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SANTA CLARA COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH <br /> POULTRY RANCH INSPECTION FORM <br /> Vector Control District,976 Lenzen Avenue,San Jose,California 95126(408)299-2050 or(800)675-1155 <br /> Hazardous Materials and Compliance Div.,2220 Moorpark,San Jose,California 95128(408)299-6930 <br /> Name: OLIVERA EGG FARM Date: J6 / / Time: In: 30b Out: - <br /> Address: 4240 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 /> Inspection Category (S=Satis€actory,NI= Beds Improvement and U=1Unsatisfactory) <br /> inspection Point/Status S NI U DUE DATE <br /> a.Water leaks <br /> b, Structure clean-Hp W <br /> C.Equipment(tractor)clean- <br /> d.General structures <br /> e.Adult fly population <br /> f Clean-out under building <br /> g.Manure management <br /> h.Feed spill clean-up <br /> L.Loading pad clean-up <br /> j. Dead bird management <br /> k.Waste egg disposal <br /> 1. Odors <br /> Vector Coptrol. Sot count cards replaced—date&time: 6--6-6'�?- <br /> Fly-spot counts:#l,front:_�L#2,3&ont: / l,rear:_6�L_#2,rear: !D egg room:_:31_other: <br /> Larval/Pupal observations: p 11 e, . — i <br /> IMP 0� <br /> Last Sprayed for flies: 170 VtQWwhere: L t Baited for rats: <br /> Comments and Recommendations: YO <br /> Wdjesr ..-3+ ( J t^ CoIrve e, m, SW1) <br /> Ali M" <br /> 60-ry-e not 4t/ (isus) ck :2- 02,ie -Va - <br /> t?aAA, 0U Gt1'"o u0d, 12 as{S iM 0AV <br /> INSPECTION DATE: <br /> �, ,� <br />