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*AN JOAQUIN COUNTY <br /> UBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. t� Phone(209)468-3420 <br /> PERMIT NO. 1 <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH 5Vore,uaiLb R e { v�rS ;?>I <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> _- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND D19CING JW) '0 t a'` jam"" }Js <br /> - - 4. CONCRETE TANKS <br /> -- 5. LAGOONING <br /> - - 6. COMPOSTING <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER <br /> S. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> J - - 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 /> STR. OPER. _ <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION � ! 1'1 1^�vQ vacc,1 r �, 1:y'i - <br /> 2. CROSS CONNECTION _ �( 1 1 ,V� - ,,a 1L�•"�-+"•1 <br /> FLOORS &fZ Y gyib L--Y cuL, Cry Led <br /> 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> - 5. SMOOTH/CLEANABLE <br /> - f 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 /> - _7 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> l` 17. SEWER <br /> RABIES YACCINATK3N f <br /> -- 18. CERTIFICATE ON PREMISES SANITARIANO JECCEIVXXY <br /> 0 EH 07-01(8-90) <br />