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SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P.O. BOX 2009, STOCKTON, CA 95202 <br /> 0 I VECTOR CONTROL INSPECTION FORM <br /> COMPUTER NO. 1 - '10003 L1 Phone(209)468-3420 <br /> PERMIT NO. co!0 ( 0 <br /> STR. OPER. DBA InspectDate <br /> POULTRY RANCH kSuI,S ;j; <br /> q t <br /> WATER WELL Premise Address �1 �1 Recheck Date <br /> - - 1. WELL CONSTRUCTION aLf S_6 2- S, �/t G4 I 0 M4�� c-A <br /> -- 2. CROSS-CONNECTION <br /> MANAGEMENTMANURE THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND FUST BE CORRECTED: <br /> 3. SPREADING AND DI9CING t 1 Ei^1S,DE C-72 10 nJ rte 1 T7Lf FSE <br /> - - 4. CONCRETE TANKS / <br /> -- 5. LAGOONING C olAGrs W/ ,ti t (,moi PrP 1✓�S (�?d �o vt r,$ C"2c1 <br /> _ - 6. COMPOSTING <br /> BIRD DISPOSAL '-e 0j4.-r.r nC 4t> -A e-ea•2,w4 e!!j:-}yt„ a." <br /> - - 7. BURYING WITH 2'OF COVER /r`'� ►Ka rl�Y 2 ��-� ,,Q �c e°( J1t `t{L.�Q @ SC oC2 S �� Sf� <br /> - - 8. APPROVED CONCRETE TANK / <br /> - _ 9. REMOVAL FROM PREMISES 0'.0il ea L '.'+L Sc-4 2S' Qoz-- 4 rt <br /> VECTOR CONTROLf + <br /> - - 10. DOMESTIC FLY �1`4�- G�ruses Cy�1+ 4,` e`�S.1osz+ u-/ <br /> u�o✓ Src� <br /> - - 11. FANNIA FLY <br /> tM <br /> - - 12. LARVAE � � 'v'7�� 4►Lrl rQ � IS InCo°EC.G>' e46SI --fQr�d <br /> -- 13. PUPAE Q d r a CQ.�1'f -t-b ql-P- 2aS'f- nnoS+ afA_t c4G2-I1w.Sre <br /> -- 14. ADULT <br /> - - 15. LIGHT POPULATION <br /> -- 16. MODERATE POPULATION ( t p <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 <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. INSECT/VERMIN <br /> ANIMAL DISPOSAL <br /> - - 14. REMOVAL FROM PREMISES <br /> - _ 15. OTHER <br /> SEWAGE DISPOSAL <br /> 16. SEPTIC SYSTEM <br /> - - 17. SEWER r �I, <br /> RABIES VACCINATION �(I Li M'q �- - 9 <br /> -- I& CERTIFICATE ON PREMISES <br /> Environmental Health Specialist Received By <br /> $ EH 07-01(6.90) <br />