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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. <br /> Phone(209)468-3420 <br /> '�� �,.--'I��Z�" <br /> PERMIT NO. <br /> STR. OPER. DBA,/ Inspection Date <br /> POULTRY RANCH V`)N ISI P\K I NI Lr <br /> WATER WELL Premise Address Recheck Date <br /> -- 1. WELL CONSTRUCTION ( e <br /> - 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> _ 3. SPREADING AND DIGGING <br /> -- 4. CONCRETE TANKS _ <br /> -- 5. LAGOONING <br /> 6. COMPOSTING <br /> - �3AC(L;t✓tA1rJ'i 4'�!��� , �xiA,{l7 �� '"�f1L"7 ;,�;LI Nn A')N'I�.��t'i), <br /> BIRD DISPOSAL /� - <br /> - - 7. BURYING WITH 2'OF COVER <br /> _- <br /> S. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES r,pAu C)oy1;J0 <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/CEIUNGS <br /> CLEANING <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 /> - <br /> S. SMOOTH/CLEANABLE s ` <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 I <br /> RABIES VACCINATION ',<n <br /> -- 18.CERTIFICATE ON PREMISES SANITARIAN RECEIVED BY <br /> ® EH 07-01(3-90) - <br />