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C SAN JOAOUIN 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. <br /> fz-O Q 0o zk p iK Phone(209)468-3420 <br /> PERMIT NO. f <br /> STR. OPER. DBA Inspec.on Date <br /> POULTRY RANCH <br /> WATER WELL Premise Addifiss ReckfeckDate <br /> - - 1. WELL CONSTRUCTION ` ` 'Se <br /> -_ 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CO VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANNT <br /> . _SPREADING AND DIKING J �,4✓/� CiC ✓j <br /> _= 4. CONCRETE TANKS5. 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 <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 n <br /> HOUSES l " la V <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 �0 `}'p- / l►�C�/1�� LL - 1�C _�� �U <br /> _ 5. SMOOTH/CLEANABLE <br /> - - 6. COVING r�.0 C�jYLtifd L/ 1 • K/ [r� L� [_L �� �/ �!K1.J <br /> - - 7. CLEANING FREQUENCY <br /> WALLS <br /> 8. SMOOTH/CLEANABLE �7!) j LJ S 1 c f cl�a"� Q I n� <br /> - - 9. CLEANING FREQUENCY 0 <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 /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES IAN BY <br /> 0 EH 07-01(o-GD) <br />