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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. Phone(209)4683420 <br /> PERMIT NO. <br /> STR. OPER. DBA inspection Date r, <br /> POULTRY RANCH 3 Z i-7 <br /> WATER WELL Premise Address dd <br /> Recheck Date <br /> -- 1. WELL CONSTRUCTION 3 <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND D19CING <br /> _ - 4. CONCRETE TANKS / � <br /> -- 5. LAGOONING - l�0 W �a K 1 tR"6(rN-7&-30 4- -7ft2L <br /> - - 6. COMPOSTING <br /> BIRD DISPOSAL <br /> - - 7. BURYING WITH 2'OF COVER <br /> 8. APPROVED CONCRETE TANK y <br /> -- 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> - - 10. DOMESTIC FLY <br /> - 11. FANNIA FLY <br /> - - 12. LARVAE <br /> 13. PUPAE 1 ZO�I.L�G�L�t� f1 LIAS CS <br /> - 14. ADULT l <br /> ---';6L--';6L � _15. LIGHT POPULATION t' �+aGS<% ( 1 y <br /> 1 Lag <br /> -- 16. MODERATE POPULATION t <br /> - - 17. HEAVY POPULATION ( +rn PS. <br /> FEEDING/WATER <br /> 18. WATER TROUGHSk'rl"11 w �v[ <br /> r ��/ ) f <br /> - - 19. CUPS OR BOWLS <br /> - _ 20. F000 STORAGE <br /> HOUSES <br /> _ 21. FLOORS -f7� <br /> -- 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY 01G <br /> `- Vtvrts2s Gori c6l-1 -64jicP A W eEk <br /> STR. OPER. Q r t&%p re-• <br /> KENNEL <br /> WATER WELL r <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION Cbr/" ro 6 <br /> FLOORS I ` - ` <br /> - - 3. PROPERLY GRADED TO SEWER f ' <br /> -- 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> - - 6. COVING <br /> -- 7. CLEANING FREQUENCY ` <br /> WALLS <br /> 1 / <br /> - - 8. SMOOTH/CLEANABLE <br /> -- 9. CLEANING FREQUENCY <br /> CAGES S I� <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 34 4 d7 <br /> rI <br /> -- 18. CERTIFICATE ON PREMISES SANIT RIA RE IVED BY <br /> 0 EH 07-M(t)tif)) <br />