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SAN JOAQUIN COUNTY <br /> 6 PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. //&C2 c/ -- 1/3,.,2-0 J-a k't Phone(209)46&3420 <br /> 6 <br /> PERMIT NO. 05-- l&(a"'jo <br /> STR. OPER. DBA _ Inspection Oate <br /> POULTRY RANCH � 7^'� -Af-C //- 3U-O <br /> WATER WELL ® IL� Premise Address w / Recheck Date <br /> - - 1. WELL CONSTRUCTION <br /> -- 2. CROSS-CONNECTION <br /> MANURE MANAGEMENT <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> t , <br /> 3. SPREADING AND DWCINGO V untl '? #, (. �'�/ <br /> 4. CONCRETE TANKS <br /> 5. LAGOONING zo obo <br /> - - 6. COMPOSTING O , <br /> BIRD DISPOSAL jAC,�GN'Qitl�'L <br /> 7. BURYING WITH 2'OF COVER <br /> -_ 8. APPROVED CONCRETE TANK <br /> -_ 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL O` <br /> _ - 10. DOMESTIC FLY <br /> - - 11. FANNIA FLY _ h <br /> - - 12. LARVAE 1VL �0 <br /> 13. PUPAE <br /> -- 14. ADULT �j �J / !w ,a ��0 O� <br /> -- 15. LIGHT POPULATION B� �7 "j-Q��'� '. ZyV/ <br /> -_ 16. MODERATE POPULATION . rry <br /> -_ 17. HEAVY POPULATION _ Ny 111'010- /&A <br /> FEEDING/WATER <br /> - 18. WATER TROUGHS p ' <br /> _ - 19. CUPS OR BOWLS M ,It( f- �J� G/L <br /> -- 20. FOOD STORAGE Cr <br /> HOUSES <br /> -- 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> w <br /> STP.. OPER. <br /> KENNEL - <br /> WATER WELL <br /> -- <br /> I. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> -- 3. PROPERLY GRADED TO SEWER <br /> -- 4. DRAIN MOBIL '696•+4W 4 Off. 209.983.0642 <br /> -_ 5. SMOOTH/CLEANABLE PAGER 569.4331 FAX 209.983.9116 <br /> - - 6. COVING <br /> -_ 7. CLEANING FREQUENCY S <br /> 0 <br /> WALLS <br /> -- 8. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUENCY <br /> CAGES (� <br /> 10. CONDITION ENTERPRISE INCORPORATED . <br /> -_ 11. SANITATION ROLANDO CALDERON <br /> FOOD Production Manager <br /> -_ 12. STORAGE 11830 E. FRENCH CAMP ROAD • MANTECA,CA 95336 <br /> -_ 13. INSECT/VERMIN <br /> K S <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 /> -- 18. CERTIFICATE ON PREMISES S AN RECEIVED BY <br /> 0 EH 07-01(640) <br />