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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 FOR <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA inspection Date <br /> POULTRY RANCH I <br /> r -* <br /> WATER-WELL <br /> Premise Address * Recheck Date <br /> -_ 1. WELL CONSTRUCTION <br /> _® 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODO VIOLATIONS ANO MUST BE CORRECTED: <br /> MANIURE MANAGEMENT <br /> - - 3. SPREADING AND DI4CING <br /> _ 4. CONCRETE TANKS <br /> -- 5. LAGOONING <br /> -- 6. COMPOSTING ru <br /> BIRD DISPOSAL <br /> _- 7. BURYING WITH 2'OF COVER <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 /> 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 /> -_ <br /> S. 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 /> SEWAGE DISPOSAL <br /> -- 16.,SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION <br /> - 18.CERTIFICATE ON PREMISES SANITARIAN RECEIVED BY s <br /> 6 EH 07-M WW) <br />