Laserfiche WebLink
Pa U i/y SAN JOAQUIN COUNTY <br /> 2. <br /> ENVOONMENTAL HEALTH DEPARTME01 <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> `r =` Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> CC �c <br /> 4ClFORc� <br /> VECTOR CONTROL INSPECTION FORM <br /> POULTRY RANCH DBA INSPECTION DATE <br /> e <br /> Structure Operation Water Well Ya 1 I <br /> ❑ ❑ 1. Well Construction PREMISE ADDRESS REINSPECTION DATE <br /> ❑ El2. Cross-Connection 5 <br /> Structure Operation Manure Management OWNS RATOR 7PH 'E <br /> ❑ ❑ 3. Spre4jing and Disking two �'C►@. <br /> ❑ 4. Con rete Tanks INSPECTION TYPE PROGRAM ELEMENT RECORD ID <br /> ❑ 5. La boning / <br /> ❑ ❑ 6. C mposting The items below represent code violations and must be corrected: <br /> Structure peration Birfi Disposal <br /> ❑ 7,/Burying with 2"of Cover <br /> ❑ <br /> 81 Approved Concrete Tank 01 <br /> ❑ ❑ f. Removal from Premisesr <br /> Structure Operation ector Control ZIP <br /> ❑ ❑ 10. Domestic FI <br /> ❑ ❑ 1. Fannia Fl <br /> El l Larvae Ri �,. as <br /> ❑ ❑ 13. Pu ae <br /> ❑ ❑ 14. dult <br /> ❑ 15. L ht Population <br /> ❑ ❑ 16. M Berate Population <br /> ❑ ❑ 17. He Population <br /> Structure Opera on Feedln ater . <br /> ❑ 18. Wate Troughs <br /> ❑ 19. Cups A Bowls �01 V <br /> ❑ ❑ 20. Food Slorage <br /> Structure Operation Houses <br /> ❑ ❑ 21. Floors <br /> ❑ ❑ 22. Walls/Ceilings <br /> ❑ ❑ 23. Cleanin Frequenc <br /> KENNEL <br /> Structure Operation Water Well <br /> ❑ ❑ 1. Well Construction <br /> ❑ ❑ 2. Cross Connection <br /> Structure Operation Floors <br /> ❑ ❑ 3. Properly Graded to <br /> 11 ❑ 4. Drain <br /> ❑ El 5. Smooth/Cleanable <br /> ❑ ❑ 6. Covin <br /> 11 7. Cleaning Frequency <br /> Structure Operation Walls <br /> ❑ 8. Smooth/Cleanable <br /> 9. Cleaning Frequency <br /> Structure Operation Cages <br /> ❑ ❑ 10. Condition <br /> ❑ ❑ 11. Sanitation <br /> Structure Operation Food <br /> ❑ ❑ 12. Storage <br /> ❑ ❑ 13. Insect/Vermin <br /> Structure Operation Animal Disposal <br /> ❑ ❑ 14. Removal from Premises <br /> ❑ El 15. Other <br /> Structure Operation Sewage Disposal <br /> ❑ ❑ 16. Septic System <br /> ❑ ❑ 17. Sewer <br /> Structure Operation I Rabies Vaccination ECEIV'ED BY INSPECT <br /> Of <br /> ❑ 18. Certificate on Premises / <br /> EHD 40-06 6/30/2005 <br /> p Page ToT7 <br /> 2, <br />