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• 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 /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. Ewa onc) 7/7 <br /> STR. OP R. <br /> DBA Inspection Date <br /> POULT Y RANCH I e_CA WI IA a ( 'I - �)3 U te_ <br /> WATER W LL Premise Address _ Recheck Date <br /> - - 1. WELL CONSTRUCTION al 79 v/ <br /> -7 f � / iA <br /> -- . CROSS-CONNECTION / Y <br /> MANURENT THE ITEMS BELOW REPRESENT CODE IOLATIONS AND MUST BE CORRECTED: <br /> -- 3. SPREADING AND DIKING <br /> - - 4. ONCRETE TANKS <br /> - - 5. GOONING <br /> 6. C POSTING <br /> BIRD DISPOSAL <br /> - - 7. BUR ING WITH 2'OF COVER <br /> _ - 8. AP ED CONC TE TANK <br /> - 9. REMO L FROM EMISES <br /> VECTOR CONTROL <br /> - - 10. DOMEST F Y <br /> 11. FANNIA F <br /> - 12. LARVAE p <br /> - - 13. PUPAE (�C�i"� <br /> �1� �I t ' .V' GZ, - li <br /> 14. ADUL Ilk <br /> - - 15. LIG POPU TION <br /> -- 16. ERATE PO LATION <br /> - - 17. AVY POPULA ION <br /> FEEDING/WA ER <br /> 1 . WATER TROUGHS <br /> - - CUPS OR BOWLS / <br /> - - 20. FOOD STORAGE <br /> HOUSES <br /> 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL - <br /> wATER, ", <br /> - / 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOOR'S / <br /> ✓/3. PROPERLY GRADED TO SEWER <br /> _ L/ DRAIN <br /> -�G `} SMOOTH/CLEANABLE <br /> _ 6. COVING <br /> - _ 7. CLEANING FREQUENCY <br /> WALLS <br /> a. SMOOTH/CLEANABLE <br /> _ 9. CLEANING FREQUENCY <br /> CAGES <br /> -'10. CONDITION <br /> -111. SANITATION <br /> FOOD <br /> -'12. STORAGE <br /> -_ 13. INSECT/VERMIN <br /> ANIMAL DISMAL <br /> 14. REMOVAL FROM PREMISES <br /> - _ 15. OTHER <br /> SEWAGE DI OSAL <br /> 16. SEPTIC SYSTEM <br /> 17 SEWER p <br /> RA61ES VA NATION <br /> -- 19. CERTIFICATE ON PREMISES <br /> Vironmenta lth Spe alist ReceiV By <br /> 0 EH 07-01(690) <br />