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SAN JOAQUINLOCAL HEALTAISTRICT <br /> 1601 E. HAZELTON AVENUE, STOCKTON, CA STOCKTON 466-6781 <br /> LODI 369-3621 <br /> VECTOR CONTROL INSPECTION FORM MANTECA 823-7104 <br /> TRACY 835-6385 <br /> COMPUTER NO. <br /> PERMIT NO: - <br /> STIR. OPER. DBA Inspection Date <br /> POULTRY RANCH CIS" Z�VIOV2_ I- it 14 <br /> WATER WELL Premise Address Recheck Date <br /> _ 1. WELL CONSTRUCTION cl-15 <br /> 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE V OLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND DISCING <br /> 4. CONCRETE TANKS L/ _ <br /> 5. LAGOONING <br /> _ 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH 2'OF COVER a <br /> a <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 /> - - <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 /> STR. 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 /> 5. SMOOTH/CLEANABLE <br /> _ 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS. <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 /> S <br /> SEWAGE DISPOSAL ZOO <br /> _ 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> ANITARIAN WLICEIVEDOEl <br /> ® EH 07-01 (4/85) <br />