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SAN JOAQUIN COUNTY <br /> 0 PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> VECTOR CONTROL TIO FORM <br /> COMPUTER NO. Phone(209)468-3420 <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH f <br /> WATER WELL Premise Address Recheck Date <br /> -- 1. WELL CONSTRUCTION <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DIKING <br /> - 4. CONCRETE TANKS y, <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 ) / -�- <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 /> STR. OPER. <br /> KENNEL <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> - - 2. CROS 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 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 $ANI ARIAN ECEIVED BY <br /> l_,f' <br /> 0 EH 0741(8-90) <br />