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SAN JN 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. ` oaf Phone(209)468-3420 <br /> PERMIT NO. P700012-4?6 -tj 7 -�j <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> 1.TELL CONSTRUCTION <br /> 2. OSS-CONNECTION <br /> MANURE MAK46 HT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPR ING AND D19CING <br /> 4. CONIC ETE TANKS <br /> 5. LAG ING <br /> 6. COM ING <br /> BIRD DISPOSAL <br /> 7. BURYING TH 2° COVER <br /> 8. APPROVED ONC ETE TANK <br /> 9. REMOVAL F EMISES 4 <br /> VECTOR CONTROL <br /> 10* DOMESTIC F <br /> 11. FANNIA FL <br /> 12. LARVAE <br /> 13. PUPAE <br /> 14. ADULT <br /> 15. LIGHT LATION <br /> 16* MODE ATE POPULATI <br /> 17. HEA Y POPULATION <br /> FEEDING/WATE YX <br /> 18. W ER TROUGHS VI !L>R Lz�-e' <br /> 19. PS OR BOWLS <br /> 20. 000 STORAGE <br /> HOUSES <br /> 2 . FLOORS <br /> . WALLS/CEILINGS <br /> '3. CLEANING FREQUENCY <br /> STR. OPER. <br /> KENNEL <br /> - <br /> WATER WE <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> 3. PROPERLY GRADED TO SEWER <br /> 4. DRAIN <br /> S. 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. INSECT/VERMIN <br /> ANIMAL ��D OSAL <br /> ' P <br /> 14. REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION <br /> 18. CERTIFICATE ON PREMISES <br /> En onmentn Hibiftth Specialist Recei ed By <br /> 0 EH 07-01(8-90) <br />