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<td colspan="2">Department of Health and Human Services<br />
Public Health Service<br />
Food and Drug Administration</td>
<td colspan="4"><p><strong>MILK PLANT INSPECTION REPORT</strong></p>
<p>(Includes Dry Milk/Condensing Plants,<br />
Receiving Stations, Transfer Stations, and<br />
Milk Tank Truck Cleaning Facilities)</p></td>
<td colspan="6"><p>INSPECTING AGENCY</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="4">NAME AND LOCATION OF PLANT</td>
<td colspan="3">Pounds Sold Daily Milk</td>
<td colspan="4">     </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="4" rowspan="4">     </td>
<td colspan="6">Other Milk Products</td>
<td>     </td>
<td></td>
</tr>
<tr class="even">
<td colspan="4">Total</td>
<td colspan="3">     </td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5">Permit No.</td>
<td colspan="2">     </td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="2"></td>
<td></td>
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<td colspan="12">Inspection of your plant today showed violations
existing in the items checked below. You are further notified that this
inspection report serves as notification of the intent<br />
to suspend your permit if the violations noted are not in compliance at
the time of the next inspection. (See sections 3 and 5 of the <em>Grade
“A” Pasteurized Milk Ordinance</em>.)</td>
</tr>
<tr class="even">
<td colspan="3"><p><strong>1. FLOORS:</strong></p>
<p>Smooth; impervious; no pools; good repair; trapped drains (a) </p>
<p><strong>2. WALLS AND CEILINGS:</strong></p>
<p>Smooth; washable; light-colored; good repair (a) </p>
<p><strong>3. DOORS AND WINDOWS:</strong></p>
<p>All outer openings effectively protected against entry of<br />
flies and rodents (a) </p>
<p>Outer doors self-closing; screen doors open outward (b) </p>
<p><strong>4. LIGHTING AND VENTILATION:</strong></p>
<p>Adequate in all rooms (a) </p>
<p>Well ventilated to preclude odors and condensation;<br />
filtered air with pressure systems (b) </p>
<p><strong>5. SEPARATE ROOMS:</strong></p>
<p>Separate rooms as required; adequate size (a) </p>
<p>No direct opening to barn or living quarters (b) </p>
<p>Storage tanks properly vented (c) </p>
<p><strong>6. TOILET FACILITIES:</strong></p>
<p>Complies with local ordinances (a) </p>
<p>No direct opening to processing rooms; self-closing<br />
doors (b) </p>
<p>Clean; well-lighted and ventilated; proper facilities (c) </p>
<p>Sewage and other liquid wastes disposed of in sanitary<br />
manner (d) </p>
<p><strong>7. WATER SUPPLY:</strong></p>
<p>Constructed and operated in accordance with Ordinance (a) </p>
<p>No direct or indirect connection between safe and unsafe<br />
water (b) </p>
<p>Condensing water and vacuum water in compliance with<br />
Ordinance requirements (c) </p>
<p>Complies with bacteriological Standards (d) </p>
<p><strong>8. HAND-WASHING FACILITIES:</strong></p>
<p>Located and equipped as required; clean and in good<br />
repair; improper facilities not used (a) </p>
<p><strong>9. MILK PLANT CLEANLINESS:</strong></p>
<p>Neat; clean; no evidence of insects or rodents; trash<br />
properly handled (a) </p>
<p>No unnecessary equipment (b) </p>
<p><strong>10. SANITARY PIPING:</strong></p>
<p>Smooth; impervious, corrosion-resistant, non-toxic, easily<br />
cleanable materials; good repair; accessible for<br />
inspection (a) </p>
<p>Mechanically cleaned lines meet Ordinance specs (b) </p>
<p>Pasteurized products conducted in sanitary piping, except<br />
as permitted by Ordinance (c) </p>
<blockquote>
<p><strong>11. CONSTRUCTION AND REPAIR OF CONTAINERS AND
EQUIPMENT:</strong></p>
</blockquote>
