COMPLIANCE INFO_PRIOR TO 2018 - Laserfiche WebLink

Home Browse Search

Pa U I N SAN JOAQUIN COUNTY ? E IRONMENTAL HEALTH DEPARTAT 304 East Weber Avenue, 3`d Floor, Stockton,CA 95202-2708 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd `FpR VECTOR CONTROL INSPECTION FORM POULTRY RANCH DBA INSPECTION DATE Structure Operation Water Well PA Vx,P 1:1 ❑ 1. Well Construction PREMISE DRESS REINSPECTION ATE ❑ ❑ 2. Cross-Connection Structure Operation Manure Management OWNER/OPERATOR PHONE ❑ ❑ 3. Spreading and Diskingyi\Ay\- OCA 00i ❑ ❑ 4. Concrete Tanks INSPECTION TYPE PROGRAM ELEMENT RECORD ID ❑ ❑ 5. Lagooning ❑ ❑ 6. composting The items below represent code violations and must be corrected: Structure Operation Bird Disposal ❑ ❑ 7. Burying with 2"of Cover ❑ ❑ 8. Approved Concrete Tank ❑ ❑ 9. Removal from Premises Gir6 -P Structure Operation Vector Control ❑ ❑ 10. Domestic Fly ❑ ❑ 11. Fannia Fly I ❑ ❑ 12. Larvae ❑ ❑ 13. Pupae -14 ❑ ❑ 14. Adult ❑ 1 11 15. Li ht Population ❑ ❑ 16. Moderate Population ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ El 18. Water Troughs ❑ 19. Cups or Bowls ❑ ❑ 20. Food Storage Structure Operation Houses ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings ❑ ❑ 23. Cleaning Fre uenc K E N N E L Structure Operation Water Well ❑ ❑ 1. Well Construction ❑ ❑ 2. Cross Connection e� Structure Operation Floors ❑ 3. Properly Graded to ❑ ❑ 4. Drain ❑ ❑ 5. Smooth/Cleanable ❑ El 6. Covin ❑ El 7. Cleaning Frequency Structure Operation Walls ❑ ❑ 8. Smooth/Cleanable ❑ F1 9. Cleaning Frequency Structure Operation Cages ❑ El 10. Condition v ❑ ❑ 11. Sanitation Structure Operation Food ❑ 0 12. Storage El 0 13. Insect/Vermin Structure Operation Animal Disposal ❑ D 14. Removal from Premises :� -7-%4 Arntf� tAl tn,\,c, ❑ ❑ 15. Other Structure operation Sewage Disposal ❑ 16. Septic S stem ❑ ❑ 17. Sewer Structure operation Rabies Vaccination RECEIV Y INSP T 22 --------- 11 ❑ 18. Certificate on Premises EHD 40-06 6/30/2005 Page_Of