Laserfiche WebLink
v� <br />� <br />r <br />J- <br />uT. 2 <br />VECTOR BIOLOGY CONTROL <br />1) TRAVEL TIME INSPECTION REPORT 3) PURPOSE <br />SAN JOAQUIN LOCAL HEALTH DISTRICT R FU CON COM 0TH <br />MIN.`�- DIVISION OF ENVIRONMENTAL HEALTH - 0 7-1a 71 <br />HRS2) DATE o MARKED ITEMS REPRESENT VIOLATIONS TO BE , ` X 2 CiAfl� <br />CORRECTED AS INDICATED ON ATTACHMENTS 4) Inspection Time <br />LIST ��. <br />5 ACCESS ROADS <br />6 DRAINAGE o „WMANAGER/CONTACT <br />NAME/,PF K IURS NAME <br />_� <br />7 WATER POLLUTION 0 0 /OWNER BIR S OGS -- <br />R2- z��- <br />�n 8 HUMAN SAFETY HAZARDS w <br />9 ANIMAL SAFETY HAZARDS QER N S N M H NUMBERHEMIC LS®L„ r /rte. �� pPERMIT-NU BE 10 WALLS rt !/v�lvlry�d r -![ QI; ►!11 FLOORS � Q� I <br />12 WALKWAYS Q ak4i 6 <br />w 13 RUNWAYS (Kennels) Q 0 wUSI SS DR SSp DATE <br />0 14 BENEATH CAGES U _ <br />~ Y E OPERATION NUMBER BIRDS DOGS <br />15 BUILDINGS F1 _ <br />N 16 RESTROOMS <br />17 FENCING Q ,R H ES I H USE PFR. MONTHLY YEARLY S S N L <br />T ES - G PER CAGE MAINT. S C . <br />18 CONSTRUCTION [! Q G 72 WATER TROUGHS <br />19 POTABLE S F /P U DS US D <br />E o SQUARE FEET 0 CONCENTRATION 0 CROSSCONNECTION20 CONDITION [] 0 �, (UNIT SPACE) 73 CLIPS OR BOWLS [] [] <br />21 CROSS CJNNECTIONS <br />w Q [j z 61 FREQUENCY OF APPLICATION M O LEAKING <br />a 22 WACUPSNG M TjIOD 62 STORAGE OF PESTICIDES/RODENT 74 FOOD TROUGH CONST. <br />s f� Q TIGHT -FITTING <br />t- BOWLS Q w 3 0 SPILLAGE NOTED <br />Cc TROUGH 0 63 YE PROTECTION 75 FOOD STORAGE <br />U 64 EMERGENCY WASHDOWN .7 O STORED ON PALLET 11 <br />0 <br />23 OVERFLOW DRAINAGE o OFF FLOOR <br />FROM SPRINKLERS �j a 65 ASPIRATORS LL O SPILLAGE NOTED _ <br />66 RUBBER SUITS, GLOVES, OTHER 76 VERMIN NOTED Q U <br />24 VETERINARIAN(S) <br />NAME PROTECTION <br />ADDRESS 67 MUSCA DOMESTICA FLY'LIGHT'MODERATE;HEAVY 170 SAMPLES TAKEN <br />25 RABIES VACCINATIONS 1. LARVAE Q [] <br />a CURRENT (KENNELS) 2. PUPAE Q <br />w <br />= 26 FEEDING REGIMEN POSTED Q N 3. ADULT O <br />-' (EACH ANIMAL KENNEL) <br />a 68 FANIA FLY 71 ESTIMATED INFESTATION/HARBORAGE <br />Z 27 PROPER CONFINEMENT CAGES Q <br />FOR DISEASED ANIMALS 1. LARVAE <br />28 BEDDING Q Q o 2. PUPAE Q Q Q Q <br />29 NUMBER RUNS 3. ADULT Q 0 <br />30 NUMBER ROWS OF CAGES 69 OTHER Q Q <br />0 31 CLEANING FREQUENCY 404 S% <br />DAILY L S , ,C <br />EVERY OTHER DAY A --r. WEEKLY C /� nl �T E <br />N 32 CLEANING METHOD <br />33 LANDFILL a Q <br />34 SPREADING AND DISCING Q Z y a !Lj� 14) w �( <br />35 COMPOSTING Q &4,&&Aaw ifV-T7-A4 i <br />J 36 LAGOONING Q <br />0 37 CONCRETE TANKSQ. <br />N 38 SEPTIC SYSTEM (KENNELS) Q <br />0 39 PERMIT # ° <br />40 HISTORY OF FAILURE <br />41 STORAGE METHOD - <br />42 CONCRETE PAD Q <br />W 43 TIGHT FITTING COVER (] <br />0 44 MANURE PROPERLY COVERED Q Q <br />a 45 ALTERNATE METHOD <br />46 RESTROOM FACILITIES <br />w 47OT NO COLD WATER <br />uj <br />48 INDIVIDUAL TOWELS [] <br />= 49 HAND SOAP Q <br />Lu <br />-> 50 REFUSE/GARBAGE DISPOSAL [] <br />0 <br />J <br />w 51 NON ABSORBENT CONTAINERS Q <br />52 TIGHT FITTING LIDS Q Q <br />a 53 BURYING WITH 2' OF COVER p �]7 GENERAL CONDITION <br />_ <br />V) <br />PC) E_0 G Lo 54 APPROVED CONCRETE TANK Q Q <br />0 55 REMOVAL FROM PREMISES S <br />ARITARIAN- <br />o STORAGE ON PREMISES <br />14 O LANDFILL DISPOSED AT K t <br />m <br />RECEIVED <br />EH 12-17 12/79 200 Sets <br />