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SAN JOQU A IN 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. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date q / <br /> POULTRY RANCH ca m� <br /> WATER WELL Premise Address / Recheck Date <br /> ('� WELL CONSTRUCTION 3/ <br /> - 1\2. CROSS-CONNECTION {{{000 <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> _ 3. SPREADING AND DIKING <br /> 4. CONCRETE TANKS <br /> C5. LAGOONING e <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 i <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> LARVAE <br /> 13. PUPAE <br /> _ ADULT <br /> iz- 15. LIGHT POPULATION <br /> 16. MODERATE POPULATION <br /> __ 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> 18. WATER TROUGHS <br /> 19. CUPS OR BOWLS 77O <br /> 20. FOOD STORAGE <br /> r <br /> HOUSES <br /> 21. FLOORS <br /> 22. WALLS/CEILINGS <br /> 23. CLEANING FREQUENCY / <br /> SM. OPER. ^� ' <br /> u <br /> KENNEL Z22 Iff4 <br /> WATER WELL <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION B <t- <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER 0 OL <br /> _ 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> _ 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> 8. SMOOTH/CLEANABLE D ' <br /> 9. CLEANING FREQUENCY <br /> CAGES <br /> _ 10. CONDITION p1j � <br /> 11. SANITATION --�e/`r Q/ <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 /j/lolv <br /> 18. CERTIFICATE ON PREMISES SANITARIAN RECEIVED BY <br /> 0 EH 07-01(stip) <br />