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SAN JOAQUIN LOCAL HEALTH A13"TRICT <br /> 1601 E. HAZELTON AVENUE, STOCKTON, CA STOCKTON 466-6781 <br /> LODI 369-3621 <br /> VECTOR CONTROL INSPECTION FORM MANTECA 823-7104 <br /> C TRACY 835-6385 <br /> 66 <br /> COMPUTER NO.• FF I�� <br /> PERMIT NO. 3q15-7-7 <br /> DBA ` Insp�i <br /> J <br /> STR. OPER. V •i� SAS,Aa^ l�e hN�r 7 <br /> POULTRY RANCH l <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS-CONNECTION <br /> RJ - <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND DIS CINGI�r1NG �r, e <br /> 4. CONCRETE TANKS gorZZ 'f (`� <br /> 5. LAGOONING ``�l <br /> 6. COMPOSTING us e-"'440 <br /> T0/ Uwllev ' � A q -// <br /> BIRD DISPOSAL ` y L� <br /> 7. BURYING WITH 2'OF COVER - aPIQ:y! S' e-y✓NLtir�j ora] F�CL� �� �d✓d r ��[/l!y ylcT+� <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES New <br /> e f <br /> 1f7G'� CtGI� S"'C <br /> VECTOR CONTROL K �oUu✓)�G'` o+hy a� +•K'tP. <br /> 10. DOMESTIC FLY -I.�- f <br /> 11. FANNIA FLY "" NQ /� V t d&4 412. t0(I�9_S <br /> 13. PUPAE V.0 <br /> r.aaG/1 l�✓!7I <br /> 14. ADULT /�'�-" 1 <br /> 15. LIGHT POPULATION `/Gtr//' OLl 11,7w 444 f,Ly (✓!� AG,�/tG•r iT (.V i 1I <br /> 16. MODERATE POPULATION 'f"rl <br /> 17. HEAVY POPULATION <br /> FEEDING WATER ,/ L r/- 0 <br /> 18. WATER TROUGHS -1- <br /> _ - rC'9'e✓i Lfi1J"! �G7Ad�i�` �t•� �b�l� - ! <br /> 19. CUPS OR BOWLS / <br /> ✓4e�O <br /> 20. FOOD STORAGE Ar V1w Y,( <br /> S �/y lie dL�6 Vfi <br /> HOUSES ��Gi4✓pt <br /> 21. FLOORS <br /> 22. WALLS CEILINGS <br /> 23. CLEANING FREQUENCY <br /> STIR. OPER. <br /> KENNEL <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <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 /> 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 /> SANITARIAN CEIVED B1� <br /> ® EH 07-01 (4/85) <br />