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SANTA CLARA COUNTY DEPARTMENT OF ENVIRONNIENTAL HEALTH <br /> POULTRY RANCH INSPECTION FORM <br /> Vector Control District,976 Lcazen 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)290-6934 <br /> Name: OLIVERA EGG FARM Date: OD AM- Time:In:31 <br /> Address: 4140 CANADA RD.,GILROY Owner:OLIVERA FOODS,Ed Olivers,Jr.*] <br /> This poultry operation is subject to provisions of the Cillfornia ffeaM and Safety Code. Failure to correct the unsatisfactory <br /> coardition(s}by the indicated date will result in administrative and legal remedies. <br /> Inspection Category(S=Satisfactory,NI=Needs Improvement and U=Unsatisfactory) <br /> Inspection EQMLA/Status S NI U DUE DATE <br /> a.Water leaks -- Z v smati ea r <br /> b. Structure clean-up <br /> c.Equipment(tractor)clean-up <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 cleats-up <br /> j. Dead bird management <br /> k.Waste egg disposal <br /> 1. Odors <br /> J _ <br /> Vector QgplLoh Spot count cards replaced—date&time: oi— 3 <br /> Fly-spot counts:#I,front:?5#2,front:_q9_ #2,rear:�Zg egg room: other: <br /> LarvaMpal observations: ytpj i <br /> Last S ra ed for flies:b4 q lb-z-where: ( JAWt Baited or rats• <br /> C is and Recommendations: ' \.xf e_ OW ti,OCXA� mwas deom. W o <br /> Y'as5 ow u r� 19lea s. <br /> s sc els ave o 6 j d 'r- <br /> kc <br /> rl s s K <br /> Ya, ® .* <br /> ki <br /> INSPE ON DATE: b>�. 6".7. <br />