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SANTA CLARA COUNTY DEPARTMENT OF(ENVIRONMENTAL HEALTH <br /> POULTRY RANCH INSPECTION FORM <br /> Vector Control District,976 L.enzen Avenue,San Jose,California 95126(408)299-2050 or(800)-675-1135 <br /> Hazardous Materials and Compliance Div.,2220 Moorpark San Jose,California 95128(408)299-6930 <br /> Name: OLIVERA EGG FARM Date: / g /Q2T'inw: In:ROut: <br /> Address: 4140 CANADA RD.,GII.=R.O'Y Owner:OLIVERA FOODS,Ed Olivera,Jr. <br /> This poultry operation is subject to provisions of the Calif is Health and Safety Code. Failure to correct the unsatisfactory <br /> eondition(s)by the indicated date will result in administrative and legal remedies. <br /> Inspection Category(S--Satisfactory,NI= ee s hnprovement and U Unsatisfactory) <br /> Inspection Point/Status S NI U DUE DATE <br /> a. Water leaks <br /> b. Structure clean=up <br /> c. Equipment(tractor)clean-up General structures <br /> e. Adult fly population <br /> £ Clean-out under building <br /> g. Manure management <br /> h. Feed spill clean-up <br /> i. Loading.pad clean-up <br /> j. Dead bird management <br /> k. Waste egg disposal spy t d W11 <br /> 1. Odors <br /> Vector Control: Spot count cards replaced to&time: 7/1 X16 3:30 <br /> Fly-spot counts: #l,front: #2,front: 2;0 1, #2,rear.?, egg room other: <br /> Larval/Pupal observations: -vvra <br /> Last S ra ed fo flies:"?/ `d/0 here: rr+ r- t Iftaited for rats: <br /> Comments and Recommendations: Q- <br /> � RcO Sm at j leaHe <br /> I Y- " f N /C"' P— o <br /> . Scr emsrled r !r 9t <br /> Cs�a ui1 t —e� a <br /> Cu uS <br /> F!-�& <br /> i <br /> REINSPECTION DATE: 2_ C3 <br />