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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. " D Phone(209)468-3420 <br /> PERMIT NO. � 1 <br /> STR. OPER. <br /> DBA Inspect F n Date <br /> � <br /> POULTRY RANCH j/ ,� �Ge✓ 5 t /04 <br /> WATER WE L Premise Address Recheck Date _ <br /> 1. WELL CONSTRUCTION �o I <br /> n /)�` d 6 <br /> - _ 2. CROSS-CONNECTION ✓�` I l <br /> MANURE MANAGEMENT THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> SPREADING AND D19CING 3 <br /> _:Z CONCRETE TA�1,�(S j Ck CG/U c� <br /> 5. GG--OON'INrG- %- <br /> - <br /> _ 6. COMPOSTING _ � A <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH T OF COVER <br /> - :�/- 8. APPROVED CONCRETE TANK <br /> -- 9. REMOVAL FROM PREMISES �,L,�Q,�,��Q" r ���� 0. 1�- _ <br /> VECTOR CONTROL �- <br /> - - 10. DOMESTIC FLY11. FANNIA <br /> Y ' <br /> - - 12. LARVAE FLY Pi 1��p _ 1 In C t,1�1 Q!Y-tC}Y Ct y^ <br /> -- 13. PUPAE �.� its C�Q` �N <br /> ADULT �� v <br /> 15. IGHT POPULATION 1 .� <br /> _- 16. MODERATE PO TION �` l <br /> - - 17. HEAVY,POPULATION VeCAZ7-y , C7✓tV-ro�A QS2..L�� �' \ �C S -« A04- <br /> FEEDING/WATER <br /> - - 18. WATER TROUGHS <br /> - 19. CUPS OR BOWLS cc . <br /> - 20. FOOD STORAGE _�1, <br /> HOUSES <br /> /�2.1 FLOORS Li1n, vim, p <br /> � 2Y. WALLS/CEILINGS '~ �1 1.�.��Q�Q L�j�Q t l►/lp_Lcle <br /> 23. CLEANING FREQUENCY <br /> STR. OPER. n _ ,I <br /> KENNEL - - Q n� <br /> V - <br /> WATER WELL <br /> -- 1. WELL CONSTRUCTION <br /> 2. CROSS CONNECTION Q M1lp O -� (.Q�1(Y1C9JL 1/1 1 <br /> FLOORS <br /> - _ 3. PROPERLY GRADED TO SEWER <br /> - _ 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE <br /> 6. COVING ' � 1 <br /> - 7. CLEANING FREQUENCY <br /> WALLS <br /> SMOOTH/CLEANABLE - i <br /> -- 9. CLEANING FREQUENCY J <br /> CAGES <br /> _ - 10. CONDITION >F---i <br /> _- 11. SANITATION <br /> FOOD ark.raA,y � <br /> 12. STORAGE CJS <br /> -- 13. INSECTNERMIN 0 <br /> SAL <br /> ANIMAL DI14 OREMOVAL FROM PREMISES <br /> - _ 15. OTHER Qj <br /> (/ ` L <br /> SEWAGE DISPOSAL ` If, <br /> 16. SEPTIC SYSTEM r j I <br /> 17. SEWER <br /> RABIES VACCINATION <br /> -- <br /> 18. CERTIFICATE ON PREMISES L <br /> iE vironmental Healt Specialist Received B <br /> 0 EH 07-01(690) <br />