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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIO <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> DBA^ <br /> STR. OPER. <br /> Ins tion ate <br /> POULTRY RANCH <br /> WATER WELL Premise Address Re eck Date <br /> 1. WELL CONSTRUCTION /0 I <br /> 2. CROSS-CONNECTION r <br /> THE ITEMS BELOW REPRESENT cQ6E VIOL-AT NS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> _ 3. SPREADING AND DIKING <br /> _ 4. CONCRETE TANKS m <br /> 5. LAGOONING <br /> _ 6. COMPOSTING <br /> BIRD DISPOSAL <br /> 7. BURYING WITH 2'OF COVER <br /> _ B. APPROVED CONCRETE TANK <br /> _ 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL 1 f <br /> 10. DOMESTIC FLY <br /> 11. FANNIA FLY <br /> _ 12. LARVAE <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 <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 <br /> _ 4. DRAIN <br /> 5. SMOOTH/CLEANABLE <br /> 6. COVING <br /> 7. CLEANING FREQUENCY <br /> WALLS <br /> _ 8. SMOOTH/CLEANABLE <br /> 9. CLEANING FREQUENCY <br /> CAGES <br /> _ 10. CONDITION <br /> _ 11. SANITATION <br /> FOOD <br /> _ 12. STORAGE <br /> 13. INSECTNERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> _ 16. SEPTIC SYSTEM <br /> _ 17. SEWER ] <br /> RABIES VACCINATION I <br /> 18. CERTIFICATE ON PREMISES <br /> En ronmental Health Specialist Received <br /> ® eH 07-01(8-90) <br />