VS 9-8 Flock Inspection and Check Testing Report

National Poultry Improvement Plan (NPIP)

VS 9-8 Oct 2012

NPIP State

OMB: 0579-0007

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According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0007. The time required to complete this information collection is estimated to average .20 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB Approved

0579-0007

UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE

NATIONAL POULTRY IMPORVEMENT PLAN

FLOCK INSPECTION AND CHECK-TESTING REPORT

1. CLASSIFICATION

2. FLOCK OWNER (Name and address)



3. SUPPLY FLOCK FOR (Name and address of l1atcllery or dealer)

4. SELECTED BY

5. TESTED BY

6. BREED, STOCK OR TRADE NAME

MALE


FEMALE

7. NO. BIRDS IN FLOCK (Males)

(Females)

8. HAS REPLACEMENT STOCK BEEN

PURCHASED YES NO

IF YES, GIVE SOURCE


SAT.

UNSAT


SAT.

UNSAT

EGG HANDLING (Cont'd)

SAT.

UNSAT

Flock separated from other fowl



Surrounding area kept clean



Dirty eggs kept separate



Other fowl tested



Animal kept out of poultry area



Cleanliness of hatching eggs



Reactors and cults removed



Limited access by visitors



Egg grading



Health of flock






Egg room temperature



Condition of litter






Egg room humidity



Location of equipment



EGG HANDLING

Egg room sanitation



Condition of equipment



Condition of nests






Windows screened



Condition of containers






Rodent control



Frequency of collecting






9. NO.BIRDS CHECK

TESTED

NO. REACTORS

10. RESULTS OF INSPECTION AND CHECK-TESTING

11. REMARKS







12. SIGNATURE OF STATE INSPECTOR



DATE

VS FORM 9-8 Previous edition may be used

OCT 2012

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorsmharris
File Modified0000-00-00
File Created2021-01-30

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