VS Form 9-8 Flock Inspection And Check-Testing Report

Clear Form
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.
1. CLASSIF ICAT ION
UNITED STATES DEPARTMENT OF AGRICULTURE

OMB Approved
0579-0007
EXP: XX/XXXX

ANIMAL AND PLANT HEALTH INSPECTION SERVICE
NATIONAL POULTRY IMPORVEMENT PLAN
FLOCK INSPECTION AND CHECK-TESTING REPORT
2. FLOCK OWNER (Name and address)

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

4. SELECTED BY

5. TESTED BY
MALE

7. NO. BIRDS IN FLOCK (Males)

(Females)
SAT

8. HAS REPLACEMENT STOCK BEEN
PURCHASED
YES

UNSAT

6. BREED, STOCK OR TRADE NAME
FEMALE

IF YES, GIVE SOURCE
NO
SAT

UNSAT

EGG HANDLING (Cont'd)

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

Health of flock

Egg room humidity

Location of equipment

EGG HANDLING

Condition of equipment

Condition of nests

Windows screened

Condition of containers
NO. REACTORS

Egg room sanitation

Frequency of collecting
10. RESULTS OF INSPECT ION AND CHECK-TESTING

12. SIGNAT URE OF STATE INSPECTOR

VS FORM 9-8
OCT 2012

Egg grading
Egg room temperature

Condition of litter

Rodent control
9. NO.BIRDS CHECK
TESTED
11. REMARKS

SAT

DATE

Previous edition may be used

UNSAT