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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 /> Rme COMPUTER NO. <br /> (209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA in7n Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRICTION 11 ( 1 I e <br /> 2. CROSS-C.DNNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANUIRE MANAGEMENT <br /> - 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS <br /> -- <br /> S. LAGOONING r <br /> 1 49 ® - 1 <br /> - 6. COMPOSTING <br /> BIRD DISPOSAL <br /> - 7. BURYING WITH 2'OF COVER <br /> _- 8. APPROVED CONCRETE TANK ` 1 <br /> 9. REMOVAL FROM PREMISES q 1 <br /> VECTOR CONTROL <br /> _ 10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> 12. LARVAE R <br /> 13. PUPAE I <br /> 14. ADULT �g� <br /> _- 15. LIGHT POPULATION ® A tes / y_(] Ir� Vveaw <br /> -- 16. MODERATE POPULATION ` <br /> Lj <br /> 17. HEAVY POPULATION ( � XA Cy' <br /> FEEDING/WATER <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 /> STR. OPER. <br /> KENNEL <br /> WATER WELL <br /> -- AV 4C4 Cff�a-z*,R &mnl <34- <br /> 1. WELL CONSTRUCTIONn T <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> -_ 3. PROPERLY GRADED TO SEWER ! <br /> 4. DRAIN ( r <br /> S. SMOOTH/CLEANABLE <br /> 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> 8. SMOOTH/CLEANABLE <br /> _- 9. CLEANING FREQUENCY <br /> CAGES J {� <br /> 10. CONDITION <br /> - - 11. SANITATION <br /> FOOD <br /> 12. STORAGE <br /> _ 13. INSECTMERMIN <br /> ANIMAL DISPOSAL <br /> ® 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> -- 16.,SEPTIC SYSTEM <br /> 17. SEWER ` <br /> RABIES VACCINATIONt r <br /> _ 18.CERTIFICATE ON PREMISES <br /> SANITARIAN RECEIVED BY <br /> 0 EH 0?-W <br />