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0SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> �1 VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. 1 Phone(209)468-3420 <br /> PERMIT NO. ��������� <br /> STR. OPER. DBA 11 ii Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION C7� /ti ^� L cck". <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DICCING <br /> _ - 4. CONCRETE TANKS <br /> 5. LAGOONING � <br /> _- 6. COMPOSTING <br /> BIRD DISPOSAL (LL, <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 1 A <br /> STA. OPER. <br /> KENNEL 1n� <br /> WATER WE j L 6L41. L[� ct-� G`� L L r T /ruz) <br /> A. WELL CONSTRUCTION <br /> r�.2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER v u- 7 y <br /> 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS77�- <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 v caNAnoN � <br /> --_ 18. CERTIFICATE ON PREMISES SANITARIA- RECEIVED BY <br /> ® EH 07-01(690) <br />