Laserfiche WebLink
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. 51 IS 2-- Phone(209)468-3420 <br /> PERMIT NO. ?'T_CI C 69 -71-3 <br /> STR. OPER. DBA �j Inspection Date <br /> T� <br /> POULTRY RANCH t ) Q Ail,Av '��_( r'v1 la / 04(_ 0-t <br /> WAT WELL is <br /> Preme Aomess r ^ Recheck Date <br /> 1. WELL CONSTRUCTION 23 Z 2 <br /> 2. CROSS-CONNECTION <br /> MANUREM EMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> _ SPREADING AND D19CING / <br /> _ 4. ONCRETE TANKS <br /> _ 5. GOONING / <br /> _ 6. C POSTING <br /> BIRD DISPOSAL <br /> _ 7. BURYI WITH 2'OF COVER <br /> _ 8. APPROV D CONCREA TANK <br /> _ 9. REMOVAL ROM�tEMISES <br /> VECTOR CONTROL / <br /> _ 10. DOMESTIC F <br /> _ 11. FANNIA F Y <br /> _ 12. LARVA <br /> 13. PFNT <br /> 14. A <br /> _ 15. LPOPULATION <br /> 16.,AODERATE POPULATI <br /> 1�/HEAVY POPULATION <br /> FEEDING/ ATER <br /> 18. WATER TROUGHS <br /> _ 19. CUPS OR BOWLS <br /> 20. F000 STORAGE <br /> H SES <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> - _ 23. CLEANING FREQUENCY <br /> !Z*zA 12 j „ <br /> ST RNNEL G�'OPER. 00 1�r C1 f/v1 -// f M eFf- .� M -1 f4AT- S )')e'PS �7 <br /> WATER WELL <br /> 1. WELL CONSTRUCTION , <br /> _ 2. CROSS CONNECTION <br /> FLOORS . Ig ��Ci Yv. IN ���;✓���F�G/�� �)P-TU��J <br /> _ 3. PROPERLY GRADED TO SEWER L <br /> _ 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> _ 6. COVING <br /> _ 7. CLEANING FREQUENCY <br /> wA`�s <br /> 8. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUENCY <br /> CAGES <br /> 10. CONDITION <br /> 11. SANITATION <br /> FO D <br /> _ 12. STORAGE <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> SG _ 14. REMOVAL FROM PREMISES <br /> _ 15. OTHER <br /> SEWAGE DISPOSAL rw` <br /> _ 16. SEPTIC SYSTEM ,TV <br /> _ D641n <br /> 17. SEWER <br /> RABII*VACCINATION G �Awu <br /> 18. CERTIFICATE ON PREMISES vv <br /> Environme tal Health Specialist Received By <br /> 0 EH 07-01(690) <br />