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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 /> DBA Inspection Date <br /> STR. OPER. <br /> POULTRY RANCH <br /> WATER WELL Premise Address Recheck Date <br /> 1. WELL CONSTRUCTION �I t S, ACOl <br /> 2. CROSS-CONNECTION <br /> THE ITEMS BELOW REPRESENT CODE VIOLATIONS AND MUST BE CORRECTED: <br /> MANURE At;EMENT -7 <br /> 3. SPREADING AND DIGGING `1 1p8 leu <br /> 4. CONCRETE TANKS <br /> 5. LAGOONING <br /> _ 6. COMPOSTINGt <br /> Far-'�t sp real )'4 LA d -trA (A rP �,1 cfLr A 0-f <br /> - <br /> BIRD DISPOSAL <br /> _ 7. BURYING WITH 2'OF COVER tQ <br /> 8. APPROVED CONCRETE TANK <br /> 9. REMOVAL FROM PREMISES <br /> VECTOR CONTROL <br /> 10. DOMESTIC FLY V r <br /> 11. LAFLY yV'.tl _A SC. In�tGyLtA -P, Lb► .er LUI-�ltn 2 c�I�J S <br /> _ ✓�12. LARVAE � f��- � C <br /> 13. PUPAE �-� c - <br /> __ 14. ADULT <br /> �5. LIGHT POPULATION <br /> _ I6. MODERATE POPULATION <br /> 17. HEAVY POPULATION �Z� M' t(\ N1( e ty t,(Q U✓1 k ov P r S <br /> FEEDING/WATER -AAf r �r <br /> 18. WATER TROUGHS t <br /> 19. CUPS OR BOWLS <br /> 20. FOOD STORAGE �/ <br /> HOUSES �� )(�n wt r ki-wtpti- <br /> 1. 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 ` l <br /> 3. PROPERLY GRADED TO SEWER t44-p JuA- Will <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 /> Il. 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 /> k <br /> RABIES VACCINATION <br /> 18. CERTIFICATE ON PREMISES S NITARIAN REC VED BY <br /> 4 EH 07-01(600) <br />