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SAN JOAOUIN COUNTY wAdft <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) 420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspecti n Date 1 <br /> POULTRY C <br /> WATER WELL Premise Address RecM1e k Date <br /> _® 1. WELL CONSTRUCTION <br /> 2. CR ECtI ` <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS \ <br /> 5. LAG NING ^caK atw cvdor , <br /> 6. COMPOSTING <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2°OF COVER <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM DEMISES-nh, ° S ®f1 OIP t e r�r 1 Cp i <br /> VECTOR CONTROL ( ® p <br /> 10. STK; FLY `t^t b- ! <br /> - 11. FANNIA FLY <br /> _ <br /> -A 12. LARVAE <br /> 13. PUPAE r J <br /> ® 14. ADULT - eac�i E'La tJ War L&A <br /> 15. LIGHT POPULATION <br /> _ 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> 18. WATER TROUGHS <br /> _ 19. CUPS OR BOWLS (� °" s <br /> 20. F STORAGE <br /> t <br /> HOUSES <br /> 21. FLOORS <br /> _ 22..WALLS/CEILINGS `` W <br /> 23. CLEANING FREQUENCY -cic,%X <br /> I � <br /> STR. OPER. <br /> KEN EL <br /> ATE WELL a y® IDyP F <br /> 1. WELL CONSTRUCTION I <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> PROPERLY GRADED TO WER <br /> ® - DRAIN <br /> 5. TH/CLEANABL <br /> 6. ING LA Cl q r <br /> 7. CL ANING FREQU NCY <br /> WALLS <br /> 8. SMOOT CLE ABLE <br /> 9. CLEANI F EQUENCY <br /> CAGES <br /> 10. CONDIT <br /> ®e 11. SANIT ION <br /> FOOD <br /> 12. ST 0 AGE <br /> 13. IN CT/VERMIN <br /> ANIMAL DISPO AL <br /> _ 14 REMOVAL FROM PREMIS S <br /> . OTHER <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> _ e 17. SEWER <br /> RAINES VACCINATM <br /> -.- 18.CERTIFICATE ON PREMISES -- <br /> Environmen ! a ith Giai.ist Regie ed By <br /> $ EH ori+( 1 <br />