION /� <br /> -- 2. CROSS-CONNECTION v <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND D19CING <br /> _= 4. CONCRETE TANKS �[ No � 9 <br /> 5. LAGOONING �t.�- <br /> _- 6. COMPOSTING e <br /> BIRD DISPOSAL " <br /> - - 7. BURYING WITH 2'OF COVER <br /> - _ 8. APPROVED CONCRETE TANK <br /> - _ 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> -- 10. DOMESTIC FLYS <br /> 11. FANNIA FLY 001 'y <br /> - - 12. LARVAE1 r <br /> 13. PUPAE <br /> - _ 14. ADULT <br /> -- 15. LIGHT POPULATION <br /> - - 16. MODERATE POPULATION <br /> - - 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> _ - 18. WATER TROUGHS <br /> - 19. CUPS OR BOWLS <br /> _ - 20. FOOD STORAGE <br /> HOUSES <br /> 21. FLOORS <br /> -_ 22. WALLS/CEILINGS <br /> - _ 23. CLEANING FREQUENCY <br /> STA. OPER. <br /> KENNEL �vv'' <br /> WATER WELL '17 6t P1$ & uk' <br /> -- 1. WELL CONSTRUCTION 2 <br /> � 1 <br /> 2. CROSS CONNECTION �/�eQ(_r (it N� Yip( ['(J�►-�r ,��[, � -" <br /> FLOORS On `C!y oZ.It/ ole_� G4le( <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 /> 14. REMOVAL FROM PREMISES <br /> _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> - 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION - O <br /> 1" <br /> _- 18. CERTIFICATE ON PREMISES I R EIV B <br /> 19 EH 07-01(8.90) <br />