-
NOTE DAIRY FARM INSPECTION REPORT I 
CHANGE OREGON DEPARTMENT OF AGRICULTURE

RUDD SAFETY DIVISION 635 CAPITOL STREET SALEM, OFI 973014532 . PHONE (503) 986-4720- FAX: (503) 986-4729

PAGE 1 OI

 

 

 

 

 

 

 

Person Contacled kw Eslab No., "If Llcansa Type Inapec??n Dale 
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7 7
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WARNING: YOU AFIE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE OF OFIS CHAPTER 621 or OFIS CHAPTER 616.
SALEM OFFICE CQPY

 

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NOTE DAIRY FAFIM INSPECTION REPORT 777
CHANGE OREGON DEPARTMENT OF AGRICULTURE 

 

 

 

FOOD SAFETY DIVISION- 685 CAPITOL STFIEET N.E., SALEM. OFI 97301-2532 - PHONE (503) 986*4720- (503) 936 4729

 

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. I 
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Form zowIREv. may - . . 
WARNING. YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE MIDLATION OF 0R8 CHAPTER 621 or OHS CHAPTER 618.

SALEM OFFICE COPY

 

 

 

NOTE

PAGE 1 CHANGE

 

 

 

DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE

?277 

FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM, OR 97301-2532 - PHONE (503) 986-4720 - FAX: (503) 9864729

 

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Pinnl Ceallnq WeierlYas? No) Sanimim Travel Minutes Inspection Mlnutg Inspection Purpose wirda Gnu Onlvl
?3:0 5,323456789m
Milking ecllon? Elliolenmenl nelson Ehi l? a Number Cuwa Milk HEndlar
NO 
Last Milking Imam-lion kodmenls For Next lnepeclion (up to 40 chemist-rs) Next lnsp, Dale
- .-. '1 - fin-:1 .13. ..4. - .1769?- V35 .7 
MHO- . A 1.3.217lain? "7-t Miecelanaous Requirements 2 -- g. 3 . aiming].
zlEL'l Cleaning Facililiea 2 -, Handwashing Facilities 2
Bangs? Abnormal Handling 5 Milk House Cleanliness 4 ?12: Personnel Cleanlinesa .. .. . .. 1
T'l 4 
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- Waier Supply . 5 - 
- Walel' Supply . 2 . .
.. all. Floats-Gu1lers. Elc . . Cooling 5
an]: Walls&Ce?lngs .
L26 a Separalu Slalls. Pens-Ovelaowd 4 
Ligming 5 Fly Breeding and ?Emma Pad? 3
233'? Feed 510.596 . Sanilalion . 5 ., Milkhouse Opening 8? Peel
I Venlilallon. V. Slorage 2 - . .--, Control 2
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. 3 . Cleanliness 3 - - MILEINSE 175.35%, Approved Pes1lcldes-
Pr ll Stored 2
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'1 193551- 2
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COMMENTS . 
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Form 2060 (REV, 312003)

Cm/w ken/y?
5/7" 4' 7/

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLA

SALEM OFFICE COPY

OF OR

Fl 621 or ORS CHAPTER 616.

 

 

 

 

777 

 

 

 

 

 

NOTE DAIRY FAFIM INSPECTION REPORT
CHANGE OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION . 635 CAPITOL STREET N.E.. SALEM. OR 97301-2532 - PHONE (503) 985-4720- FAX: (503) 936?4729
Puma-n Cminmad Eslab. No. License Type Inspection Da/m
M395 2. [cl-l7 757
Name? Vol ?5 Telephone L?ilin?p??tm [Jain
W4. 
Street g) 5 WW Water Source;

