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IL <br /> SAN JOAQUIN COUNTY <br /> _ ? ENVIRONMENTAL HEALTH DEPARTM NT <br /> 304 East Weber Avenue, 3`1 Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Far:(209)464-0138 Web:www.sjgov.org/ehd <br /> �FOR� <br /> VECTOR CONTROL INSPECTION FORM <br /> POULTRY RANCH DBA^ � IEC��A� 7 <br /> Structure Operation Water Well C �^/,• 'C 'oO``-- <br /> ❑ ❑ 1. Well Const tion PREMISE ADDRESS IN <br /> ��C RESPECTION DATE <br /> El 112. Cross-Con ction /3 7 V q 0 t2 L `,Q e 4..Q'rZ Z,7• Z06• <br /> Structure Operation Manure Ma agement OWNER/OPERATOR ,f PHONE <br /> El ❑ 3. Spreadi g and Disking G ��, �L 319- 703�1 <br /> ❑ 4. Concr e Tanks IN EC ION TYPE PROGRAM ELEMENT RECCORD ID <br /> El 5. Lag ning V"� 7 �'*�bc,�r ce c cx-67 <br /> 116. Co posting The items below represent code violations and must be corrected: <br /> Structure Opera'on Bir Disposal <br /> ❑ ❑ 7. urying with 2"of Cover <br /> ❑ ❑ A2proved Concrete Tank j /�_e /l / f / ej 6„R/T7_ ��ley <br /> El El9. Removal from Premises �J <br /> Structure Operation Vector Control <br /> ❑ ❑ A 10. Domestic Fl <br /> ❑ <br /> 11. Fannia Fl � ;�r «! <br /> ❑ 12. Larvae <br /> ❑ 3. Pupae <br /> ❑ ❑ V. Adult <br /> ❑ ❑ A. Light Population <br /> ❑ A ❑ 16 Moderate Population <br /> ❑ ❑ 17.\Heavy Population <br /> Struc re Operation Fee ing/Water <br /> ❑ 18. kater Troughs <br /> ❑ 19. C ps or Bowls <br /> ❑ ❑ 20. F d Storage <br /> Structure I Operation Houses <br /> ❑ ❑ 21. Floor <br /> ❑ ❑ 1 22. Walls/Ceilings <br /> ❑ ❑ 1 23. Cleaning Frequency <br /> KENNEL <br /> Structure Operation Water Well <br /> ❑ ❑ 1. Well Construction <br /> ❑ ❑ 2. Cross Connection <br /> Structure Operation Floors <br /> ❑ ❑ 3. Properly Graded to <br /> ❑ ❑ 4. Drain <br /> ❑ ❑ 5. Smooth/Cleanable <br /> ❑ ❑ 6. Covin <br /> 11 El7. Cleaning Frequency <br /> Structure Operation Walls <br /> ❑ ❑ 8. Smooth/Cleanable <br /> ❑ ❑ 9. Cleaning Frequency <br /> Structure Operation Cages <br /> ❑ ❑ 10. Condition <br /> ❑ ❑ 11. Sanitation <br /> Structure Operation Food <br /> ❑ ❑ 12. Storage <br /> ❑ ❑ 13. Insect/Vermin <br /> Structure Operation Animal Disposal <br /> ❑ ❑ 14. Removal from Premises <br /> ❑ ❑ 15. Other <br /> Structure Operation Sewage Disposal <br /> ❑ ❑ 1 16. Septic System <br /> ❑ ❑ 17. Sewer <br /> Structure Operation Rabies Vaccination RECEIVED BY: 77:T R <br /> ❑ ❑ 18. Certificate on Premises ✓Lz!'�trsz. �� <br /> EHD 40-06 6/30/2005 / Page Of <br />