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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 INSPECTIONFORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. <br /> DBA Inspection Date <br /> POULTRY RANdI <br /> WATER WELL Premise Address RedheclfDate <br /> 1. WELL CONSTRUCTION d <br /> 2. CROSS-CONNECTION <br /> MANAGEMENTMANURE THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND D19=CING <br /> _ 4. CONCRETE TANKS <br /> _ 5. LAGOONING <br /> 6. COMPOSTINGq <br /> BIRD DISPOSAL OVA IIId` - A,« " � 4 a <br /> 7. BURYING WITH 2'OF COVER T <br /> CCdg <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 1 <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 /> SIR. OPER. <br /> KENNEL - <br /> WATER LL <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 /> CAGE / <br /> 10. CONDITION <br /> 11. SANITATION <br /> FOOD <br /> 12. STORAGE <br /> 13. INSECT/VERMIN <br /> ANI SPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEW DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> 17. SEWER \ <br /> RAiMNES NATION <br /> _ 18.CERTIFICATE ON PREMISES <br /> SANiTXBAN RECEIVED BY <br /> M EH 07411 1 - <br />