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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> /' e�j VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. R G`��yP OOS� Phone(209)468-3420 <br /> PERMIT NO. cc ""Uua <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH H7 1 �. 4-- S <br /> WATER WELL Premise Address Reche c Date <br /> - - 1. WELL CONSTRUCTION <br /> -_ 2. CROSS-CONNECTION C•� <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND DI9CING <br /> 4. CONCRETE TANKS © I�� <br /> -- 5. LAGOONING 11 , <br /> 6. COMPOSTING / <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 FLY <br /> - - 11. FANNIA FLY <br /> - - 12. LARVAE <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. F000 STORAGE � � "� <br /> HOUSES <br /> gi <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL <br /> WATER WELL IvJ'/'1/�//��(,,,���� <br /> ✓ t. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION �- (,(��pC6�C.C� 0-y\ . 't'k -t'y+i YYL' <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> - L 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> 6. COVING <br /> _Z 7. CLEANING FREQUENCY <br /> WALLS/ <br /> S. 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 /> �e 14. REMOVAL FROM PREMISES -- --• <br /> 15. OTHER <br /> s <br /> SEWAGE DISPOSAL <br /> } <br /> -X16.•SEPTIC SYSTEM - <br /> _ <br /> -"17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES <br /> mental c ;A eived By <br /> ® EH 07-01(600) <br />