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' 0 SAN JOAQUIN COUNTY • <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> RVECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. '\��000 Phone(209)468-3420 <br /> PERMIT NO. r-T C)R�10 <br /> STR. OPER. <br /> DBA Inspects n Dale <br /> POULTRY RANCH G4v�1 e 7 6 Q <br /> WATER WELL Premise Address Re heck DaX <br /> -- 1. WELL CONSTRUCTION �Z') GJ <br /> -- 2. CROSS-CONNECTION ! <br /> 1 1v <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESEWT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> -- 3. SPREADING AND D19CING <br /> - - 4. CONCRETE TANKS <br /> - - 5. LAGOONING <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 �-�'� �� <br /> - - 10. DOMESTIC FLY to �TSwh 1C'_wJ( OIL <br /> - - 11. FANNIA FLY A� <br /> - - 12. LARVAE Y w's n G0.fl es /1 vr� /Vil of✓al �lc�.�I^�S <br /> - - 13. PUPAE <br /> - - 14. ADULT <br /> - - 15. LIGHT POPULATION -1_ %AAA C� "/_ c ` - C- tea ` <br /> -- 16. MODERATE POPULATION `/T � ` <br /> - - 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS a <br /> _ - 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE if ^ <br /> HOUSES <br /> - - 21. FLOORS ] 1 T <br /> -- 22. WALLS/CEILINGS ►^ O <br /> - - 23. CLEANING FREQUENCY <br /> S <br /> eCp <br /> S <br /> - <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION C) t6 `43A5 o(" <br /> FLOORS <br /> - - 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE 10 <br /> - - 6. COVING <br /> - - 7. CLEANING FREQUENCY <br /> WALLS <br /> - - 8. SMOOTH/CLEANABLE <br /> - - 9. CLEANING FREQUENCY <br /> CAGES e <br /> - - 10. CONDITION C� <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 _ 6 <br /> -- 18. CERTIFICATE ON PREMISES 27 <br /> nv mental Health Specialist Re ,ed By <br /> ® EH 07-07(6G01 <br />