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i <br /> SANTOLARA COUNTY DEPARTMENT NVIRONMENTAL HEALTH <br /> POULI RANCH INSPECTION FORM <br /> Vector Control District,976 Lenzen 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: G / / /O j Time: In: ;p00ut: <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:I=slight,3=moderate,5=severe/2&4 are ratings above and below moderate. <br /> Inspection category S=Satisfacto ,NI=Needs Iment and U=Unsatisfacto <br /> Inspection Point/Status S NI U Correction needed &date: <br /> a. Water leaks jel <br /> b. Structure clean-up <br /> e.Tractor clean-up <br /> d.General structures <br /> e.Adult fly population: M N. <br /> E Clean-out under building <br /> g.Manure management plan <br /> h. Feed spill clean-up <br /> i. Loading pad clean-up <br /> 'j. Dead bird management <br /> k. Waste egg disposal <br /> 1. Odor level ( 1 to 5](low to high)J I i[ ] <br /> W. <br /> Veetor.Control: Spot count cards replaced—date&time: <br /> Fly-spot counts: egg room: 12 #l,front: #2,front: #1,rear: Al #2,rear- <br /> Larva/Pupa observations: <br /> Its <br /> Last Sprayed for flies: /I L/0.2,where: 6 what used: ,z • <br /> Compliance requirements: Oak <br /> a <br /> i <3ll ! <br /> �2 <br /> r tl <br /> !. <br /> It-bsa a A3 <br /> tl • f <br /> OIL I <br /> we+•tls'-' <br /> REINSPECTION DATE: <br /> a(L-0 <br /> =Tmer,nazswus Mat a, exta afro Da sect AgenE Dow <br /> i <br />