198 PRINCIPLES AND PRACTICE OF MILK HYGIENE 



(Front of Card) 

 HEALTH DEPARTMENT OF THE DISTRICT OP COLUMBIA 



SCORE CARD FOR DAIRY FARMS 

 Farm of Location 



AP Permit n } Number Consignee 



Date 



This score card shows conditions only at the time of this inspection. To learn of conditions 

 erally prevailing, reference should be made to a series of consecutive score cards. This may be < 

 at the Health Office. 



Remarks . . 



Source of water supply General condition of farm. 



Violation of regulations, Sec of Milk Act, Sec 



Notices served, to correct, to show cause by 



Inspector. 



