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eaSAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> V `J5 Phone(209)468,3420 <br /> COMPUTER NO. <br /> PERMIT NO. �"�✓�� 3 <br /> STIR. OPER. DBA D Inspection Date/ <br /> POULTRY RANCH iol"t!� L <br /> WATER WELL Premise Address/ / Recheck Date <br /> 1. WELL CONSTRUCTION "/ , <br /> 2. CROSS-CONNECTION !!!✓✓✓TTT <br /> MANURE MANAGEMENTTHE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND DItCING <br /> 4. CONCRETE TANKS <br /> 5. LAGOON ING � "7l l�t Q <br /> 6. COMPOSTING <br /> BIRD DISPOSAL G-bcon <br /> 7. BURYING WITH 2'OF COVER <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 <br /> _ 14. ADULT <br /> 15. LIGHT POPULATION <br /> 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER --f <br /> v� <br /> _ 18. WATER TROUGHS <br /> 19. CUPS OR BOWLS { <br /> 20. FOOD STORAGE { <br /> I <br /> HOUSES <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS I <br /> 23. CLEANING FREQUENCY <br /> STA. OPER. <br /> KENNEL / <br /> WATER WELL C 1 Yi ,I�6 fi(� �.Qelnz <br /> 1. WELL CONSTRUCTION rCl j <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER / <br /> i <br /> 4. DRAIN <br /> _ 5. 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 /> 12. STORAGE <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> i <br /> RABIES VACCINATION <br /> 18. CERTIFICATE ON PREMISES W LLAAA <br /> RIAN _ RECEIV D Y <br /> ® EH 07-01(8-90) <br />