MILK INSPECTION 205 



Shipped in— Wagon Boat B. and O. R. R B and P 



R. R 



Time^of delivery Place of delivery 



Consigned to 



Description of Premises, 

 building. 



Brick Frame Stories high 



Condition 



Is any part of it used for any other than dairy purposes? 



If so, specify, in the space for remarks, what parts of it are so used, and the- 



purposes for which used. 

 'Room for Cattle. 



Size Long Wide High 



Floor, kind 



Condition 



Is it properly sloped and guttered? 



What disposition is made of the drainage? , 



Ventilation and lighting. How accomplished ? ._ I 



Windows. How many ? 



Location 



Size 



Are windows glazed ? 



Ventilators. How many?. .. ..^ 



Kind 



Location 



Size 



Doors. How many? 



Location 



Stalls. Where located ? 



How many? 



Size of each?- wide long ~ 



wide long 



Are animals of any kind other than cattle kept in this room? j, 



If so, specify how many, and what kind 



Feeding troughs or boxes. How many? ,,/ 



Kind 



Location 



Condition r, 



IVater troughs. How many? ,' 



Kind 



Location 



Condition 



If water troughs are not used, how are cattle watered? „> 



Source of water supply. 



If from well, state location 



Approximate depth feet, and construction 



Location of well with reference to place where dung is deposited. State- 

 distance and slope of ground 



Has water any perceptible odor, color, or taste? 



If so, describe 



