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SANTAWARA COUNTY NT OF IMRONMENTAL <br /> HEALTH <br /> POULTRY C 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 /> I <br /> Name: OLIVERA EGG FARM Inspection,Date: / / ime: In- • QOut: p <br /> Address:4140 CANADA.RD;,GILROY Owner: OLIVERA FOODS,Ed Olives,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 Ed legal remedies. <br /> [inspector subjective ratings: 1=slight,3=moderate,5--severe/2&4 are ratings above and below moderate] <br /> Inspection Cate o S=Satisfactory,NI=Needs I rovement and U=Unsatisfactory) <br /> Ins action Point/Status 5 NI U Correction needed&date.- <br /> a. Water leaks <br /> b. Structure clean-up <br /> e. Tractor clean-up <br /> d. General structures Me • <br /> e.Adult fly population: <br /> L Clean-out under building <br /> g.Manure management plan <br /> h.Feed spill clean-up <br /> L Loading pad clean-up <br /> j. Dead bird management <br /> Je <br /> k.Waste egg disposal <br /> 1. Odor level [ t to 5](low to high) [ I <br /> Vector Control., Spot count cards replaced—date time: <br /> Fl <br /> mot counts:.e room: #l,front: 2,firont: #l,rear: Q #2,rear: / <br /> Larva/Pupa observations: <br /> Last Sprayed for flies. / what used: • <br /> Compliance requirements: ¢ ,hs pet , <br /> • <br /> • • ' e <br /> _ns; 444 <br /> Q+ <br /> • <br /> t <br /> • • e <br /> • • . <br /> of <br /> AIA it <br /> w <br /> REINSP C E: -p <br /> w <br />