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SAN JOAQUIN COUNTY <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)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS-CONNECTION (o <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND DIKING <br /> 4. CONCRETE TANKS �� <br /> 5. LAGOONING �ii/ /-/(2 <br /> _ - 6. COMPOSTING <br /> BIRD DISPOSAL <br /> - - 7. BURYING WITH 2'OF COVER <br /> -- <br /> S. APPROVED CONCRETE TANK <br /> - - 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> -- 10. DOMESTIC FLY / T/ AA // <br /> - - FLY <br /> j <br /> 12. LARVAE <br /> 13. PUPAE <br /> -- 14. ADULT <br /> _- 1 -LIGHT POPULATION <br /> 16.6. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS ��� <br /> 19. CUPS OR BOWLS <br /> -- 20. FOOD STORAGE <br /> HOUSES <br /> - - 21. FLOORS <br /> -- 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY <br /> STIR. OPER. t� i�/Ll 'YG - <br /> KENNEL r <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> -- 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN <br /> _- 5. SMOOTH/CLEANABLE <br /> -- 6. COVING <br /> -- 7. CLEANING FREQUENCY <br /> WALLS -+C ' <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 /> -- <br /> 18. CERTIFICATE ON PREMISES SA ITARIAN / RECEIVE <br /> 0 EH 07-01(8690) ( uOl <br />