<p>Smooth, impervious, corrosion-resistant, non-toxic, easily<br />
cleanable materials; good repair; accessible for Inspection (a) </p>
<p>Self-draining; strainers of approved design (b) </p>
<p>Approved single-service articles; not reused (c) </p>
<p><strong>12. CLEANING AND SANITIZING OF CONTAINERS/<br />
EQUIPMENT:</strong></p>
<p>Containers, utensils, and equipment effectively cleaned (a) </p>
<p>Mechanical cleaning requirements of Ordinance in<br />
Compliance; records complete (b) </p>
<p>Approved sanitization process applied prior to use of<br />
product-contact surfaces (c) </p>
<p>Required efficiency tests in compliance (d) </p>
<p>Multi-use plastic containers in compliance (e) </p></td>
<td colspan="2"><p>Aseptic system sterilized (f) </p>
<p><strong>13. STORAGE OF CLEANED CONTAINERS AND EQUIPMENT:</strong></p>
<p>Stored to assure drainage and protected from contamination (a) </p>
<p><strong>14. STORAGE OF SINGLE-SERVICE ARTICLES:</strong></p>
<p>Received, stored and handled in a sanitary manner;<br />
paperboard containers not reused except as permitted<br />
by the Ordinance (a) </p>
<p><strong>15a. PROTECTION FROM CONTAMINATION:</strong></p>
<p>Operations conducted and located so as to preclude<br />
contamination of milk, milk products, ingredients,<br />
containers, equipment, and utensils (a) </p>
<p>Air and steam used to process products in compliance<br />
with Ordinance (b) </p>
<p>Approved pesticides, safely used (c) </p>
<p><strong>15b. CROSS CONNECTIONS:</strong></p>
<p>No direct connections between pasteurized and raw milk or milk
products (a) </p>
<p>Overflow, spilled and leaked products or ingredients<br />
discarded (b) </p>
<p>No direct connections between milk or milk products and<br />
cleaning and/or sanitizing solutions (c) </p>
<p><strong>16a. PASTEURIZATION-BATCH:</strong></p>
<p>(1) INDICATING AND RECORDING THERMOMETERS:</p>
<p>Comply with Ordinance Specifications (a) </p>
<p>(2) TIME AND TEMPERATURE CONTROLS :</p>
<p>Adequate agitation throughout holding; agitator<br />
sufficiently submerged (a) </p>
<p>Each pasteurizer equipped with indicating and recording thermometer;
bulb submerged (b) </p>
<p>Recording thermometer reads no higher than indicating thermometer(c)
</p>
<p>Product held minimum pasteurization temperature<br />
continuously for 30 minutes, plus filling time if product<br />
preheated before entering vat, plus emptying time, if<br />
cooling is begun after opening outlet (d) </p>
<p>No product added after holding begun (e) </p>
<p>Airspace above product maintained at not less than 5.0° F<br />
higher than minimum required pasteurization<br />
temperature during holding (f) </p>
<p>Approved airspace thermometer; bulb not less than 1 inch above
product level (g) </p>
<p>Inlet and outlet valves and connections in compliance with Ordinance
(h) </p>
<p><strong>16b. PASTEURIZATION-HIGH TEMPERATURE:</strong></p>
<p>(1) INDICATING AND RECORDING THERMOMETERS:</p>
<p>Comply with Ordinance specifications (a) </p>
<p>(2) TIME AND TEMPERATURE CONTROLS:</p>
<p>Flow-diversion device complies with Ordinance<br />
requirements (a) </p>
<p>Recorder controller complies with Ordinance<br />
requirements (b) </p>
<p>Holding tube complies with Ordinance requirements (c) </p>
<p>Flow promoting devices comply with Ordinance<br />
requirements (d) </p>
<p>(3) ADULTERATION CONTROLS: Satisfactory means to<br />
prevent adulteration with added water (a) </p>
<p><strong>16c. ASEPTIC PROCESSING:</strong></p>
<p>(1) INDICATING AND RECORDING THERMOMETERS:</p>
<p>Comply with Ordinance Specifications (a) </p></td>
<td colspan="7"><p>(2) TIME AND TEMPERATURE CONTROLS:</p>
<p>Flow-diversion device complies with Ordinance<br />
requirements (a) </p>
