APPENDIX O 583 



9. From what geological formation is the supply derived ? 



10. State your impressions as to the cleanliness of water supply, and any 

 other points to which you think it desirable to call our attention. 



2. — Sanitation. — 



(a) Are there any conditions in connection with either the farmhouse, the 

 farm buildings, or the residences of any of the persons employed 

 about the dairy, such as to lead you to suppose that they might be the 

 means of engendering any contagious or infectious disease, or likely in 

 any way to contaminate the Milk ? 



{b) Especial attention being given to the dairy premises, are you quite 

 satisfied as to the sanitary arrangements .-* 



if) Where is the refrigerator fixed, and how is the waste water from it 



dealt with ? 

 (^ Where is the copper situated, and is it used solely for dairy purposes ? 

 {e) Is the drainage perfectly satisfactory ? 



3.— Health.— 



(a) Is the general health of the inmates of the farmhouse good ?* 



{V) And that of the persons employed upon the farm, and their families ?* 



* Note. — (a) The skin — for evidence of desquamation or skin disease. 

 {fi) The throat — for evidence of Diphtheria, 

 (c) The digestive organs — for evidence of Tjrphoid. 



(f) If not in good health, are any of them suffering from any disease of a 

 contagious or infectious character, and, if so, what ? 



(rf) Is the general health of the surrounding neighbourhood good ? 



{e) Are there any cases of a zymotic character in your district ? 



(/) How lately has there been a case, and, if so, how far from the farm ? 



4. — General Remarks.— 



(a) Are there any special local circumstances in connection with this farm, 

 to which you, as Medical Officer of Health, deem it necessary to draw 

 our attention ? 



(Jf) Are any alterations necessary, and if so, what do you recommend ? 



{c) Is there any other p)oint occurring to you upon which we should be 

 informed ? 



(i/) We enclose copy of our contract, and shall be glad to know whether 

 you consider that the occupier understands the responsibility, and is 

 likely to observe the regulations set forth therein. 



Signed 



Date of Inspection 



