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SANTA COUNTY DEPARTMENT OF 11WIRONMENTAL HEALTH � <br /> POULTRY RANCH�w SPE ICON FORM <br /> Vector Control District,9761.enzen 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: OLIVERA EGG FARM Inspection Date: Time:In: ; t Out: <br /> Address: 4140 CANADA RD.,GILROY Owner: OLIVERA tOODS9 Ed Olivers,Jr. <br /> This poultry operation is subject to provisions of the California 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=nioderate,5—severe/2&4 are ratings above and below moderate] <br /> Ins tion Category(S=Satisfacto ,NI=Needs I proventent and U=Unsatisfacto ) <br /> Inspection Point/,Status S NI U Correction needed&date: <br /> a. Water leaks — <br /> b. Structure clean-up <br /> c. Tractor clean-up <br /> d. General structures Co r C _ C_—'Jhj� CIA <br /> e. Adult fly population: <br /> f. Clean-out under building <br /> g. Manure management plan <br /> h. Feed spill clean-up <br /> L Loading pad clean-up mak <br /> j. Dead bird management <br /> k Waste egg disposal <br /> 1. Odor level 1 to 5 (low to hi&h) ym a ft 0 CqAcr t <br /> Vector Control: Spot countards laced— e time: j 61' <br /> Fl - t counts: Average:L6 ((1,-15 <br /> LarvalPupa observations: <br /> Last S raed for flies: where: S what used: Inspctrin X <br /> 'lY spot card counts/Compliance requirements or observe ons: :,•1p tai` u--t".5 <br /> LD i/1 BLD #2u r v `T <br /> 2. 1A 7Z -�Cl�'Kv , d►'d cam ccs �P u � r M�c- <br /> 11. � <br /> 4. 12. � <br /> S. :3 13. n r�.d l$ ri va r:.4111 e I h corn <br /> 6 7 <br /> 7. (� 15. <br /> 8. ;? b. <br /> REIN PECTION ATE: — <br /> y J � <br />