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SANTA 4kRA COUNTY DEPARTMENT OF WIRONMENTAL HEALTH <br /> POULTRY RANCH INSPECTION FORM <br /> Vector Control District,976 Lenzeen Avenue,San Jose,California 95126(408)792.5010 <br /> Hazardous Materials and Compliance Div.,2220 Moorpark,San Jose,California 95128(408)299.6930 <br /> Name: OLIVERA EGG FARM Inspection Date: $ / r�-/Q Time: In: 3' Out: <br /> Address: 4140 CANADA RD.,GILROY Owner: OLIVERA FOODS,Ed Olivera,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: 1=slight,3=moderate,5-severe/2&4 are ratings above and below moderate. <br /> 1p!lLection Cate o S=Satisfacto ,NI-Needs Improvement and U=Unsatisfacto <br /> Insmsetion Point/Status S NI U Correction needed&date: <br /> a. Water leaks <br /> b. Structure-clean-up <br /> e.Tractor clean-up <br /> d. General structures A 1 <br /> e.Adult fly population: cut flow io be- <br /> f. Clean-out under.building <br /> g.Manure management plan <br /> b.Feed spill clean-up <br /> i. Loading pad clean-up <br /> J. Dead bird management <br /> k.Waste egg disposal 'J <br /> 1. Odor level [ 1 to 5](low to high) <br /> Vector Control: Spot count cards replaced—date&time: $ / /} OR <br /> -Fly-spot counts: egg room: #l,front: 2,fiont: #l,rear: #2,rear:2.1 <br /> Larva/Pupa observations: !Jo nein) 'OLefWi <br /> 1A D)ksor VI&A <br /> Last S ra ed for flies: S /(Zi 2where; � &/dias ( 2KIWeeLwhat used:54 ae.qs iJ <br /> Com puce requirements: a L / <br /> o waY t oi~ wee a <br /> tr roc W GC <br /> S u W of <br /> REINSPECTION DATE: Q <br /> htspector,Huddous Materlda spector,V or ct perntor gen! atc <br />