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SAN S JOAQUIN LOCAL HEALTH 1601 E. HAZELTON AVENUE, STOCKTON, CA STOCKTON 466-6781 LO D I 369-3621 L IIIIIII311"ttillUM FO M MANTECA 823-7104 / TRACY 835-6385 COMPUTER NO: ( , PERMIT NO. - STIR. OPER. DBA Inspection Date POULTRY RANCH - / WATER WELL Premise Address Rech ck Date 1. WELL CONSTRUCTION 0tvCic-444, 2. CROSS -CONNECTION THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: MANURE M60k6EMENT 3. SPREADING AND DISCING 4. CONCRETE TANKS r 5. LAGOONING dJ `- 6. COMPOSTING L BIRD DISPOSAL f _ 7. BURYING WITH 2' OF COVER 8. APPROVED CONCRETE TANK _ 1. WELL CONSTRUCTION ' 9. REMOVAL FROM PREMISES t FLOORS ASAITARIAN VECTOR CONTROL _ _ 10. DOMESTIC FLY _ 4. DRAIN 11. FANNIA FLY _ 12. LARVAE 5. SMOOTH/CLEANABLE _ 13. PUPAE _ 14. ADULT WALLS _ 15. LIGHT POPULATION 16. MODERATE POPULATION _ 8. SMOOTH/CLEANABLE 17. HEAVY POPULATION 9. CLEANING FREQUENCY FEEDING/WATER _ _ 18. WATER TROUGHS _ _E/i9. CUPS OR BOWLS 10. CONDITION _ _ 20. FOOD STORAGE 11. SANITATION HOUSES 21. FLOORS 22. WALLS/CEILINGS _ 23. CLEANING FREQUENCY STR. OPER. KENNEL WATER WELL _ 1. WELL CONSTRUCTION _ 2. CROSS CONNECTION FLOORS ASAITARIAN _ 3. PROPERLY GRADED TO SEWER _ 4. DRAIN _ 5. SMOOTH/CLEANABLE _ 6. COVING _ 7. CLEANING FREQUENCY WALLS _ 8. SMOOTH/CLEANABLE _ 9. CLEANING FREQUENCY CAGES 10. CONDITION 11. SANITATION FOOD _ 12. STORAGE 13. INSECT/VERMIN ANIMAL DISPOSAL 14. REMOVAL FROM PREMISES 15. OTHER I r SEWAGE DISPOSAL _ 16. SEPTIC SYSTEM _ 17. SEWER ASAITARIAN ® EH" 07-01 (4/85)