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SAN JOAQUIN <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009,STOCKTON,CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone(209) 20 <br /> PERMIT NO. <br /> STR, OPER. DBA Inspection qpte <br /> POULTRY R r <br /> WATER WELL Premise Awress Rechdbk Date <br /> _ ® 1. WELL CONSTRUCTION lemdagtl <br /> _® 2. CROSS-CONNECTION <br /> MANURE NT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> ®� 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS <br /> ®® 5. LAGOONING <br /> ® � 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH 2°OF COVER r..¢ <br /> _ 8. APPROVED CONCRETE TANK <br /> ®_ 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> ® ® 10. DOMESTIC FLY <br /> ® 11. FANNIA FLY <br /> ® 12. LARVAE <br /> _ 13. PUPAE tea. <br /> 14. ADULT <br /> e 15. LIGHT POPULATION <br /> ®® 16. MODERATE POPULATION <br /> w 17. HEAVY POPULATION <br /> FEEDING/WATER .i <br /> 18. WATER TROUGHS ..w� <br /> ®� 19. CUPS OR BMLS <br /> 20. FOOD STORAGE <br /> HOUSES � 4--s 46r � <br /> KA <br /> 21. FLOORS <br /> ` 4'�i �- - <br /> _ 22. WALLS/CEILINGS <br /> ®_ 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL <br /> WAVER WELL 041 <br /> i <br /> ®s 1. WELL CONSTRUCTIONr <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 /> S. 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 dF <br /> 17. SEWER <br /> RABIES VACCINATKAI <br /> ® 18. CERTIFICATE ON PREMISES - - <br /> Env On nt Health'Specialist Received By R <br />