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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> C � ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> (77 f VECTOR CONTROL INSPECTION FORM <br /> COMPUTER N'0 � �f���3� Phone(209)468-3420 <br /> Sl <br /> PERMIT NO. <br /> STR. OPER. DBA(! Inspection Date <br /> POULTRY RANCH `- �� C(�G�C t^ QL <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION y j <br /> - - 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT E VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> - - 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS <br /> 5. LAGOONING r <br /> 6. COMPOSTING <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 /> STIR. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION ( / �, / <br /> - - 2. CROSS CONNECTION ►.�^�` l� C{ ("1. t Yt d t ,' 'L /) -0 t`U C � AQ- <br /> FLOORS <br /> Q- <br /> FLOORS fivo - <br /> 3. PROPERLY GRADED TO SEWER �/Y h a 4 d ad (�' ' � " <br /> - - 4. DRAIN <br /> 5. SMOOTH/CLEANABLE I �^� / j o <br /> - - 6. COVING M J �/ 1..C�.�l.[y-o 0� -K 1 I Q, <br /> -- 7. CLEANING FREQUENCY -+ <br /> WALLS C. I �1S>t�Si C-f,lt <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 Jt C., <br /> 18.CERTIFICATE ON PREMISES TARIAN RECEIVED BY <br /> ® EH 07-01(8-90) <br />