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SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009,ST TON, CA 95202 <br /> VECTOR CONTROL INSPECTIONFOR <br /> COMPUTER NO. Phone(2D9)468.3420 <br /> PERMIT NO. <br /> STR. OPER. DBA <br /> t_ Inspection Date <br /> POULTRY RANCH 30(a4er I?1,7 7 <br /> WATER WELL Premise Address Recheck Dale <br /> 1. WELL CONSTRUCTION <br /> _ 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT p <br /> 3. SPREADING AND DIKING <br /> 4. CONCRETE TANKS <br /> 5. LAGOONING U4*6A <br /> 6. COMPOSTING <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH 2'OF COVER \ <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES D/Glelloxal,s-IF <br /> VECTOR CONTROL <br /> ®� 10. DOMESTIC FLY <br /> ® 11. FANNIA FLY 1e <br /> 12. LARVAE e z7 <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 o :i inwn� /6,5 4a zolicf- <br /> 21. FLOORS-- Glvll <br /> r <br /> _ 22. WALLS/CEILINGS Lt S tJ <br /> 23. CLEANING FREQUENCY O` <br /> r i <br /> STR. OPER. e� R <br /> KENNEL _ <br /> WATER WELL ^+ <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> 6. COVING lb U519 At,4jar, <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> _^ 8. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUENCY $ <br /> CAGES <br /> 10. CONDITION <br /> 11. SANITATION r <br /> FOOD <br /> 12. STORAGE ('s <br /> 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES 4C ' <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> _ 17. SEWER <br /> RABIES VACCINA <br /> ®� 18.CERTIFICATE ON PREMISES Ig BY , <br /> 0 _EM 07-01(1440) <br />