Laserfiche WebLink
P°UV N SAN JOAQUIN COUNTY <br /> ENV ONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fare: (209)464-0138 Web:www.sjgov.org/ehd <br /> VECTOR CONTROL INSPECTION FORM <br /> POULTRY RANCH DBA INSPECTION DATE <br /> Structure Operation Water Well <br /> ❑ ❑ I. Well Construction PREMISE ADDRESS REINSPECTION DATE <br /> ❑ ❑ 2. Cross-Connection <br /> Structure Operation Manure Man gement0%#-Nr-RIOPERATOR PHONE <br /> ❑ ❑ 3. Spreading ind Disking j fjf� <br /> 07-2A'00 <br /> ❑ 4. Concrete janks INSPECTIO TYPE PROGRAM ELEMENT RECORD ID <br /> ❑ 5. Lagooni g t' <br /> ❑ ❑ 6. Comp ting The items below represent code violations and must be corrected: <br /> Structure Operation Bird D' posal <br /> ❑ ❑ 7. By(ying with 2"of Cover <br /> ❑ ❑ 8.Xpproved Concrete Tank <br /> ❑ ❑ VRemoval from Premises /�►� <br /> Structure Operation ctor Control <br /> B <br /> ❑ ❑ 10 Domestic FI <br /> 11 ❑ 11. annia Fl <br /> ❑ 12. krvae <br /> ❑ W3 13. Pu ae <br /> El14. Adu <br /> ❑ ❑ 15. Lightulation / <br /> ❑ ❑ 16. Moderak Population <br /> ❑ ❑ 17. Heavy Po lation <br /> Structure Operation Feeding/Water <br /> ❑ 18. Water Trou <br /> OL T t <br /> ❑ 19. Cu s or Bowls tf�" <br /> ❑ 20. Food Storage <br /> Structure Operation Houses <br /> ❑ ❑ 21. Floors <br /> ❑ El 22. Walls/Ceilings <br /> ❑ I ❑ 23. Cleaning Fre uenc <br /> KENNEL } i <br /> Structure Operation Water Well a <br /> ❑ ❑ 1. Well Construction I" <br /> 11 ❑ 2. Cross Connection <br /> Structure Operation Floors <br /> ❑ 3. Properly Graded to <br /> ❑ 4. Drain <br /> El 5. Smooth/Cleanable <br /> ❑ ❑ 6. Covin <br /> ❑ ❑ 7. Cleaning Frequency <br /> Structure Operation Walls <br /> ❑ ❑ 8. Smooth/Cleanable <br /> ❑ 11 9. Cleanin Fre uenc <br /> Structure Operation Cages <br /> ❑ 13 10. Condition <br /> ❑ ❑ 11. Sanitation <br /> Structure Operation Food <br /> ❑ 11 12. StoraRe <br /> ❑ ❑ 13. Insect/Vermin <br /> Structure Operation Animal Disposal <br /> ❑ 14. Removal from Premises <br /> ❑ ❑ 15. Other <br /> Structure operation Sewage Disposal <br /> ❑ ❑ 16. Septic System <br /> ❑ ❑ 17. Sewer <br /> Seructure Operation Rabies Vaccination RrIED B a INSPEC <br /> ❑ ❑ 18. Certificate on Premises <br /> EHD 40-06 6/30/2005 7 Page Of <br />