STUDENT'S NOTES AND REPORT 

 SANITARY INSPECTION OF CITY MILK PLANTS 



Owner or manager .......................................... Trade name . 



City .................... Street and No ........................ State . . . 



f Milk ..... . ....... 



Number of wagons .................. Gallons sold daily < 



Cream 



Permit or License No Date of inspection , 191 



Score for equipment plus score for methods equals TOTAL SCORE 



NOTE If the conditions in any particular are so exceptionally bad as to be inadequately expressed by a 

 score of "o" the inspector can make a deduction from the tct il score. 



, Inspector. 



