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i <br /> SANTA CLARA COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH <br /> POULTRY RANCH INSPECTIONFORM . <br /> Vector Control Distt M 976 Lenzen Avenue;So Jose,Cahforwa 95126(408)299-2050 or(800)675-1155 <br /> �✓ Hazardous Materials and Compliance Div.,2220 Moorpark,San lose,California 95128(448)299-6930 <br /> Name: OLIYERA EGG FAM Date: t /® Tim:.In:3.00 11; <br /> Address: 4140 CANADA RD.,GILROY Owner:OLIVERA FOODS,Ed Olivers,Jr. <br /> This poultry operation is subject.to provisians ofthe cajiftWa Health and Safety Code. Failure to correct the unsatisfactory <br /> condition(s)by the indicated date will result in administrative and legal remedies. <br /> 1 <br /> Inspection Category(S-Satisfactory,Nle s Improvement and U Ussathfactory) <br /> t Point/Status S NI U DUE DATE <br /> a. Water leaks <br /> b. Structure clean-up <br /> c. Equipment(tractor)clean-up <br /> i <br /> d. General structures <br /> e. Adult fly population <br /> f. Cleary-out under building � 5cya 04 <br /> g. Manure n aWetnent <br /> h. Feed spill clean-up s/ <br /> i. Loading pad clean-up $ 2 r►va a . <br /> j. Dead bird management <br /> k. Waste egg disposal <br /> 1. Odors <br /> Vector Control: Spot count cards replaced—date&time: :2 d Z-.- <br /> Fly-spat counts: #l,front: 2#2,front:_,jL 1, : $ #2,rear:LLLegg room other: <br /> Larval/ftpal observations: hieav i e(aryloch o <br /> Last S ra ed for flies: /z�Jo 7—where: bast B ' ed forrats: / <br /> r, `#-a ti o s� e a u1 r yr W eXC <br /> Comments and Recommendations: <br /> f'i°.S�d� S, ro <br /> �caulKIOND <br /> as <br /> e <br /> REINSPECTION DATE: -7 5/6-L/ 6 �K, <br /> � !Q5. 11 s CC..JJII <br /> i I <br />