198 



Dairy Bacteriology. 



DEPARTMENT OF HEALTH 



The City of New York 



Division of General 

 Sanitary Inspection 



Inspection No. 

 Dairyman 

 P. O. Address 

 County ...... State 



10 



.Time 



Dairy Report 



Date 191. . 



A. P. M. 



Owner ....................... 



P. O. Address ...... State ...... 



Party Interviewed ............. 



Milk delivered to Creamery at ......... Formerly at. ....... 



Operated by .................. Address ...... ............... 



Distance of farm from Creamery. . . .Occupied farm since. . . 



No. Cows ...... No. Milking ...... No. Qts. Produced ........ 



All persons in the households of those engaged in produc- 

 ing or handling milk are ........ free from all infectious 



disease. Weekly reports are ................ being filed 



Date and nature of last case on farm 



WATER SUPPLY for utensils is from a located 



feet deep and apparently is pure and 



wholesome State any possible contamina- 

 tion located within 200 feet of source of water supply or 

 if water supply is not protected against surface drainage 



11 Water supply on this farm analyzed. .. .191 .. Result 



12 Style of Cow Barn Length ft. Width ft. Height 



of ceiling. . . .ft. 



13 Dairy Rules of the Department of Health are posted 



14 Dairy Herd examined by on 191 



Report 



PERFECT ALLOW 



EQUIPMENT 



15 COW STABLE is located on elevated 



ground with no stagnant water, hog-pen, 

 privy, uncovered cesspool or manure pit 

 within 100 feet 



16 FLOORS, other than cow beds, are 



of concrete or some non-absorbent mate- 

 rial 



17 Floors are properly graded and water- 



tight 



18 Cow beds are. .of concrete or planks laid on 



concrete 



19 DROPS are. . . .constructed of concrete, stone 



or some non-absorbent material 



20 Drops are water-tight and space be- 



neath is clean and dry 



21 CEILING is constructed of and is 



tight and dust proof 



22 WINDOW'S No total square feet 



there is 2 square feet of win- 

 dow light for each 600 cu. ft. air space (1 

 sq. ft. per each 600 cu. ft. 1) 



