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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES 16 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> AAA <br /> COMPUTER NO. uv Phone(2009)4683420 <br /> PERMIT NO. PT00aff, 4 q3l _r5-T <br /> STR. OPER. DBA Ins ion Date <br /> POULTRY RANCH Lui !Q w 2- <br /> -Z- <br /> WATER WELL Premise Redress fiechiIckDate <br /> 1. WELL CONSTRUCTION l T-1-40 . ~T j/a <br /> 2. CROSS-CONNECTION ►'� <br /> THE ITEMS BELOW REPRESENT CODE VI ATIONS AN MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> _ 3. SPREADING AND DIKING <br /> _= 4. CONCRETE TANKS 1 Y1 ��� Il� <br /> 5. LAGOONING <br /> 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH 2'OF COVER <br /> _ 8. APPROVED CONCRETE TANK n <br /> 9. REMOVAL FROM PREMISES V L]IJP <br /> VECTOR CONTROL V <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY l a `ILL 1✓ <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 /> jj <br /> STR. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS 3. PROPERLY GRADED TO SEWER out, <br /> l /v MlC. �Gma1yC/�f✓YZ�ny�L`y�IV Y.X//f� L�/-C�JJ, <br /> o <br /> 4. DRAIN /'y <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 /> _ 14. REMOVAL FROM PREMISES <br /> _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATM <br /> -- 18. CERTIFICATE ON PREMISES <AANITAgIA6N � RECEIVED B <br /> ® EH 07-01(600) <br />