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3, ?g 123456789?
Mllkinu Tim I Enlomemenl Action Shipper No. Number CW5 Hat-idler
1y? 7
Lani Milking Time IHEFECIIDH For Nexl Inspecliun (up lo 40 characters) Nam 1415p. Dale
. T. . .T - 
min. . matting, . . "1mg?? . . .. - 
6p Miscellaneous Requirements 
. Cleaning Facililies .13. .j Handwashing Facilities 2
TB Bangs Abnormal Wk Ham'in? 5 76- Milk House Cleanliness 11 Personnel Cleanliness 1
- . Toilet 
It Somalic CellCounl 5 .-
5 Wale! SuppIy . -: 
. .58 . Water Supply 2
Flows Gulleis. Etc 1 . - ?g Coollng 5
E-B- Walls 8. Ceilings 1 
IQ. Sepalala Stalls. Co?slructlon 4 .
2D Lighting . .. .. I Cleaning 5 13MB: FIY Breeding a?d Manure Pack 3
3; Feed Slarage I 3" Saniialion Opening a Pam
Ven?la?on 1 12 510'399 2 . . Control 2:
Cleanlinass 3 4&5 Approved Peslms-
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gammy. Surrounding Lighting BM Ventilaliun . Drug 8  Chemical Slotaga 5 DRUG FIESIDUE TEST 10
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RECEIVED BY NT REPRESEN ATIVE 
914%. ?g '51? 7/77 7
Form 2060 (REV. 312003) I I I 

WARNING: YOU AFIE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS 21 Dr OFIS CHAPTER 616.

SALEM OFFICE COPY

 

 

PAGE 1 of NOTE DAIRY FARM INSPECTION REPORT ?2 7 7 2/

CHANGE OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OR 97301-2532 - PHONE (503) 986-4720 - (503) 936-4729

5" 85?63700

 

 

 

  

     
     
   
     
 
   
  

       

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Miscellaneous Requirements 2

 
 
  

    
 
 
   
 
   
 
  
  
   
 
 
   
   
      

 
 
  
 
  
   

 

 

 
  
 
   
 
 
 

 
 

   
    

    

    
 
     
 
 
   
    

  

Cleaning Facilities 2 Facilities 2
TB Bangs Abnonnal Milk Handling Milk House Cleanliness 4 Personnel Cleanliness 1
Somalis Own! 5 WEI 4
Water Supply . 5 mm
mm supp" 2 Cooling 5
Floors ?Gulters. Elc I
Walls 3. Ceilings 1 
1 
Ughling 1 Cleaning 5 Fly Bleeding and Manure Pack 3
Feed Stowe 1 Sanilatlon 5 Mlldumse Opening a. Post
Ventilation 1 510nm . 2 Control 2
Approved Pesticides
Prope?y Slated . 2
Flanks. Udder Tents 5
Summndings 2

Walls 5 Ge?ings Proleclion irom Conlaminalion 3 BACTERIA 
Ugh?ng Ventilation 2 81 Chen?cal SW DRUG HESIDUE TEST 1o

Labeling 2
DmgUselLabellng 5

  



   
 

Form 2060 (REV. W) 
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IOLATION OF CHAPTER 621 or OHS CHAPTER 616.

SALEM OFFICE COPY

 

PAGE 1 ?of?L.

NOTE
CHANGE

 

 

 

DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE

(H 

FOOD SAFETY DIVISION- 535 CAPITOL STREET N. E. SALEM. OH 97301 -2532- PHONE (503) )-986 4720- FAX: (503) 936-4729

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parson Conlacled Estab. No. anse Type Dal:
3775 
Name% \b Telephone Laal" Imapmlun Dam
SIIQBI 8?05 Walar Source
CHEW mama 211% $750 (50:1an 
Plant Cuallng Walar Was IFY Travel Mlnulas WWDB I Purposa {ends One Onlyj
25Inspection? Enfomanmm Action Nu. Gav-I5 Hill: Handhr
YES NO 7 ?7 I 7
Lani EII Eng Time Impec?un Gamma Format Irmabn [uptu- II-II mum} Nan Dale
.: Ivy"; ?szg??fzMiscellaneom RanimmenIs Em}.
.. Clearing Fadilies . I . . Handwash?ma Facililies 2
1055.6 TB ?33"95- WW I gr MilkHouse Clean?ness . . I. . Personnel cleanliness 1
SomiicCellGounl 
1 
.
IEA Floors?Gutiers.EIc HE !Il1 I. Gnulrng 5
$235 Wausa. Ceilings 
. - 
'30 Separale Stalls. Pam-Overauwd Comm I 
29:. Lighling CW Fly Breeding and Manure Pack 3
I 5E. Feed SIDIEQE Saritaihn - I. I Milkhouse Openinga- Pest
.. Venlilalion 510W I -, In . Comm! 2
ft." CIeanlIness mum: I me MW-
Fr rI Stored 2
. . . Cow Yard FIanksJ ?eats 5 I .3323 . ope 
. Smumm
I 95 2
. gag; Floors Ceilings . . . 1 'f BACTERIA 
Lighling and Venlilalion 2 ., Drug II. Chemical Stowe a . DRUG HESIDUE TEST 
. 31?; . Labeling 2 I 
DruaUsaaLabeling Ismsp?17
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Form 2060 (REV. 312003)

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WARNING: YOU ARE HEFIEBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE AFIE IN 

SALEM OFFICE COPY


HA TEFI 621 or OFIS CHAPTER 616.

 

PAGE1 Inf?1L

 

NOTE
CHANGE

 

 

 

DAIRY FARM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION 635 CAPITOL STREET SALEM. OR 97301-2532 - PHONE {503} 93mm- FAX: {503} 986-4729 .



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39mm Gunman-Ind Entab. a. Lia-5Q- ?5308

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want Catalan Waller IPY swam Travel Mlnums Inmlm Mlnum Purpusu [Gym 0m om:
025 0?50 1_34 56739
?mum Tuna Entmmant Anion 5m No. Number Cm Hamlet

YE N0 E77 '7 
.aat Milking Time mam WI: Far Next Inspoall-un {up In no Madam]

  

 

 

 

    

 

 

 

 

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F753 Home 1 1
Walsacaings 1 ProtecIionfromOuman?nalion .: . BACTERIACOUW
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HAPTEFI 621 or ORG CHM-1 616.

 

NOTE

PAGE 1 CHANGE

 

 

 

DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE



FOOD SAFETY DIVISION- 635 CAPITOL STREET E. SALEM. OR 97301-2532- PHONE (503} 986-4720- FAX [503} 986- 4729

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patson Contented Est-ah, No License Type uric/n Data 
Nama? napoc?on Dale
Slraat 
I 05 Water Sou
cw stale ?le 2.1me 97.33% on my 
Plant Cooling Water Wu REL.) Sanitarian Travel Minutes Inspection Minutes Ins Puma Ono Only)
30 /0 099 1 3456789
"mm Inapadlun? Enformman! Amen No. Number Cows Milk 
JES N9 777 cc,
Mlltilng Time Inna-scum Burr-11ml: For Next Insp?llolt {up To 40 madden) Hex! Irma. Date
ITEM NO. WT. ND. WT. BID. WT.
5D Miscellaneous Requirements 2 mam
55 Cleaning Facillties . 2 Handwashing Facilities 2 
hi?
IA T8 Bangs - Abnormal Milk Handling 5 0 House Cloanllnuss .. .. .. . 4 Personnel Cleanliness . 1
Toilet . . . 4 
IE Somatlo Count 5 8 Water SupplyI 5 18 Coollng 5
BB Water Supply 2 
mm . Etc man-3W Fly Breeding and Manum Pack 3
Walls- 1 9 Construcllon 4
EC 5! ma Stalls. PensOvercrowd 1 ll] Cleaning .. .. 5 19C8.D Milkhouse Opening Past
20 Lighting Control . 2
2E Feed 5mm? . 1 12 I 2 Approved Pesticides 
%Venlitallon 1 2
Cleanliness .. .. .. .. . .. . a ?3 Hanks. Udder &Teals.. 5
4 CowYard . 3 196?? 2
MW 14 Protection irom Contaminallon 3
5.5 Floors? .. 1 Drug 8? Chemical Storage 8? 20 BACTERIA COUNT,
Walls Ceilings 1 2 DRUG RESIDUE TEST . 10
Lighting and Ventilation 2 15058 Dlug Use Labellng . 5
COMMENTS

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RECEIVED BY PART 

Form 2060 (REV. 32003) 1 
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE SAAEE DFl?llglEA gm Rs CHAPTER 621 or OHS CHAPTER 616.

