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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. � OPhone(209)4683420 <br /> PERMIT NO. <br /> STR. OPER. DBA / ;� Inspection Date <br /> POULTRY RANCH L_.�,, ' S I I`ESOI�� �- <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION IO G �� Ad• / O T- <br /> _ _ 2. CROSS-CONNECTION / c.. (. L <br /> 10 <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND DItCING <br /> _ 4. CONCRETE TANKS I <br /> S. LAGOONINGT77 � L i <br /> _ 6. COMPOSTING <br /> BIRO DISPOSAL l <br /> _ 7. BURYING WITH 2'OF COVER <br /> 8. APPROVED CONCRETE TANK L A�,_ <br /> _ 9. REMOVAL FROM PREMISES CyV�„ <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. FOOD STORAGE <br /> HOUSES <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> SIV. 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 /> _ <br /> S. SMOOTH/CLEANABLE <br /> _ 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> 8. SMOOTH/CLEANABLE rN <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 /> RAINES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES SANTV IV BY <br /> ® EH 07.01(8-90) <br />