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 total score. 



, Inspector. 



