Laserfiche WebLink
ENVtSAN JOAQUIN COUNTY <br />IONMENTAL HEALTH DEPARTMEP", <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax.- (209) 464-0138 Web: www.sjgov.org/ehd <br />VECTOR CONTROL INSPECTION FORM <br />EHD 40-06 6/30/2005 <br />Page -4- of <br />POULTRY RANCH <br />DBA <br />INSPE_C ION DATE <br />-7 <br />Structure <br />Operation <br />Water Well <br />1:1 <br />El <br />1. Well Construction <br />PREMISE ADDREAS <br />REIN APEdTION DATE <br />El <br />El <br />2. Cross -Connection <br />11KIx <br />Structure <br />Operation <br />Manure Management <br />OWZNUPERATOR <br />PONE <br />11 <br />3. Spreading and Disking <br />gr <br />11 <br />❑ <br />4. Concrete Tanks <br />INSPECTION TYPE <br />PROGRAM ELEMENT <br />RECORD ID <br />� <br />11 <br />F1 <br />5. Lagooning <br />OLII�- <br />P/Z 0-ooe-35: <br />0 <br />El <br />6. Composting <br />The items below represent code violations and must be corrected: <br />Structure <br />Operation <br />Bird Disposal <br />0 <br />El <br />7. Burying with 2" of Cover <br />0 <br />0 <br />8. Approved Concrete Tank <br />11 <br />0 <br />9. Removal from Premises <br />/3!9-5 <br />0^54,-, ig"d <br />Structure <br />Operation <br />Vector Control <br />❑ <br />10. Domestic Fly <br />❑ <br />11. Fannia Fly <br />12. Larvae <br />El <br />El <br />13. Plupae <br />14. Adult <br />15. Light Population <br />Lle,� <br />11 <br />El <br />16. Moderate Population <br />C1 <br />11 <br />17, Heavy Population <br />Structure <br />Operation <br />Feeding/Water <br />11 <br />0 <br />19. Cups or Bowls <br />11 <br />El <br />20. Food Storage <br />Structure <br />Operation <br />Houses <br />El <br />El <br />21. Floors <br />11 <br />0 <br />22. Walls/Ceilings <br />0 <br />El <br />23. Cleaning Fregueng <br />V <br />ENNEL <br />KENNEL <br />Structure <br />Operation <br />IWater Well <br />f <br />1. Well Construction <br />Cve- <br />11 1 <br />0 <br />2. Cross Connection <br />T <br />Structure <br />Operation <br />Floors <br />e, I -- <br />El <br />El <br />3. Properly Graded to <br />Ga M <br />11 <br />El <br />4. Drain <br />f <br />S-Z>I,z <br />El <br />El <br />S. Smoot]VClean@Cle <br />El <br />6. Coving L <br />-17 <br />oe <br />gr-aQtc-�l <br />0 <br />7. Cleaning F/equency <br />r - <br />Structure <br />oper)t-- <br />Walls <br />0 <br />0 <br />8. SmoojkCleanable <br />V <br />11 <br />El <br />9. Cle in Frequency <br />Structure <br />Operation <br />C299( <br />E❑ <br />JO/Conditio. <br />0 <br />11 <br />A Sanitation <br />Structure <br />operation <br />(FA0 <br />11 <br />El / <br />12. horage <br />11 <br />13. InVt[Vermin <br />Structure <br />Op tion <br />Animalisposal <br />11❑ <br />14Remo from Premises <br />0 <br />❑ <br />15: Other <br />Structure <br />/l Operation <br />Sewage Disp a] <br />Sewage <br />F1 <br />D <br />16. S tic S s m <br />7. Sewer <br />St ure <br />Operation <br />Rabies Vaccinati <br />CEIVED <br />INSPECT <br />0 <br />0 <br />1 18. Certificate on Premises <br />EHD 40-06 6/30/2005 <br />Page -4- of <br />