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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON,CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> _ 20 <br /> COMPUTER No. Phone C209) <br /> PERMIT NO. t <br /> STR. OPER. DBA In wn Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Na Rectiso Date <br /> -- 1. WELL CONSTRUCTION OK <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT 14- <br /> -- 3. SPREADING AND DISC iN <br /> 4. CONCRETE TANKS <br /> -- S. LAGOONING <br /> 6.,COMPOSTING <br /> BIRD DISPOSAL <br /> _ BURYING WITH 2.OF COVER <br /> - <br /> -P,^' APPROVED CONCRETE TANK O <br /> ®� 9. REMOVAL FROM PREMISES <br /> VECTOR NTROL <br /> -- O. DOMESTIC FLY <br /> -® 11. FANNIA FLY <br /> - - 12. LARVAE <br /> -- 3. PUPAE, <br /> 4. ADULT- <br /> - <br /> 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> -- 18. WATER TROUGHS <br /> 19. CUPS w BOWLS a?Kj <br /> -- 20. FOOD STORAGEa V, ( / <br /> HOUSES <br /> 21. FLOORS a <br /> _- 22. WALLS/CEILINGS <br /> - _ 23. CLEANING FREQUENCY ' #,j <br /> STR. OPER. <br /> KENNEL <br /> WATER WELL <br /> _- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION vw ® g <br /> s <br /> FLOORS <br /> -® 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE <br /> -® 6. COVING , <br /> -- 7. CLEANING FREQUENCY <br /> WALLS at 0 <br /> -- 8. SMOOTH/CLEANABLE D <br /> 9. CLEANING FREQUENCY 0 <br /> Ij <br /> CAGES SSit � 00 <br /> 10. CONDITION <br /> Poo <br /> -- 11. SANITATION <br /> FOOD =5� <br /> 12. STORAGE <br /> -- 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> _- 14. REMOVAL FROM PREMISES <br /> - - 15. OTHER e <br /> SEWAGE DISPOSAL <br /> - 16.,SEPTIC SYSTEM <br /> - - 17. SEWER <br /> li <br /> RABIES VACCINATM LAI <br /> - IB.CERTIFICATE ON PREMISES " <br /> SANI ARIAN RECEI <br /> M EH 07-01(840) <br />