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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. Phone(209)468-3420 <br /> PERMIT NO. �✓! <br /> STR. OPER. DBA inspection Date <br /> POULTRY RANCH <br /> WATER WELL PreRR a Address Recheck Date <br /> 1. WELL CONSTRUCTION a T <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS - <br /> 5. LAGOONING D <br /> 6. COMPOSTING <br /> BIRD DISPOSAL ^ <br /> 7. BURYING WITH 2'OF COVER �/ L✓ V/f�f� Lf <br /> _ 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY <br /> _ 11. FANNIA FLY <br /> _ 12. LARVAE 3 <br /> 13. PUPAE <br /> _ 14. ADULT <br /> 15. LIGHT POPULATION �U -f�j� <br /> 16. MODERATE POPULATION 6 <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 /> elf <br /> S"R. 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 /> _ <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL i <br /> _ 16. SEPTIC SYSTEM <br /> 17. SEWER 7 ' <br /> RABIES VACCINATION s <br /> 18. CERTIFICATE ON PREMISES S RIAN 4REC4EIVBY <br /> M EH 07-01(600) _ <br />