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SAN JOAQUIN L HEALTH OTRICT _ <br />1601 E. HAZELTON AVENUE, STOCKTON, CA STOCKTON 466-6781 <br />LODI 369-3621 <br />VECTORT INSPECTION FORM MANTECA 823-7104 <br />-.AOACY 835-6385 <br />COMPUTER NO. <br />PERMIT NO. <br />STR. OPER. <br />DBA ' Inspection Date <br />POULTRY RANCH <br />WATER WELL Premise Address Recheck Date <br />1. WELL CONSTRUCTION <br />2 CROSS -CONNECTION <br />MANURE AGEMENT <br />- 3. SPREADING AND DISCING <br />_ 4. CONCRETE TANKS <br />THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST"AE CORK CTED: <br />5. LAGOONING <br />IlA <br />_ 6. COMPOSTING <br />BIRD DISPOSAL <br />_ 7. BURYING WITH 2' OF COVER <br />8. APPROVED CONCRETE TANK <br />_ 9. REMOVAL FROM PREMISES <br />VECTOR CONTROL <br />DOMESTIC FLY <br />+ <br />FANNIA FLY <br />P" <br />AA <br />_ 12. LARVAE <br />1 r PUPAE <br />ADULT <br />1 LIGHT POPULATION <br />_ 16. MODERATE POPULATION <br />17. HEAVY POPULATION <br />, <br />FEEDING/WATER <br />_ 18. WATER TROUGHS <br />! <br />19. CUPS OR BOWLS <br />_ 20. FOOD STORAGE <br />HOUSES <br />` <br />_ 21. FLOORS <br />_ 22. WALLS/CEILINGS <br />4 <br />- 23. UEANING FREQUENCY <br />STR. OPER. <br />r. <br />KENNEL <br />- <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 <br />_ 8. SMOOTH/CLEANABLE <br />_ 9. CLEANING FREQUENCY <br />CAGES <br />_ 10. CONDITION <br />_ 11. SANITATION <br />th <br />�O <br />FOODAD <br />12. STORAGE <br />_ 13. INSECT/VERMIN <br />ANIMAL DISPOSAL <br />14. REMOVAL FROM PREMISES <br />a <br />_ 15. OTHER <br />SEWAGE DISPOSAL <br />_ 16. SEPTIC SYSTEM <br />- _ 17. SEWER <br />a 724 <br />SANITARIAN _ REQD Y <br />® EH 07-01 (4/85) <br />,(.' <br />