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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 <br /> COMPUTER NO. Phone 0209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. . DBA r Inspection Date <br /> POULTRY RANCH J <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS-CONNECTION ay N <br /> MANUIRE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MIAT BE CORRECTED: <br /> 3. SPREADING AND DIKING <br /> 4. CONCRETE TANKS <br /> S. LAGOONING <br /> 6. COMPOSTING <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES ot <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> 12. LARVAE <br /> 13. PUPAE a <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 /> e 17. SEWER <br /> RABIES VACCINATION � 1/ <br /> _- 18.CERTIFICATE ON PREMISES <br /> SA tTARiAN :IVED BY <br /> 0 EH 07-01(690) <br />