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0 SAN JOAQUIN COUNTY 49 <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 C209>468-3420 <br /> PERMIT NO. <br /> STR. OPER. <br /> DBA Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address ` Recheck Date <br /> ok- 1. WELL CONSTRUCTION y / <br /> - (((( 2. CROSS-CONNECTION <br /> MANURE 4GNT THE ITEMS BELOW REPRESENT CODE VIOLATION NO MUST BE CORRECTED: <br /> -e 3. SPREADING AND D19CING �4fj C <br /> 4. CRETE TANKS / y <br /> L� S. LAGOONING J#LD �rc� ' <br /> -_ 6. COMPOSTING ( Y , <br /> BIRD DISPOSAL <br /> -- 7. BURYING WITH 2'OF COVER <br /> _ <br /> S. APPROVED CONCRETE TANK e <br /> 9. REMOVAL FROM PREMISES Z R 7 <br /> VECTOR CONTROL / <br /> V 10. DOMESTIC FLY01 oc 24 r <br /> -k 11. FANNIA FLY <br /> --1---'12. LARVAE <br /> -_ 13. PUPAE c / c eta <br /> + <br /> _ 14. ADULT , r <br /> � � LIGHT POPULATION <br /> Z 1O. MODERATE POPULATION <br /> 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> 18. WATER TROUGHS QST q<7 <br /> 19. CUPS OR BOWLS ` <br /> -- 20. FOOD STORAGE <br /> HOUSES (4 4 <br /> !' c11p <br /> -- 21. FLOORS < <br /> :�. <br /> CLEANING IFREQUENCY ---14 O✓7 , Q , C <br /> CIO e `// <br /> STR. OPER. 10,11" ol <br /> KENNEL <br /> WATER WELL ® yyt <br /> 1. WELL CONSTRUCTION <br /> - _ 2. CROSS CONNECTION Gs p <br /> FLOORS r / <br /> - - 3. PROPERLY GRADED TO SEWER <br /> -- 4. DRAIN t r r S �Q/ r <br /> _- <br /> S. 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 /> RABIES VACCINATION <br /> -- 1& CERTFICATE ON PREMISES SANITARIAN RECEIVED BY <br /> 0 EH 07-01(640) <br />