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SAN JOAQUINLOCAL HEALTH D ICT dp <br />1601 E. HAZELTON AVENUE, STOCKTON, CA STOCKTON 466-6781 <br />LODI 369-3621 <br />VECTOR CONTROL INSPECTION FORM MANTECA 823-7104 <br />TRACY 835-6385 <br />COMPUTER NO. J <br />PERMIT NO. _ <br />STIR. OPER. DBA Inspection Date <br />POULTRY RANCH <br />WATER WELL Premise Address Recheck Date <br />1. WELL CONSTRUCTION <br />2 CROSS -CONNECTION <br />URE M AGEMENT <br />THE ITEMS BELOW REPRESENT CODE VIOLATI <br />SD US BE CORRECTED: <br />_ 3. SPREADING AND DISCING <br />4. CONCRETE TANKS <br />5. LAGOONING <br />, <br />6. COMPOSTING <br />BIRD DISPOSAL <br />_ 7. BURYING WITH 2° OF COVER <br />8. APPROVED CONCRETE TANK <br />8-1 ` <br />_ 9. REMOVAL FROM PREMISES <br />VECTOR CONTROL <br />_ 10. DOMESTIC FLY <br />_ 1. FANNIA FLY <br />_ 12. LARVAE <br />_ 13. PUPAE <br />_ 14. ADULT <br />15. LIGHT POPULATION <br />16. MODERATE POPULATION <br />_ 17. HEAVY POPULATION <br />FEEDING /WATER <br />_ 18. WATER TROUGHS <br />19. CUPS OR BOWLS <br />_ 20. FOOD STORAGE <br />HOUSES <br />_ 21. FLOORS <br />22. WALLS/CEILINGS <br />23. CLEANING FREQUENCY <br />STR. OPER. <br />KENNEL <br />WATER WELL <br />- _ 1. WELL CONSTRUCTION <br />2. CROSS CONNECTION <br />e <br />FLOORS <br />3. PROPERLY GRADED TO SEWER <br />4. DRAIN <br />5. SMOOTH/CLEANABLE <br />r <br />_ 6. COVING <br />a <br />s <br />R <br />_ 7. CLEANING FREQUENCY <br />trAil <br />WALLS <br />_ 8. SMOOTH/CLEANABLE <br />9. CLEANING FREQUENCY <br />CAGES <br />10. CONDITION <br />11. SANITATION <br />FOOD <br />12. STORAGE <br />_ 13. INSECT/VERMIN <br />ANIMAL DISPOSAL <br />14. REMOVAL FROM PREMISES <br />_ 15. OTHER <br />SEWAGE DISPOSAL <br />_ 16. SEPTIC SYSTEM' <br />17. SEWER <br />OL �X' <br />W-0 <br />SANT ARIAN <br />RE115EIVED BY <br />`ED EH 07-01 (4/85) <br />