230 CLEAN MILK 



Inspector's report. Dairy of Date 



Herd: Milking cows Dry cows Hospital cows ■ 



Cows recently calved Cows added since last report 



Not yet tuberculin tested Quarantined 



Stable: Cleanliness Ventilation Temperature 



Dairy building: Cleanliness Ventilation Temperature » 



Other buildings 



"Utensils 



Care and cleanliness in milking ., 



Food 



Health of employees 



Remarks 



Based upon the foregoing inspection made at the request of The Milk: 

 Commission of the city of Cleveland, I beg to report that this dairy conforms. 

 to the requirements of said commission and recommend that its milk be 

 submitted to the bacteriologist and chemist for their examinations. 



(Signed) , Veterinarian. 



The chemist and bacteriologist each examine from time to time 

 at the discretion of the commission, samples of the milk taken at 

 random or purchased on the open market. 



The former determines the specific gravity, acidity, percentage of 

 fats, sugar, proteids, water and mineral matter present, and the presence 

 or absence of preservatives and chemical adulteration. The latter deter- 

 mines the number, and so far as practicable, the character of bacteria, 

 and the presence or absence of pus cells. 



The following forms are convenient for rendering the reports of 

 these examinations : 



No Dairy Date 



Distributer Collected by 



Sealing Date of milking 



Hour collected Temperature when collected "P. 



General condition : Color Odor Taste 



Separation of cream Macroscopic sediment 



Chemical composition: Specific gravity Acidity Total %„ 



Fat %. Sugar %. Proteids %. 



Salts %. Ash %. 



Preservatives Coloring matters Adulterants 



Remarks 



The examination recorded above, made at the request of The Milk Commis- 

 sion of the city of Cleveland, shows a [ c ™^ } reaching the chemical standard! 

 adapted by the commission. 



(Signed) , Chemist. 



[The foregoing card is printed on pink paper.] 



