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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 <br /> POULTRY RANCH 1i- qTZ-Ew5 4-zo-()4 <br /> '1 t' <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION -boS ZIE7( a M �� <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND DIKING <br /> 4. CONCRETE TANKS 4,1 <br /> 5. LAGOONING I�' ldle ll0KLS 1� m--1 A <br /> 6. COMPOSTING <br /> TI <br /> BIRD DISPOSAL WI� AT- I1115et---mQhj <br /> 7. BURYING WITH T OF COVER <br /> 8. <br /> APMQVED CONCRETE TANK <br /> EMOVA FROM PREMISES �� r-&eC McF. AS h1tZE�Lb , <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY S� bW C' � � "' FL-14 <br /> 11. FANNIA FLY PSI?.E���IGS [t.V D1A.fL� a DJYL I�fU 1 S9b1,ZtT5 <br /> 12. LARVAE <br /> _ 13. PUPAE - � -nom-rte <br /> 14. ADULT <br /> 15. IGH POPULATION <br /> 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER -L <br /> 18. WATER TROUGHS ' <br /> 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE <br /> HOUSES <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 114 <br /> FOOD <br /> 12. STORAGE <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> ' 15. OTHER <br /> SEWAGE DISPOSAL r <br /> _ 16. SEPTIC SYSTEM m <br /> _ 17. SEWER /) <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES SANITARIAN RE ED BY <br /> 1 ® EM 07-01(690) <br />