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SANTA RA&A COUNTY DEPARTMENT OF A60NMENTAL HEALTH <br /> POULTRY RANCH INSPECTION FORM <br /> Vector Control District,976 Lenzen Avenue,San Jose,California 95126(408)792-5010 <br /> Hazardous Materials and Compliance Div., 1555 Berger Dr,,Ste 300,San Jose,California 95128(408)918-3400 <br /> Name: 0LIVERA EGG FARM Inspection Date: '��710A Time: In: 1:3)Out: .p(() <br /> Address: 4140 CANADA RD.,GILROY Owner: OLIVERA]FOODS,Ed Olivera,Jr. <br /> This poultry operation is subject to provisions of the Califomia Health and Safety Code. Failure to correct the unsatisfactory <br /> condition(s)by the indicated date will result in administrative and legal remedies. <br /> [inspector subjective ratings:0=none; 1=slight,3=moderate,5=severe/2&4 are ratings above and below moderate) <br /> Inspection Category(S=Satisfactory,NI=Needs I provement and U=Unsatisfactory) <br /> Ins eclion Point/Status S NI U Correction needed Mate: <br /> a. Water leaks , A0&'f u y-c' <br /> b. Structure clean-up ,/ <br /> c. Tractor clean-up <br /> d. General structures /r <br /> e. Adult fly population: <br /> L Clean-out under building <br /> g. Manure management plan 4- dont' Arx . <br /> h.Feed spill clean-up <br /> i. Loading pad clean-up <br /> j. Dead bird management <br /> k. Waste egg disposal <br /> I. Odor level I to 5 low to high) j c orn io as (�! <br /> Vector Control: Spot count cards replaced—date&time: <br /> Fly-spot counts: Average: D-3. !8 <br /> Larva/Pupa observations: <br /> Last S ra ed for flies: where: what used: Insectrin X <br /> FI sot cmialrd counts/Cow liance requirements or bservations: <br /> BLD 1*1 RLDI 92 t^ 12gk4 5 . ` DLleeeA. Alm <br /> !! <br /> 2. 5 1Q - 0 LkXA pr' 4o Sf&SIS vY!o!` . at <br /> 3. 1L " c pr er s ,' - r o.� <br /> 4. d 12. <br /> 5. ,S 13. 1 A- co r� .. n r e � rcz ry►cr <br /> 'b. �O 14. /S -r e <br /> 7. �s 1S. l Dd at'elcnon 'A <br /> Z 1W <br /> 1 <br /> (W 1� IT? -- INSPECTION DATE=7 -7. <br /> -, 0, <br /> 1 <br />