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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, A 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone(209) 20 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspectron Date <br /> POULTRY RANCH Lar (Z- '` /d/a 1 1197 <br /> WATER WELL Premise Address 00. Recheck Date <br /> ® ® 1. WELL CONSTRUCTION 3 C) Jf-r <br /> 2. GROSS-CONNECTION <br /> MANURE NT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND D19CCING <br /> ® 4. CONCRETE TANKS <br /> -- 5. LAGOONING p <br /> S I <br /> 6. COMPOSTING tile <br /> BIRD DISPOSAL <br /> e <br /> - - 7. BURYING WITH 2'OF COVER -- C 6 <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL `� 1�a�L <br /> 10. DOMESTIC FLY <br /> - 11. FANNIA FLY <br /> ® - 12. LARVAE 0"A CnC f <br /> - 13. PUPAE <br /> ®- 14. ADULT <br /> ®:15. LIGHT POPULATION <br /> 16. MODERATE POPULATION '! <br /> 17. HEAVY POPULATION f S - G F- <br /> FEEDING/WATER <br /> 18.>WATER TROUGHS ap p <br /> 19. CUPS OR LS -7 ST G "1C C /`[SCI �L !�` <br /> ® 20. F STORAGE �(z le <br /> HOUSES <br /> 21. FLOORS <br /> ® 22. WALLS/CEILINGS <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 `� h <br /> ®- 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE �!� ' a¢- � I�l e K u AC <br /> 6. COVING , 1� <br /> 7. CLEANING FREQUENCY ( _ <br /> WALLS L e G[.�B' <br /> - - 8. SMOOTH/CLEANABLE e <br /> ®- 9. CLEANING FREQUENCY <br /> r �, <br /> CAGES 5 o r s <br /> ® 10. CONDITION +lter � 1�r5 e'�'. of <br /> - 11. SANITATION <br /> FOOD \ <br /> - - 12. STORAGE <br /> !� <br /> _ 13. INSECT/VERMIN AM f4 -1 41 kilr1l"C41ric' . <br /> ANIMAL DISPOSAL <br /> - 14. REMOVAL FROM PREMISES '• / <br /> 15. OTHER Wel <br /> SEWAGE DISPOSAL <br /> 16.,SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES <br /> Env] m -tlnaSpecialist Received By <br /> 0 EN 07-01(a.9Q) <br />