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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 /> COMPUTER NO. <br /> Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. <br /> DBA Inspection Dale ----� <br /> POULTRY RANCH <br /> WATER WELL Premise Addr Aoc*k Date,__- <br /> -- 1. WELL CONSTRUCTION o <br /> -- 2. CROSS-CONNECTION 36 ° <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> - - 3. SPREADING AND DICCING <br /> _- 4. CONCRETE TANKS %F <br /> -- 5. LAGOONING / In L tH d � 2 <br /> -- 6. COMPOSTING �/ <br /> Lgi <br /> BIRD DISPOSAL a <br /> ,4 S4121 ex tv <br /> - - 7. BURYING WITH 2.OF COVER <br /> -- 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> - - 10. DOMESTIC FLY <br /> 11. FANNIA FLY (� I)`$]A= -6 CAL <br /> f / .� re-I 4,-lug f e <br /> 12. LARVAE <br /> 13. PUPAE <br /> 14. ADULT <br /> 15. LIGHT POPULATION rr (- <br /> 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION �� -{ L-/ ��' f�• �,jtr �p �Qr�/ <br /> FEEDING/WATER r <br /> - 18. WATER TROUGHS 4dda til 14 QAIj ''t IIIA Ll�& 19h6 I �- <br /> - 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES yII <br /> -- 21. FLOORS O <br /> -- 22. WALLS/CEILINGS <br /> -- 23. CLEANING FREQUENCY .. N <br /> STR. OPER. <br /> KENNEL <br /> WATER WELL _f uh t�fV rP_f As, a oe- <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION C (, <br /> FLOORS C�61j W►4L4t.A r e C <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 LL�Mrty /{Ia1 ! �d1ll�ii ,I /� TiL' DT �!'Z�d1�L-11C�✓I. <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 /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES SANTIAN REC81VED BY <br /> IV <br /> ® EH 07-01(690) <br />