 

 

NOTE

PAGE 1 of__ CHANGE

 

 

 

DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E., SALEM. OR 97301-2532 - PHONE (503) 986-4720 - FAX (503) 986-4729



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parson Conlnoled Estab. No. I License Type inspection Dale
7203?: 792, .93 124-0?
Marne V0 arms Telephone Lasl Inspeclion Dale
@105 Mm 2A1. Nod 
Water Sou
5 qu 1? ?1 EMU #7357!" cu I 
Plant aeolian Water IPY Sanitarian .Trml Mrnulu Mir-rules Inspection Purpose (Circle One Grim
3-0 Rik @23456789
Mill-Li Enlorcomeni Aclion Shipper No. Number Cows mar 
C33) N0 7 7 7
L351 Mi?dna Tm Impac?on Commie For Nexl Inspection (up to 40 characters) Next amp Dale
ITEM NO. WT. ITEHI ND. WT. ITEM NO. WT.
50 Miscellaneous Requlremenls 2 . 
5E Cleaning Families . 2 a Handwaehrng Facilrlles 2
IA TB - Bangs - Abnormal Milk Handling 5 Milk House Cleanliness . 4 Personnel Cleanliness 1
A 
?5 Somatic Call Count 5 8 Water 5 1B Cooling 5
Mil-15W BB Waler 2 
2A Floors? Gutters. 1 19MB Fly Breeding and Manure Pack 3
Walls 5. Ceilings 1 Conslruclion 4 I
at: Separate Stalls, Pens-Overcrowd 1 10 Cleaning 5 19080 Opening Peal
20 . . 1 1 Sanitallon 5 Control . 2
Feed Storage 1 12 Storage 2 19E8-F Approved Pesticides 
2F Ventilation 1 MILKIELQ Properly Stored 2
a Cleanliness 3 13 Flanke. Udder 8? Teals 5
Cow Yard 3 Surroundings 2
Wimeeoom 1-1 Prolecllon lrom Conlorninalion. . a
5A Floors 1 mug 8' Chem? a 2? BACTERIA COUNT,
Wang a . 1 Labeling 2 DRUG RESIDUE TEST 10
. Lighling and Ventilation 2 Drug use a 5
COMMENTS

 

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Form 2060 a

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS AB SALEM gFrgirgLAng OF one CHAPTER 621 or ens CHAPTER 616

 

RECEIVED BY

 

 

 

 

 

 

PAGE 1 of 2

 

NOTE
CHANGE

 

 

 

DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE

FOOD SAFETY DIVISION - 635 CAPITOL STREET N. E., SALEM, OR 97301-2532 - PHONE (533) 986-4720 - FAX (BUB) 986- 4729



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Parson Coniacled

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Wainr Balm
sou/(04M 1; 51am OR, Zip Code 9 239} County 32 '7 CL)
Plant Cooling wanting IW IPY smIIanan TIMI Minna: Inspection Minules inapaclian Purpose {cum One Only}
x30 ?9,225: 070 3456789?
Mulking Time lnspeclion? Eniorcemenl Eon Sh? Number Cows Wk Handler
?aeolian For Nexl Inspadion (up In 40 characlars) Nexl InSp. Dale
ND. WT. IITEM ND. WT. ITEM NO. WT.
SD Miscallaneous Fl uitemani 2
HEELIHQEQWE 5 ML
515 Cleaning 2 15 Handwashing Facilities . 2
1A TB - Bangs Abnormal Milk Handling 5 Milk House Cleanliness . 4 l7 Personnel Cleanliness 1
7 Toilet 4 GQQLINQ
IE Somatic Cell Count 5 El Walnr Supply. 5 18 Cooling . 5
W358 as Wale! Supply. 2 11mm
2A Floors - Gultars. Elc ?i IEMENI 19MB Fly Breeding and Manure Pack 3
23 Walls Ceilingsi 1 Censlruciion 4
20 Sammie Slalls. Pens-O towd I 10 Cleaning 5 19050 Mlikhouse Opening a Past
.. I 2
20 Lighting I II 5 Control cl
I db: -
2E Feed Storage . 12 Storage 2 we?: Approved i 2
2F Vanillalion . 1 Pmpe'? 5mm 
a Cleanliness 3 13 Flanka. Udder 8. Taals 5 - 2
4 Cow Yard 3 196m Surroundings 
14 Proieclion from 3
Floors 1 5"?93 a 213 BACTERIA 
55 Walls-8. Ceilings 1 Labeling.. .. .. . 2 DRUG RESIDUETEST
0 Lighting and Veniliallon 2 Drug Lisa 8. Labeling 5
COMMENTS
?RECEIVED BY anginmrim 
4 
I '3 - 03 9
Form 2050 (REV. ?12003) 

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE 

SALEM OFFICE COPY

 
 

616.

 

NOTE DAIRY FARM INSPECTION REPORT 
PAGE 1 CHANGE OREGON DEPARTMENT OF AGRICULTURE

FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OFI 97301-2532 - PHONE (503} 986-4720 - FAX: (503) 986-4729
Parson Enameled lulu. umnsa Typa lawlpn Dnlu 

. @3315 2.. [Hm/69"
Name? \jD?Ql .33 Telephone Lnallnapecllun Data 
Slreet 8 0 5 cl OJ A

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Waler Source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Guiana Walgrmulw INK-7 . Travel Minutes mane-Eliot? ?my Impac?m Purpose {cirdaoda only]
JO 48L 1/6 
EnlatmnmAdlon Sh! Nd Number cm? Ta?ln?cil'md?lar
. 1, 
Gumrhonm For Nun Inspectiun (up In 4 Hoxl In?p. Data
. -. .. .- yl- . ?3395mm- 3925?}! ?In' ?igw - . 'W?f -,
In". 1- Miscellaneous Requiremenls 2 
. 3 SE Cleaning FacHilies 2
13!? 331?95- ?mm ?Ming 5 Milk House Cleanliness Somatic Gen Gounl 5 I . 
[a - Walar Supply 5 . . 
. WalerSuppIy 2 - .
.28 Fl ?Gu1ters.Elc I . . 10? . Coollng 5
~23" Wallsaolaaings .l 
2c Separale Slalls. Pens-Ovemrowd 1 - 3.3 1-. 4 .. 
35; Uah??a 1 :39 - j~ Cleaning 5 Fly Breedingand Manure Pack 3
Feed Storage I "1 53mm? 5 Milkhousa 096mm 8 Pas!
2F I 2 . Law; can? 2
tan Cleanliness 3 .- . Mlusm Armved P61566195 -
. rl Stored 2
ll CawYard a .11., Ham?mlruea?s 5 .2. may
gm?, Sunoundings 2
Floors 1 
WEIIS Ceilings '9 Protection 3 la? BACTERIA 
m? lighting and Vantllallon Drug 5 Chemical Slat-age I . DRUG FIESIDUE TEST 1?
.. . . Labeling 159E Drug Use a Labeling 5 .
588 .

 

 

 

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x.

FIECEIVED BY DEPARTMENT REPRESENTATIVE
Form 2060 IFIEV. 8,2003)
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF OHS CHAPTER 621 0r OHS CHAPTER 516.
SALEM OFFICE 

 

 

 

 

An.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

 

  

 

 

NOTE DAIRY FARM INSPECTION REPORT 7 5

PAGE 1 of .

