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SAN JOAQUIN COUNTY <br /> INPUBLIC HEALTH SERVICES <br /> VIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON,CA 95202 <br /> VECTOR TI FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH 1 J&1 <br /> WATER WELL Premise Address Recheck Date <br /> - 1. WELL CONSTRUCTION j <br /> _® 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE-Vit LATIONS AND MUST BE CORRECTED: <br /> MANURE NT <br /> 3. SPREADING AND DIGGING <br /> - - 4. CONCRETE TANKS y <br /> -_ 5. LAGOONING C. % <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 <br /> HOUSES <br /> -- 21. FLOORS <br /> - 22. WALLS/CEILINGS <br /> - - 23. CLEANING FREQUENCY <br /> STA. OPER. <br /> KENNEL <br /> WATER WELL <br /> -- <br /> I. WELL CONSTRUCTION <br /> - - 2. CROSS CONNECTION <br /> FLOORS „` a „�� f <br /> -_ 3. PROPERLY GRADED TO SEWER <br /> -- 4. DRAIN w c <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. 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 <br /> all IAN RECEI D BY <br /> M EH 07-M(690) <br />