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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. P IZ ocq 00OL"I Phone(209)468-3420 <br /> PERMIT NO. K(�XLXID <br /> DBA Inspection Date <br /> STR. OPER. I) `� / <br /> POULTRY RANCH1)3 <br /> WATER WELL Premise Add R k Date <br /> - - 1. WELL CONSTRUCTION I V E-. rb o` 2tt, LUJL, <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND D19CING <br /> _- 4. CONCRETE TANKS <br /> 5. LAGOONING �`'L� �J!CJ C Cl., f LITS 3 <br /> - - 6. COMPOSTING <br /> BIRO 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. FOOD STORAGE <br /> HOUSES <br /> - _ 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> - _ 23. CLEANING FREQUENCY <br /> STS. OPER. <br /> KENNEL <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION �✓W t� L <br /> FLOORS ! ' U�� L�1�L,�✓!/1Ld� �j�{�� A <br /> - - 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN a-4- ad. 41 rnz/,, <br /> -_ 5. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> 7. CLEANING FREQUENCY y /� <br /> WALLS �s C I �� ��/d'L✓� l �.L <br /> -- 8. SMOOTH/CLEANABLE <br /> - - 9. CLEANING FREQUENCY <br /> CAGES <br /> _ 10. CONDITION <br /> - - 11. SANITATION <br /> FOOD <br /> - - 12. STORAGE <br /> -_ 13. INSECTNERMIN <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 S NITARI �'VED BY <br /> ® EH 07-01(3-90) - <br />