CHANGE OREGON DEPARTMENT or AGRICULTURE 

FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OH 97301-2532 - PHONE (503) 986-4720 - FAX: (503) 986?4729
Parson Goa-mama Emu. Nu; Llnem Typo museum Dam

. . A??f :72 ?0/67 ?67?
Name I Telephone Last Inspedlian Elma

Streal 
Stats 590065 County
Walt: {has} Nu) IFY Sanitarlan Travel Minmes lnspeciion Mlnmes I a OnlyFunction? EnIoroemenI Action Shippet No. Number Cows Humidor 

YE NO
as? mTimalnapeth GummForNaxilnspum/Iunl 

I 
ILII . .4 3? t- . I . I32. 5W
. . Miscellaneous Requirements 2 .

. . Cleaning FaciI'tlias 2 Handwasmng Facilities 2
341*?. TBwBanos?Abnon'naIMIRHand?ng mummammss 17'. Pefsonnel Cleanliness I
- So I Toilet 4 .
a WaIerSupply 5 {a mum
- WaIersIIppIy Room-Gunmac I - . . . .
dab-El. WaIIsACei?ngs 1 jg: 
Separate Stalls. PensOvetunwd 1.1g mm 
t; ?9an 1 Geanmg 5 ??591? FIyBroedmg and Manure Pack a
1-23- Feed Storage 1 35? ?93. SanIIalIon 5 ij madman Opening a Past
:If?gg: . Venlilalion 1 I Slomge 2 - CumroI 2 I
II Cleanliness 3 I .- a I
~11} GowYard 3 IE5 I. Flank5.Udder&Teals 5 I
. -: r'f. 2 
Floors 1 g; .1 .2 
?553} Walls? Ceilings 1 . Prolectionlmm Oontarninailon 3 . 29?, BACTERIA 
Lighling andVenl?aIion 2 Chemh-alSloragaA 1 I DRUG RESIDUE TEST 10 I
I Labeling . 2 
I 1593;?? Drug Use 8 Labolmg 5

 

 

 

 

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52- ?mn?rlfai?f?? an Was? I. 

 

x7444?


{74-7 n9 5/ 59/4,; 




 

 

 

 

 

 

 

 

 

RECEIVED BY

 

DEPARTMENT REPRESENTATIVE
MMA

 

 

Form 2060 (FIEV. 312003)

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE I

SALEM OFFICE COPY

ATION OF OHS CHAPTER 621 or ORB CHAPTER 616.

 

FAGE1 0, NOTE DAIRY FARM INSPECTION REPORT 

 

 

 

 

 

CHANGE OREGON DEPARTMENT OF AGRICULTURE
FOOD DIVISION - 635 CAPITOL STREET N.E., SALEM. OH 97301-2532 - PHONE (503) 986-4720 - FAX: (503) 986-4729
Parson Martini Eslab. No. License Type Inspection Dale

 

 

A -
$55? 67? Tam? 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
  

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street
anSoww
Guy Q, 54% Zipcoda W1 35% Gnumy Pf" 1M.) ?31?
man Gaonng wan-r (Tea I SanIurlan Travel mm? mm mm? Furs-m {cm 0w"
0410 (74?0? 
HIM Inapadion? Enforcement mum SIM: NB. Number Cows Min-t Handle:
No 77??
Whalmhn ?hummus: Hum 1MP- 
21.2. ii.? ISA. :9 m:
{24; .3 Msoallaneous RequireIrIenls Em
$3139 Cleaning Fawnies Wham? I 2
igl?d; TB Abnonnul Milk Handling 5 Milk House Cleanliness Pusannal Cleanllnoss 1
$131; 5 c? mm 5 Toilet. 
Wale: Supply 
5515:?: (many 5
gZ'I-atf? Flows?Gutters.EIc. 1 
?l WaIIsECeNngs I 
??mil: 5003319 51mm MW 1 
Earn Lighting I 0mm ?rmwmem a
kr?g??r: FeadSlorage 1 53mm" 
Vanm 1 am Conlml 2
I: . f_ Cleanliness 3 WNW
3 FIanks.Uddar&TeaB PWM 2
Surroundings 2
My Floors 1 . 
Wa?ssxce?ngs 1 from Comminalion BACTERIA mum,
Ligh?ngamvinula?on 2 DrLIgGChan?cal Smragea DRUG HESIDUE TEST 10
5.7.. Labeling 
?If DmUseaILabeIIng 
I. .3 .
316151 -.
COMMENTS
Hn" FRIIV (I?mm va?U 
0&8 .L, 
f?mGfz CWMM CW 
ngLGA?i (IT-xvi LEM W. .3 x'ng? ?1Wr1?
(3.3/7 M?mfqu?a? Try-'1'. int/W115 .
. \q .. Tar-"La LL 1 my
I ?3.mtg: 
\g TEA
In? lw?rg HI ?zzy-?ILL. 7 
33:1": 142.93 WET Immoral 3W1) o? LAru" v4. It. ?i
E?zlnh UNIT gmfri I1f7j?f- 
086.4453 993%: OW

