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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. <br /> o 6 Phone(209) 20 <br /> PERMIT NO. FI-00P <br /> STR. OPER. DBA inspection Date <br /> POULT Y RANCH <br /> WATER W LL Premise Address Recheck Date <br /> - - WELL CONSTRUCTION v�/ <br /> ®- GROSS-CONNECTIONMANURE MAN f <br /> NT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. S EADING AND DICCI <br /> -- 4. C RETE TANKS v e <br /> -- S. LA NTNG I S /h �' S <br /> 6. COM TING <br /> BIRD DISPOSAL <br /> - - 7. BURYIN WI 2'OF COVER y ° Ler <br /> - - 8. APPROV CONCRETE TANK <br /> -- 9. R V ROM PREMISES <br /> VECTOR CONTROL <br /> - - 10. srlc F Y [ <br /> - - 11. F NBA FLY <br /> - - 12. RVAE <br /> -- 13. PUPAE <br /> -- <br /> 1 . ADULT <br /> . LIGHT POPULATI N <br /> 16. MODERATE POPU TION <br /> 17. HEAVY POPULATI <br /> FEEDI G/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 /> WATE WELL <br /> 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> a. DRAIN <br /> s. 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 /> C12. STORAGE <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> - - 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER <br /> SEWAGE DISPOSAL <br /> QL�<16. SEPTIC SYSTEM <br /> - 17. SEWER <br /> RAI <br /> VTM <br /> 38 CERTIFICATE ON PREMISES <br /> Env menta Health Specialist Received By <br /> 0 EH 07-09(8-00) <br />