<p>Recorder controller complies with Ordinance<br />
requirements (b) </p>
<p>Holding tube complies with Ordinance requirements (c) </p>
<p>Flow promoting devices comply with Ordinance<br />
requirements (d) </p>
<p>(3) ADULTERATION CONTROLS:</p>
<p>Satisfactory means to prevent adulteration with added<br />
water (a) </p>
<p><strong>16d. REGENERATIVE HEATING:</strong></p>
<p>Pasteurized or aseptic product in regenerator automati-<br />
cally under greater pressure than raw product in<br />
regenerator at all times (a) <br />
Accurate pressure gauges installed as required; booster<br />
pump properly identified and installed (b) </p>
<p>Regenerator pressures meet Ordinance Requirements (c) </p>
<p><strong>16e. RECORDING CHARTS:</strong></p>
<p>Batch pasteurizer charts comply with applicable Ordinance
Requirements (a) </p>
<p>HTST &amp; HHST pasteurizer charts comply with applicable<br />
Ordinance Requirements (b) </p>
<p>Aseptic charts comply with applicable Ordinance<br />
Requirements (c) </p>
<p><strong>17. COOLING OF MILK:</strong></p>
<p>Raw milk maintained at 45° F or less until processed (a) </p>
<p>Pasteurized milk and milk products, except those to be<br />
cultured, cooled immediately to 45° F or less in approved equipment; all
milk and milk products stored there<br />
until delivered (b) </p>
<p>Approved thermometer properly located in all refrigeration<br />
rooms and storage tanks (c) </p>
<p>Recirculated cooling water from safe source and properly<br />
protected; complies with bacteriological standards (d) </p>
<p><strong>18. BOTTLING AND PACKAGING:</strong></p>
<p>Performed in a plant where contents finally pasteurized (a) </p>
<p>Performed in a sanitary manner by approved mechanical<br />
equipment (b) </p>
<p>Aseptic filling in compliance (c) </p>
<p><strong>19. CAPPING:</strong></p>
<p>Capping and/or closing performed in sanitary manner by<br />
approved mechanical Equipment (a) <br />
Imperfectly capped/closed products properly handled (b) </p>
<p>Caps and/or closures comply with Ordinance (c) </p>
<p><strong>20. PERSONNEL CLEANLINESS:</strong></p>
<p>Hands washed clean before performing plant functions;<br />
rewashed when contaminated (a) </p>
<p>Clean outer garments and hair covering worn (b) </p>
<p>No use of tobacco in processing areas (c) </p>
<p><strong>21. VEHICLES:</strong></p>
<p>Vehicles clean; constructed to protect milk (a) <br />
No contaminating substances transported (b) </p>
<p><strong>22. SURROUNDINGS:</strong></p>
<p>Neat and clean; free of pooled water, harborages, and<br />
breeding areas (a) </p>
<p>Tank unloading areas properly constructed (b) </p>
<p>Approved pesticides, used properly (c) </p></td>
</tr>
<tr class="odd">
<td colspan="12">REMARKS</td>
</tr>
<tr class="even">
<td colspan="12">     </td>
</tr>
<tr class="odd">
<td>DATE</td>
<td colspan="11">SANITARIAN</td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="11">     </td>
</tr>
<tr class="odd">
<td colspan="12"><p>1. A receiving station shall comply with Items 1 to
15, inclusive, and 17, 20, and 22. Separation requirements of item 5 do
not apply.</p>
<p>2. A transfer station shall comply with Items 1, 4, 6, 7, 8, 9, 10,
11, 12, 13, 14, 15, 20, 22 and as climatic and operating conditions
require, applicable<br />
provisions of Items 2 and 3. In every case, overhead protection shall be
required.</p>
<p>3. Facilities for the cleaning and sanitizing of milk tank trucks
shall comply with the same requirements for transfer stations.</p></td>
</tr>
<tr class="even">
<td colspan="12">NOTE – Item numbers correspond to required sanitation
items for Grade “A” pasteurized milk in the <em>Grade “A” Pasteurized
Milk Ordinance.</em></td>
</tr>
</tbody>
</table>