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SAN JOAQUIN COUNTY 40 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA 044C Inspection Date <br /> POULTRY RANCH ' Q <br /> A�2 <br /> WATE ELL Premise Address Recheck Oat <br /> 1. WELL CONSTRUCTION C <br /> _ 2. CROSS-CONNECTION <br /> THEI EMS BE W REPRESENT CODE VIOLATI0 SAND MUST BE CORRECTED: <br /> URE <br /> MANMANAGEMENT • <br /> _ 3. SPREADING AND DIGGING G �Q <br /> 4. CONCRETE TANKS p j <br /> _ 5. LAGOONING C <br /> _ 6. COMPOSTING 2 <br /> BIRDOSAL ..... <br /> 7. BURYING WITH 2'OF COVER <br /> C 8. APPROVED CONCRETE TANK <br /> �` 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> 12. LARVAE j ) 1 Z(t <br /> 13. PUPAE A10 <br /> _ 14. ADULT <br /> _ 15. LIGHT POPULATION <br /> 16. MODERATE POPULATION <br /> - 4- <br /> 17. HEAVY POPULATION <br /> FEEDIN WATER <br /> 18. WATER TROUGHS <br /> 9. CUPS OR BOWLS <br /> 20. FOOD STORAGE � <br /> HOUSE ^/ 9cl .f <br /> 21. FLOORS Ok <br /> EA23.22. WALLS/CEILINGS <br /> CLEANING FREQUENCY " <br /> t7 St <br /> � <br /> STR. OPER. s t <br /> � xL: <br /> KENNEL <br /> r <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> _ 2. CROSS CONNECTION #8 Ais 30 avr. <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> _ 6. COVING Cy <br /> _ 7. CLEANING FREQUENCY Oq <br /> WALLS <br /> _ 8. SMOOTH/CLEANABLE / d7 <br /> _ 9. CLEANING FREQUENCY <br /> CAGES SC Us <br /> _ 10. CONDITION t <br /> 11. SANITATION <br /> FOOD sy► C r <br /> 12. STORAGE <br /> 13. INSECT/VERMIN /^ <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES K/ <br /> _ _ 15. OTHER i a <br /> C.4 SEWAGE DISPOSAL <br /> _ 16. SEPTIC SYSTEM <br /> _ 17. SEWER 42 <br /> RABIES VACCINATION I-Loo- x- y <br /> -- 18. CERTIFICATE ON PREMISES SA ITARI RECEIVED BY <br /> ® EH 07-01(690) <br />