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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 O r / O S� <br /> WATER WELL Premise Addrdas 47 Recheck Date <br /> -- 1. WELL CONSTRUCTION <br /> _ 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CdbE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> - 3. SPREADING AND D19CING <br /> _= 4. CONCRETE TANKS 4 <br /> 5. LAGOONING (J' U <br /> -- 6. COMPOSTING <br /> BIRD DISPOSAL ` <br /> - - 7. BURYING WITH 2'OF COVER <br /> _ - 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES q <br /> VECTOR CONTROL , J`y QLo <br /> _ - 10. DOMESTIC FLY rte+ .1- <br /> - - 11. FANNIA FLYS <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 /> -- 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 Oe <br /> RABIES VACCINATION ;� L�nob <br /> -- 18. CERTIFICATE ON PREMISES S ARIAN RECEIVED Bdm,(- <br /> �' / ��} <br /> 0 EH 07-01(8-90) `j]��"O� <br />