Table IV

Perfect Score 100% Score allowed ...%

File No............

Department Of Health (Thirteen Items Are Here Omitted)

Dairy Inspection Division of Inspections

1  Inspection No. .........     Time ......... A. P. M.     Date ...... 190

2  All persons in the households of those engaged in producing or handling milk are ......... free from all infectious disease .........

3  Date and nature of last case on farm .........

4  A sample of the water supply on this farm taken for analysis ......... 190... and found to be .........

StablePerfectAllow
  5  Cow Stable is ...... located on elevated ground with no stagnant water, hog pen, or privy within 100 feet1...
  6  Floors are ...... constructed of concrete or some nonabsorbent material1...
  7  Floors are ...... properly graded and water-tight2...
  8  DROPS are ...... constructed of concrete, stone, or some nonabsorbent material2...
  9  Drops are ...... water-tight2...
10  Feeding Troughs, platforms, or cribs are ... well lighted and clean1...
11  Ceiling is constructed of ...... and is ...... tight and dust proof2...
12  Ceiling is ...... free from hanging straw, dirt, or cobwebs1...
13  Number Of Windows ...... total square feet ... which is ...... sufficient2...
14  Window panes are ...... washed and kept clean1...
15  Ventilation consists of ...... which is sufficient 3, fair 1, insufficient 03...
16  AIR SPACE is ...... cubic feet per cow which is ...... sufficient (600 and over—3) (500 to 600—2) (400 to 500—1) (under 400—0)3...
17  INTERIOR of stable painted or whitewashed on ...... which is satisfactory 2, fair 1, never 02...
18  WALLS AND LEDGES are ...... free from dirt, dust, manure, or cobwebs2...
19  FLOORS AND PREMISES are ...... free from dirt, rubbish, or decayed animal or vegetable matter1...
20  COW BEDS are ...... clean1...
21  LIVE STOCK, other than cows, are ...... excluded from rooms in which milch cows are kept2...
22  There is ...... direct opening from barn into silo or grain pit1...
23  BEDDING used is ...... clean, dry, and absorbent1...
24  SEPARATE BUILDING is ...... provided for cows when sick1...
25  Separate quarters are ...... provided for cows when calving1...
26  MANURE is ...... removed daily to at least 200 feet from the barn ( ... ft.)2...
27  Manure pile is ...... so located that the cows cannot get at it1...
28  LIQUID MATTER is ...... absorbed and removed daily and ...... allowed to overflow and saturate ground under or around cow barn2...
29  RUNNING WATER supply for washing stables is ...... located within building1...
30  DAIRY RULES of the Department of Health are ...... posted1...
COW YARD  
31  COW YARD is ...... properly graded and drained1...
32  Cow yard is ...... clean, dry, and free from manure2...
COWS  
33  COWS have ...... been examined by veterinarian ... Date ...... 190 Report was3...
34  Cows have ...... been tested by tuberculin, and all tuberculous cows removed5...
35  Cows are ...... all in good flesh and condition at time of inspection2...
36  Cows are ...... all free from clinging manure and dirt. (No. dirty ... )4...
37  LONG HAIRS are ...... kept short on belly, flanks, udder, and tail1...
38  UDDER AND TEATS of cows are ...... thoroughly cleaned before milking2...
39  ALL FEED is ...... of good quality and all grain and coarse fodders are ...... free from dirt and mold1...
40  DISTILLERY waste or any substance in a state of fermentation or putrefaction is ...... fed1...
41  WATER SUPPLY for cows is ...... unpolluted and plentiful2...
MILKERS AND MILKING  
42  ATTENDANTS are ...... in good physical condition1...
43  Special Milking Suits are ...... used1...
44  Clothing of milkers is ...... clean1...
45  Hands of milkers are ...... washed clean before milking1...
46  MILKING is ...... done with dry hands2...
47  FORE MILK or first few streams from each teat is ...... discarded2...
48  Milk is strained at ...... and ...... in clean atmosphere1...
49  Milk strainer is ...... clean1...
50  MILK is ...... cooled to below 50° F. within two hours after milking and kept below 50° F. until delivered to the creamery ...... °2...
51  Milk from cows within 15 days before or 5 days after parturition is ...... discarded1...
UTENSILS  
52  MILK PAILS have ...... all seams soldered flush1...
53  Milk pails are ...... of the small-mouthed design, top opening not exceeding 8 inches in diameter. Diameter ...... 2...
54  Milk pails are ...... rinsed with cold water immediately after using and washed clean with hot water and washing solution2...
55  Drying racks are ...... provided to expose milk pails to the sun1...
MILK HOUSE  
56  MILK HOUSE is ...... located on elevated ground with no hog pen, manure pile, or privy within 100 feet1...
57  Milk house has ...... direct communication with ...... building1...
58  Milk house has ...... sufficient light and ventilation1...
59  Floor is ...... properly graded and water-tight1...
60  Milk house is ...... free from dirt, rubbish, and all material not used in the handling and storage of milk1...
61  Milk house has ...... running or still supply of pure clean water1...
62  Ice is ...... used for cooling milk and is cut from ...1...
WATER  
63  WATER SUPPLY for utensils is from a ...... located ...... feet deep and apparently is ...... pure, wholesome, and uncontaminated5...
64  Is ...... protected against flood or surface drainage2...
65  There is ...... privy or cesspool within 250 feet ( ... feet) of source of water supply2...
66  There is ...... stable, barnyard, or pile of manure or other source of contamination within 200 feet ( ... feet) of source of water supply1...
 100