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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 FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date ( I <br /> POULTRY RANCH -j,NJ LA v 7-t� <br /> WATER WELL premise Address Recheck Date <br /> - - 1. WELL CONSTRUCTION <br /> -- 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> -- 3. SPREADING AND DIgCING <br /> -- 4. CONCRETE TANKS <br /> -- <br /> S. LAGOONING <br /> -- 6. COMPOSTING -� <br /> BIRD DISPOSAL ` <br /> - - 7. BURYING WITH 2'OF COVER �j A�� c_ At'i D t- \,v rp\ <br /> -- 8. APPROVED CONCRETE TANK <br /> - - 9. REMOVAL FROM PREMISES l\J r <br /> VECTOR CONTROL <br /> - - 10. DOMESTIC FLY <br /> -- 11. FANNIA FLY <br /> - - 12. LARVAE �:v <br /> -- 13. PUPAE <br /> -- 14. ADULT <br /> -- 15. LIGHT POPULATION F b 'i_ S �('�" i l 1� <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS ` Q <br /> -- 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES <br /> _- 21. FLOORS ` <br /> -- 22. WALLS/CEILINGS C G t 7 K•1 , <br /> -- 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL -- - <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION (J"� <br /> - - 2. CROSS CONNECTION ()X <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER OV, <br /> -- 4. DRAIN f;V- <br /> -- 5. SMOOTH/CLEANABLE J K <br /> -- 6. COVING to 1C. <br /> -- 7. CLEANING FREQUENCY r A•�y <br /> WALLS <br /> - - 8. SMOOTH/CLEANABLE N/A <br /> -- 9. CLEANING FREQUENCY r;/i4 <br /> CAGES <br /> - - 10. CONDITION a,Y�A[N U K <br /> -- 11. SANITATION t�L <br /> FOOD r <br /> - - 12. STORAGE �'Ar�P.'� C>f1� Ci <br /> -- 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> -- 14. REMOVAL FROM PREMISES N/p+ l <br /> - - 15. OTHER \a J `G- <br /> SEWAGE DISPOSAL <br /> - - 16.,SEPTIC SYSTEM �✓>� �1 V L V <br /> - - 17. SEWER �( <br /> RABIES VACCINATION <br /> -_ 1&CERTIFICATE ON PREMISES "`y c.0"\ SANITARIAN RECEIVED BY / <br /> 0 EH 07-01 <br />