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0 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 /> M. OPER. DBA Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Prenme Address Recheck Date <br /> 1. WELL CONSTRUCTION UrA, JOE k4l <br /> - 2. CROSS-CONNECTION " <br /> THE ITEMS$FLOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> - EADIN ` <br /> G AND D19CING <br /> 4. CONCRETE TANKS-- / <br /> 5. LAGOONONG 0 <br /> 6. COMPOSTING <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER 2z. 0 -.. 4 <br /> r__ <br /> S. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR CONT <br /> - �-�DOMESTIC FLY <br /> ii. FANNIA FLY , r <br /> 12. LARVAE <br /> 13. PUPAE <br /> 14. ADULT <br /> 15. LIGHT POPULATIONC <br /> 16. MODERATEPOPULATION <br /> _ 17. HEAVY POPULATION <br /> FEEDING/WATER 7 100 <br /> 18. WATER TROUGHS C <br /> - 19. CUPS OR BOWLS �r i <br /> - 20. FOOD STORAGE <br /> HOUSES re <br /> 21. FLOORS <br /> -- . WALLS/CEILINGS �P e2 <br /> 23. CLEANING FREQU Y <br /> . A01- <br /> STIR. DhEW. <br /> KENNEL <br /> WATER WELL <br /> - 1. WELL CONSTRUCTION <br /> - _ 2 CROSS CONNECTION a <br /> ow <br /> FLOORS <br /> '00- <br /> 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> _ 6. COVING <br /> -_ 7. CLEANING FREQUENCY <br /> WALLS JOLd6�- 22 <br /> -- <br /> S. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUENCY <br /> CAGES <br /> 10. CONDITION <br /> _ 11. SANITATION <br /> FOOD e <br /> 12. STORAGE <br /> 13. INSECT/VERMIN ell, ° at IA10% <br /> r <br /> ANIMAL DISPOSAL / <br /> _- 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> `SEWAGE DISPOSAL' <br /> t <br /> 16.,SEPTIC SYSTEM <br /> 17. SEWER 00/ <br /> RAINES VACCINATION <br /> 18. CERTIFICATE ON PREMISES SANITARIANi RECEIVED Y <br /> 0 EN 07-01("M <br />