COMPLIANCE INFO_2000-2016 - Laserfiche WebLink

Home Browse Search

,O Pp U I N.•C'O SAN el Ott V IN COUNTY . ` ENVIRONMENTAL HEALTH DEPARTMENT 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd 9C,F-4Rii�P VECTOR CONTROL INSPECTION FORM POULTRY RANCH DBA // INSPECTION DATE Structure Operation Water Well 151 ❑ ❑ 1. Well Construction PREMISE ADDRESS REINSPECTION DATE ❑ ❑ 2. Cross-Connection Structure Operation Manure Management OWNER/OPERATOR PHONE ❑ ❑ 3. Spreading and Disking C) ]tRD We-❑ [34. Concrete Tanks INSPECTION TYPE PROGRAM ELEMENT 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 l® / O 1 Structure Operation Vector Control t ❑ ❑ 10. Domestic Fl ( 4 fP✓� ❑ ❑ 11. Fannia Fl ❑ ❑ 12. Larvae ❑ ❑ 13. Pupae ❑ ❑ 14. Adult t- ❑ ❑ 15. Light Population ❑ ❑ 16. Moderate Population ❑ ❑ 17. Heavy Population Structure Operation Feeding/Water ❑ ❑ 18. Water Troughs ❑ ❑ 19. Cups or Bowls ❑ ❑ 20. Food Storage Structure Operation Houses „ 't ❑ ❑ 21. Floors ❑ ❑ 22. Walls/Ceilings y1 } ❑ ❑ 23. Cleaning Fre uenc KENNEL i Structure Operation Water Well ' ❑ ❑ 1. Well Construction ❑ ❑ 2. Cross Connection Structure Operation Floors ...� ❑ ❑ 3. Properly Graded to ❑ ❑ 4. Drain t W ❑ ❑ 5. Smooth/Cleanable 0 El El6. Covin ❑ ❑ 7. Cleaning Frequency Structure Operation Walls ❑ ❑ 8. Smooth/Cleanable ❑ ❑ 9. Cleaning Frequency Structure Operation Cages ❑ ❑ 10. Condition ❑ ❑ It. Sanitation Structure Operation Food ❑ ❑ 12. Storage ❑ ❑ 1 13. InsectfVermin Structure Operation Animal Disposal ❑ ❑ 14. Removal from Premises ❑ ❑ 15. Other Structure Operation Sewage Disposal ❑ ❑ 16. Septic System ❑ ❑ 17. Sewer Structure Operation Rabies Vaccination RECEIVED B INSP R El El 18. Certificate on Premises EHD 40-06 6/30/2005 Page Of