Laserfiche WebLink
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. <br /> ���� S 3 a Phone(209)468-3420 <br /> f.� <br /> PERMIT NO. 6 g 2 <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCHE - '(!)2- <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION "Z ,V <br /> _ 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANAGEMENT <br /> 3. SPREADING AND DI NG <br /> _ 4. CONCRETE TANKS <br /> _ 5. LAGOONING <br /> COMPOSTING <br /> BIRD DISPOSA <br /> 7. RYING WI 2'OF COVER <br /> _ 8. A PROVED ONCRETE TANK <br /> 9. RE VA ROM PREMISES <br /> VECTOR CONTROL <br /> 10. DOME K: FLY <br /> 11. FAN FLY <br /> 12. LA A <br /> 13. AE <br /> 14. ULT <br /> _ 15. IGHT PO CATION (' U, <br /> 1 MODERATE PULATION <br /> . HEAVY PO LATION <br /> FEEDING ATER <br /> 18. WATER TROUG S <br /> _ 19. CUPS OR BOW <br /> 20. FOOD STORAGE\ <br /> HOUS S <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> STN. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> f 4. DRAIN <br /> _y� 5. SMOOTH/CLEANABLE <br /> 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> -""8. SMOOTH/CLEANABLE <br /> __ 9. CLEANING FREQUENCY <br /> CAGES <br /> %. CONDITION <br /> -�11. SANITATION <br /> FOOD <br /> �. STORAGE <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 1:--14. REMOVAL FROM PREMISES <br /> _ - 15. OTHER <br /> SEWAGE DISPOSAL <br /> SEPTIC SYSTEM n <br /> 17. SEWER <br /> RABIES VACCINATION <br /> - CERTIFICATE ON PREMISES ECEIVED BY <br /> ® EM 07-01(8-90) <br />