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SAN JOAQUIN COUNTY <br /> 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. DSA / Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Recheck D to <br /> - - 1. WELL CONSTRUCTION <br /> -- 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> _ 3. SPREADING AND DI9CING 1 <br /> - - 4. CONCRETE TANKS 6f <br /> tl <br /> -- 5. LAGOONING 7" <br /> - - 6. COMPOSTING <br /> BIRD DISPOSAL 1/ <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. FANNIAFLY <br /> - - 12. LARVAE J�s� -4., 22&jd�i <br /> - _ 13. PUPAE <br /> - - 14. ADULT <br /> -- 15. LIGHT POPULATION w <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 /> STIR. OPER. <br /> KENNEL - <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> S. 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 <br /> -- 18. CERTIFICATE ON PREMISES SANITARIAN RECEIVED BY <br /> ® EH 07-01(8.90) <br />