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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, ST TON, CA 95202 <br /> VECTOR CONTROL INSPECTION FOR <br /> COMPUTER NO. Phone C2M 468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA I Inspection Date <br /> POULTRY RANCH - <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT COW VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE NT <br /> _ 3. SPREADING AND DIKING <br /> 4. CONCRETE TANKS <br /> rlo <br /> 5. LAGOONING I <br /> _ 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH 2.OF COVER kn <br /> 8. APPROVED CONCRETE TANK m <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> _ 10. DOMESTIC FLY <br /> 11. FANNIA FLY " es , <br /> loo r <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 ro.. <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 /> Ag- <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 of <br /> 17. SEWER <br /> RABIES VACCINA <br /> 18. CERTIFICATE ON PREMISES SA ITA IAN ECEIVED BY <br /> M EH 07.01(840) <br />