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oulty <br />SAN JOAQUIN COUNTY <br />Water Well <br />1. Well <br />0 0 <br />El <br />El <br />-Construction <br />2. Cross Connection <br />Floors <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />[:] <br />\ F1 <br />304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />0 <br />C". <br />Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd <br />5. Smooth/94-tiable <br />6. Coving/ <br />El <br />VECTOR CONTROL INSPECTION FORM <br />POULTRY RANCH DBA <br />INSPECTION DATE <br />Structure Operation <br />Water Well Yo " in, 5-& <br />8. mooth/Cleanable <br />`(Cleaning Frequency <br />0 El <br />1. Well Construction PREMISEREINPECTION <br />DATE <br />C' es <br />10. ondition <br />El El <br />D <br />[71 D <br />2. Cross -Connection 1AL)4 Lzar'g; <br />Structure on <br />Structure Operation <br />Manure Management OWNER/OPERATOR <br />PHONE <br />[I . [71 <br />3. Spreading and Disking w::: � L <br />--? 2�77- 366 Y <br />11 0 <br />4. Concrete Tanks INSPECT16N TYPE <br />PROGRAM ELEMENT <br />RECORD ID <br />15. Other <br />Sewage Disposal <br />5. Lagooning lye❑ <br />41�n q 7 <br />jp=�� 4 D0051 <br />16. Septic System <br />17. Sewer <br />6. Composting The items below represent code violations and must be corrected: <br />Structure <br />Structure Operation <br />Bird Disposal <br />0 0 <br />0 El <br />7. Burying with 2" of Cover <br />11 0 <br />8. Approved Concrete Tank <br />El 0 <br />9. Removal from Premises <br />Structure Operation <br />Vector Control <br />El El <br />10. Domestic Fly andr^W�V-6ae'o <br />I, <br />El El <br />11. Fannia Fly <br />11 El <br />12. Larvae <br />1:1 El <br />13. Pupae <br />1:1 0 <br />14, Adult <br />El D <br />15. Light Population <br />0 0 1 <br />16. Moderate Population <br />11 0 <br />17. Heavy Population <br />Structure Operation <br />Feeding/Water A/ <br />11 0 <br />18. Water Troughs <br />11 El <br />19. Cups or Bowls <br />11 0 <br />20. Food StoraEe <br />Structure Operation <br />Houses <br />0 0 <br />21. Floors <br />0 11 <br />22. Walls/Ceilings <br />0 El . <br />23. Cleaning FreaaE2g <br />KENNEL <br />Structure <br />Operation <br />Water Well <br />1. Well <br />0 0 <br />El <br />El <br />-Construction <br />2. Cross Connection <br />Floors <br />Structure Operation <br />[:] <br />\ F1 <br />3. Properly Graded/. <br />4. Drain <br />0 <br />0 <br />5. Smooth/94-tiable <br />6. Coving/ <br />El <br />[71 <br />7. Cleaq(ng Frequency <br />Wallv <br />Strusmre operation <br />1:1 <br />0 <br />8. mooth/Cleanable <br />`(Cleaning Frequency <br />11 ❑ <br />Structure <br />Operation <br />C' es <br />10. ondition <br />El El <br />D <br />11. S)vitation <br />Food <br />Structure on <br />El <br />0 <br />��t <br />12. Storakic <br />13. lnsecAermin <br />F-1 0 <br />Struc or <br />Operation <br />Animal Dis sal <br />14. Removal hpm Premises <br />EV El <br />D <br />15. Other <br />Sewage Disposal <br />S More Operation <br />0 <br />16. Septic System <br />17. Sewer <br />11 El <br />Structure <br />Operation <br />Rabies Vaccination RECEIVED INSP <br />18. Certificate on PremisA <br />0 0 <br />EHD 40-06 6/30/2005 &1 Page --'L of I- <br />