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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> �Q ,4o0t73 q- VECTOR CONTROL INSPECTION FORM <br /> / <br /> COMPUTER NO. A" 111000* <br /> Phone(209)468-3420 <br /> PERMIT NO. 00 10 ! Q <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH 14S LA r5 (JL{L772- 4AtJC-/f <br /> WATER WELL Premise Address Recheck Date <br /> - - 1. WELL CONSTRUCTION oZ�SYO 2 S, LG/�✓G/4 ( � /�-/„�{ N7')C-CA <br /> - - 2. CROSS-CONNECTION <br /> MANAGEMENTMANURE THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> 3. SPREADING AND D19CING Co '# D/! 8 3 ►^e ce,v mol rr tit a.c.u <br /> p m <br /> 4. CONCRETE TANKS <br /> 5. LAGOONING Q ' <br /> /t ✓I1_R�rC►+t 70g pe <br /> _ - 6. COMPOSTING / <br /> BIRD DISPOSAL n /17✓t �Wr`{�J- rN2'` C�0 ✓S rL oVti4°tre r 7 T A-� <br /> - - 7. BURYING WITH 2'OF COVER / 6(l�,,�I" tS kQ// Se r:o r►^acl/fa/ <br /> _ - 8. APPROVED CONCRETE TANK <br /> - - 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL / ,�/ 1 <br /> _ - 10. DOMESTIC FLY /-!Gt rrl Gl r•E A r T Oyi tQ S'F S r c4 o f a r\at Sid/L�'ftln rJ fQ-Q+n r r <br /> - - 11. FANNIA FLY <br /> - - 12. LARVAE - e <br /> - - 13. PUPAE C 4 d t C CO V'e.✓ <br /> - - 14. ADULT <br /> - - 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION r <br /> _ - 17. HEAVY POPULATION l `JM2vltAr 92r t _ yLOr`J�+Q4S� COrr�2.� y� �✓yB�• 7�c <br /> FEEDING/WATER �� � �� ( 0 r •�^e- � Gp ,rl so �/ <br /> - - 18. WATER TROUGHS <br /> -- 19. FOPS OR BOWLS L <br /> 20. F000 STORAGE C <br /> coV-e P-d [ te'- n' d �r�.e rA� <br /> _ - /� //^^ //7'/� Q <br /> HOUSES �`� All S . l_O✓hC7 tD.n LO /S/CtB'. <br /> _- 21. FLOORS / <br /> -- 22. WALLS/CEILINGS /-L Q K t-C t^2 dot-f- yL O, 46-eQS'f t!O✓tiQ r "W PQ'w g'4' <br /> - - 23. CLEANING FREQUENCY ^ <br /> r i/'D✓t� ��cti.F�S ,�.r t W�.r�4 r�p Y.4 oTLULv CO V�E,rS 6r OT/�i <br /> STR. OPER. // <br /> KENNEL Ntie'cr.11-S <br /> 4V xe.C'--r-e- CoVP-r oGla <br /> oe ,_ <br /> 49 <br /> WATER WELL Sf au &- G(cled Ocltr Y-6 �..,r..r wA&a'- y(og� �Lr� .ti.o-1- <br /> -- 1. WELL CONSTRUCTION / <br /> - - 2. CROSS CONNECTION Q c�tyt to d( p r .�rnnm t/t r vt�¢rt t c vt L c�✓+-Cp-� <br /> FLOORS <br /> _ - 3. PROPERLY GRADED TO SEWER <br /> - - 4. DRAIN <br /> -- 5. SMOOTH/CLEANABLE <br /> 6. COVING <br /> - - 7. CLEANING FREQUENCY <br /> WALLS rT ee'c.-.sI c'j-ru.. cs�al/ �e Gvr.Gi'ccc d c►i,or Gtoy�e� /® / r <br /> -- 8. SMOOTH/CLEANABLE t'ot44' <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 G <br /> RABIES VACCINATION l�-L"S �C. S• /� /L L O 7 <br /> -- 18. CERTIFICATE ON PREMISES <br /> Environmental Heath Specialist Received By <br /> 0 EM 07-01(8-90) (-.•2-051 4f.e--03Y/ <br />