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COMPUTER NO. G q- G cz)6 4 - <br />PERMIT NO. Pi d L OO --CE-�; <br />STR. OPER. <br />POULTRY RANCH <br />WATER WELL <br />1. WELL CONSTRUCTION <br />2. CROSS -CONNECTION <br />MANAGEMENT <br />3. SPREADING AND DIKING <br />4. CONCRETE TANKS <br />S. LAGOONING <br />_ _ 6. COMPOSTING <br />BIRO DISP AL <br />7. BURYING WIT 2' OF COVER <br />8. PPROVED RETE TANK <br />_ 9. R VAL ROM PREMISES <br />VECTOR CONTROL <br />10. DOME IC FLY <br />_ 11. FAN A LY <br />12. LA AE <br />13. PAE <br />14. DULT <br />15. LIGHT POPULA ION <br />16 MODERATE POPU TION <br />. HEAVY POPULATI <br />FEEDING ATER <br />- 18. WATER TROUGHS <br />- 19. CUPS OR BOWLS <br />_ _ 20. FOOD STORAGE <br />HOUSES <br />T 21. FLOORS <br />22. WALLS/CEILINGS <br />_ 23. CLEANING FREQUENCY <br />STR. OPER. <br />KENNEL <br />8. SMOOTH/CLEANABLE <br />WATER WELL <br />_ <br />1. WELL CONSTRUCTION <br />2. CROSS CONNECTION <br />FLOORS <br />_ <br />3. PROPERLY GRADED TO SEWER <br />_ <br />4. DRAIN <br />S. SMOOTH/CLEANABLE <br />12. STORAGE <br />6. COVING <br />_ <br />7. CLEANING FREQUENCY <br />WALLS <br />_ <br />8. SMOOTH/CLEANABLE <br />_ <br />9. CLEANING FREQUENCY <br />CAGES <br />10. CONDITION <br />_ <br />11. SANITATION <br />FOOD <br />12. STORAGE <br />13. INSECT/VERMIN <br />A!IM#L DISPOSAL <br />14. REMOVAL FROM PREMISES <br />_ <br />15. OTHER <br />SEWAyE DISPOSAL <br />_ <br />16. SEPTIC SYSTEM <br />17. SEWER <br />RA&�VACCINATION <br />-VV - <br />18. CERTIFICATE ON PREMISES <br />0 EH 07-01 (690) <br />SAN JOAQUIN COUNTY 46 <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />P.O. BOX 2009, STOCKTON, CA 95202 <br />VECTOR CONTROL INSPECTION FORM <br />DBA Inspectic <br />Prem 'Addy Rech&p <br />THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED <br />Phone (209) 468-3420 <br />02- <br />THE <br />Z <br />_:;,•_ kk C.C. <br />Environmental Health Specialist Received By <br />