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COMPLIANCE INFO_PR0400056 - 101 E HWY 12
Environmental Health - Public
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4454 - Kennel Program
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PR0400056
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COMPLIANCE INFO_PR0400056 - 101 E HWY 12
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Entry Properties
Last modified
11/19/2024 3:46:04 PM
Creation date
7/3/2020 11:18:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4454 - Kennel Program
File Section
COMPLIANCE INFO
FileName_PostFix
PR0400056 - 101 E HWY 12
RECORD_ID
PR0400056
PE
4454
FACILITY_ID
FA0000123
FACILITY_NAME
GLADYS DOLLINGER
STREET_NUMBER
101
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
02705018
CURRENT_STATUS
02
SITE_LOCATION
101 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sfrench
Supplemental fields
FilePath
\MIGRATIONS\SW\SW_4454_PR0400056_101 E HWY 12_.tif
Tags
EHD - Public
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SAN JOAQUIN <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON,CA 95202 <br /> VECTOR <br /> COMPUTER NO. 0 "T flz' Phone(209) 20 <br /> PERMIT NO. I00 O� <br /> STR. OPER. DBA inspection Date <br /> POULTRY RANCH b �L -1 fp <br /> WATER WELL Premise Address Rec k Date <br /> ® 1. WELL CONSTRUCTION ® L 7L, La �• l^ <br /> 2. CROSS-CONNECTION <br /> MANURE NT THE ITEMS BELOW REP ESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> ® 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS <br /> _® <br /> S. L.AGOONING <br /> _ 6. COMPOSTING <br /> BIRD DISPOSAL ® t <br /> 7. BURYING WITH 2'OF COVER Luis <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> _ 10. DOMESTIC FLY t <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 /> a ® 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 /> ® T 4. DRAIN <br /> S. SMOOTH/CLEANABLE <br /> 6. COVING <br /> _e 7. CLEANING FREQUENCY <br /> WALLS <br /> _ 8. SMOOTH/CLEANABLE <br /> _ e 9. CLEANING FREQUENCY <br /> CAGES <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 /> RAINES VACCINATION V Ail <br /> ® 18. CERTIFICATE ON PREMISES <br /> Env ronmental Health Specialist Received vy <br /> 0 EH 07-09(8-90) <br />
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