Town of Brookline.
Department
Inspection of Animals, Provisions, and Milk.
Statement of conditions under which cows are kept, and milk therefrom
stored, on the premises of
, said milk being supplied
at
(Town)
(State)
by
for sale in the Town of Brookline, Mass.
to
190
STABLE
Slze of stable in which cattle are kept,.
.ft. long, ....
ft. high.
wide
f cattle..
No, of cows kept in this stable,
Other animals.
Is stable well lighted?...
Well ventilated I
..
Is stable clean, unclean, or filthy
Is soil under stable wet or dry?
Boor over ecellar, or
Are cows kept
ground Soor, c
n cellsr
r basement?
What
water good, fair, or bad?...
Is the quallty
Analysis No.
Has tuberculosis been located in this stable during the past year?
If yes, have premises been properly cleansed and disinfectd ?.
CONDITION OF COWS.
Young cattle,.
No. of cows,
n milk,......Bulls,
.Swine
Is their general condition good?
...
they kept clean
Are there any diseased cows.
Moderately or
excess
what auality of hay and other fodder is used
Date of last examination of herd
By whom examined?...
Were any cows found to be discased?
MILK ROOM.
Location,..
Are proper meth
ng.
nterilising all utensils.
Were jars and cans found clean ?...
.
well ventilated?
Is room cleanh
Is room well lighted......
Is there any water-closet, urinal or privy located in room?
cooled,
Approximate temperature at which milk
Are lce-chests usedt
.Are they clean 3
If sample o
s taken,
nalysis
: Fats..
...Spec. Grav.,
Selide
No
No. of cans of milk from these premises dellvered In Brookline,
How shipped?..
Is milk properly packed for transportation?,
What are the general conditions
premises?
State what corrections were recommended, If any,
What improvements have been made since last inspection?
. .
REMARKS
Insnector
