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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 /> Phone(209)468-3420 <br /> COMPUTER NO. <br /> PERMIT NO. <br /> STR. OPER. DBA Inspection Date <br /> POULTRY RANCH HSW V'D <br /> ) 1125. <br /> WATER WELL Premise Address Recheck Date <br /> -- 1. WELL CONSTRUCTION Z� 1�1✓L CG 1 <br /> -- 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE MANAGEMENT <br /> -- 3. SPREADING AND DIKING <br /> _- 4. CONCRETE TANKS ` <br /> -- S. LAGOONING <br /> -- 6. COMPOSTING <br /> BIRD DISPOSAL <br /> -- 7. BURYING WITH 2'OF COVER <br /> _ - 8. APPROVED CONCRETE TANK r _I <br /> -- 9. REMOVAL FROM PREMISES NPLLI l([1S �l. Ut` C PA 1'()ja 0 f4C <br /> VECTOR CONTROL <br /> - - 10. DOMESTIC FLY 1� <br /> - - 11. FANNIA FLY <br /> 12. LARVAE <br /> _- 13. PUPAE �. V��` \ <br /> - 14. ADULT ► _f <br /> -- 15. LIGHT POPULATION L"��p�� (�(J r]I✓L�/ l3 t�l.lN'lh�f <br /> -- 16. MODERATE POPULATION <br /> -- 17. HEAVY POPULATION <br /> FEEDING/WATER <br /> - 18. WATER TROUGHS O /arj/,t P S e e1-1. u IyL5 <br /> _- 19. CUPS OR BOWLS <br /> - - 20. FOOD STORAGE <br /> HOUSES 2 �, l P I A l=4` 1' U Cl Da'4 Lta 6 GLF/9t.1 a� <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 0 t/ <br /> -- 6. COVING l 1� l5 OL � Tfy__ <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 /+ <br /> RABIES VACCINATION <br /> -- 18. CERTIFICATE ON PREMISES SANITARIAN RECEIVED BY <br /> 0 EH 07-01(6-W) <br />