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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. Z 05- s l� Phone(209)468-3420 <br /> j�- <br /> PERMIT NO. r ®� <br /> STIR. OPER. DB Inspection Date <br /> POULTRY RANCH rut, ) t 471�� it 1 <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION SZ� At_ �Y J <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE ORRECTED: <br /> MANURE MANAGEMENT <br /> 3. SPREADING AND D19CING <br /> 4. CONCRETE TANKS � •�� �. / i' <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 a �}� n <br /> STA. OPER. U)W I� Uk1lJ � �L <br /> tt � Lty a/ lal-d.Ia., .6--g - <br /> KENNEL /�` <br /> WATER WC L �/fY> ✓7 e G�t�� �: CL✓1-1L (".) <br /> 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION <br /> FLOORS <br /> .-3. PROPERLY GRADED TO SEWER // � <br /> i 4. DRAIN .{_.��V' I G/ L�-(��il� l�( -r <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 /> 1 12. STORAGE <br /> 13. INSECT/VERMIN <br /> ANIMAL,VISPOSAL <br /> 14, REMOVAL FROM PREMISES <br /> 15. OTHER <br /> SEWAGE DISPOSAL <br /> j 16. SEPTIC SYSTEM <br /> 17. SEWER <br /> RABIES VACCINATION <br /> tea_'18. CERTIFICATE ON PREMISES SANiTA IA RECEIVED BY <br /> ® EN 07-01(&-YO) <br />