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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)468-3420 <br /> PERMIT NO. <br /> STR. OPER. <br /> DBA fns ion Date <br /> POULTRY RANCH �` <br /> WATER WELL Premise Recheck Date <br /> 1. WELL CONSTRUCTION �r <br /> -- 2. CROSS-CONNECTION <br /> RE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND <br /> AND MUST BE CORRECTED: <br /> 3. SPREADING AND D19CINc l 7e a 2 .,' <br /> 4. CONCRETE TANKS € &I/u 'p <br /> 5. LAGOONING - / r ' . <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 t- Ai'L/1w <br /> 10. DOMESTIC FLY f 1� <br /> _- 11. FANNIA FLY <br /> Irl° y <br /> - - 12. LARVAE <br /> 13. PUPAE or 6FS <br /> v j t s t�J <br /> -- 14. ADULT <br /> -- 15. LIGHT POPULATION 7 01 m" lit i <br /> -- 16. MODERATE POPULATION <br /> 17. HEAVY POPULATION a � <br /> / <br /> FEEDING/WATER i -ti (.. <br /> -_ 18. WATER TROUGHS - <br /> 6 <br /> _- 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE <br /> MOUSES -b <br /> _ 21. FLOORSy jt <br /> -- 22. WALLS/CEILINGS is 1 (lL )r L) <br /> 23. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL <br /> WATER WELL <br /> _- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS <br /> -- 3. PROPERLY GRADED TO SEWER l d� (( �t i` <br /> -_ 4. DRAIN �f1a ,r ul.l ' \ l� <br /> -- <br /> S. SMOOTH/CLEANAB <br /> -- 6. COVING r �� � -� <br /> -- 7. C EQ _5 <br /> WALLS f fs � s V - �C 6 { <br /> -- 8. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUEN Y ✓' <br /> CAGES <br /> 10. CONDITION <br /> 11. SANITATION <br /> FOOD .�+ <br /> -- 12. STORAGE <br /> I <br /> -- 13. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> - - 14. REMOVAL FROM PRE , a <br /> - - 15. OTHER 6.[ ��� ✓i$ <br /> SEWAGE DISPOSAL g <br /> -- 16.,SEPTIC SYSTEM n <br /> - _ 17. SEWER <br /> RABIES VACCINATION <br /> -- I& CERTIFICATE ON PREMISES <br /> ANITARIAN RECEIVEti RECEIVEBY <br /> 0 ENp7-01(840) <br />