Laserfiche WebLink
as 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)46&3420 <br /> PERMIT NO. fn�Q uo 3 <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH 8 A 12 R I,�.3 /- lXQ - <br /> Q <br /> WATER WELL Pronme Adder Recheck Date <br /> -- 1. WELL CONSTRUCTION 2 <br /> 66 ZcA <br /> - - CROSROSS-0ANNECTION <br /> MANURE MAN CROS T THE ITEMS BELOW REPRESENT &DE VIOLATION AND MUST BE CORRECTED: <br /> - - 3. SPREADING AND D19CING ,v <br /> -- 4. CONCRETE TANKS <br /> -- 5. LAGOONING <br /> - - 6. COMTING <br /> i <br /> BIRD DISPOSAL % <br /> -- 7. BURYING ITH 2'�COVER <br /> -- 8. APPROVE CONCRETE TANK <br /> - 9. REMOVAL CMi PREMISES <br /> VECTOR CONTROL 1111 <br /> -- 10. DOMESTICVL <br /> -- <br /> 11. FANNIA�// Y <br /> -- 12. LARV� <br /> - - 13. PUPA <br /> - - 14. ADULT <br /> -- 15. LIG T POPULATI N <br /> -- 16. �ERATE POPU TION <br /> -- 17. EAVY POPULATI <br /> FEEDING/WATER <br /> 18. WATER TROUGHS <br /> _ - 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES <br /> _ - 21. FLOORS <br /> 22. <br /> -- 22. WALLS/CEILINGS `L/Ti �/�rr1 Ire 1 �'7�-' �i"��• t4 �.L c�- ����-- ""'_.. <br /> 23. CLEANING FREQUENCY <br /> STH. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS ;J' �/ <br /> �3. PROPERLY GRADED TO SEWER r <br /> - <br /> -1,-14. DRAIN f r <br /> ✓5. SMOOTH/CLEANABLE <br /> ✓ 6. COVING <br /> CLEANING FREQUENCY <br /> WALLS <br /> ✓8. SMOOTH/CLEANABLE <br /> CLEANING FREQUENCY <br /> CAGES <br /> 10. CONDITION <br /> ---, : SANITATION <br /> FOOD <br /> --�12. STORAGE <br /> -- 13. INSECT/VERMIN <br /> t <br /> ANIMAL DISPOSAL <br /> L- 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER <br /> SEWAGE DISPOSAL <br /> - 16.,SEPTIC SYSTEM <br /> - _ 17. SEWER fps <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES (-NIT) IAN RECEIVED BY <br /> 4) EH 07-01(690) _ <br />