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SAN JOAQUIN 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.��05 05--�jq Phone(209)468-3420 <br /> PERMIT NO. F'r Q00 7 g J 0 <br /> STR. OPER. DBA J� / Inspection Date <br /> POULTRY RANCH 0Z-DE ` SG�_ L}�TI �-�� f - � - 0WATER WELL Premise Address / Recheck Dale <br /> 1. WELL CONSTRUCTION /�l G�l d -0'O <br /> . GROSS-CONNECTION 1 �T «t✓✓✓' <br /> MANURE MAN EMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> _ 3. EADING AND DIKING <br /> _ 4. C CRETE TANKS <br /> 5. LA NTNG <br /> 6. COM TING <br /> BIRD DISPOSAL <br /> _ 7. BURYIN WITH OF COVER <br /> 8. APPROVE C RETE TANK <br /> _ 9. REMOVAL PREMISES <br /> VECTOR CONTEA' <br /> L <br /> 10. EST FANI FLY /TS ,l Lu 0 PL e=( IO <br /> _ 12. LARV <br /> 13. PUPS <br /> _ 14. AD LT <br /> _ 15. L HT POPULATI N <br /> 16. ERATE POPU TION <br /> _ 17. HEAVY POPULATI rr!! I/� <br /> FEEDING/W TER W`S / (e 5�S A-Y G �, 6_ �1 ., ,,A <br /> _ . WATER TROUGHS J i_��G <br /> 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE _ <br /> HOUSEow <br /> 21. FLOORS / <br /> 22. WALLS/CEILINGS <br /> _ 23. CLEANING FREQUENCY v r j <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 <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. INSECTNERMIN <br /> ANIMAL DISPOSAL <br /> 14. REMOVAL FROM PREMISES <br /> _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> _ 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATN7N <br /> 18. CERTIFICATE ON PREMISES <br /> nv Onment h Specialist Received By <br /> 0 EH 07-01(600) <br />