RECEIVED BY DE AH ME TH HESENTATWE 
Form 812008) 

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE AFIE IN VIOLATION OF ORS CHAPTER 621 or OFIS CHAPTER 616.
SALEM OFFICE COPY

PAGE 1 

 

NOTE DAIRY FARM INSPECTION REPORT '97 7 
CHANGE OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STFIEET N.E., SALEM. OR 97301-2532 - PHONE (503) 966-4720 - FAX: (503) 986-4729

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parson Coniacied Ealab. No. License Type Inspection Daio
??qu 07?- io ID
Name -- I Dal?
\Jclbada mm mm
Street DLJ water Samoa
Slain OIL. Zip Code County- IPO 
Plan: Cooling Wale:- [Val No) IPY Sanilanan Travel Minutes Inspection Minutes I on Purpoiw (Ciroio Gm Only]
in 3.0 {.00 23456789?
Mlli-iina Enforcemenl Action Shipper No Number Cows Mill-i Handler
YES NO
Lars! Mil ma Inapociion Comments For Next Inspection (up lo 40 characiars) Hm ln?p. Dale
"Eli! HO. -. 'f'wl? 2W 133If." if If 
Miscellaneous Requirements 2 . if. 2555mm.
. Cleaning Facilities . 2 - @3 HWashing Facilities 2
TB aw- WK Handling 5 1d . . Milk Hausa Cleanliness 4 '17- . Personnel Cleanliness 1
'13: Somatic Ce? 0mm 5 1' Toiiel 4 3 
walerSuppIy 5 
- . f' WaierSuppi 
. 2 -- $le I
In Fw5_6mr?w 1 . 3 Guam: 5
-- an? Walls a. Ceilings 1 a 
. . 
3? Separate SIalls?Pens-Overuowd 1 4 f?
. 2o Lighting i - c'eanmg 5 . 1m Fly Breeding and Manure Pack a
I '53. - Feed siomga i sani?a?b" . 5 Mlkhouse Opening a Past
1 2 m. 
Gs CIeaNiness :3 Mite i: moved Pasliddas -
- . I1 SIored 2
I CowYard 3 . 13.; Fl I 81951: 5 ??99 
. 1m; .. 2
silly Floors 1 . . . 
5h 1' Walls? (Sailings 1 Prmec1ian lrom Conlamlnallon 3 a I BACTERIA 
'56 and VeniilaiionDIUQ Chemical 8101398 8: DRUG RESIDUE TEST 10
. Labeling 2
am DmgUseaLaneiing 5
COMMENTS

 

(E ?Ema: *mgp?m?x GAL .

 

@miII?Jm Mb: not Arim
$1.}on is. CAODLA- (T

\rJim ma. Xhosa ?magma? mar ~4ch unis.

 

Inuit (ADEL-

 

?It gnarIic-nw diets

 



DIQQA 61.421113? ch 

 

 

 

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Fifty-i; 19x IS $oil?9I an ?45300 

Dua?mmA Work "1.5 mind.

1 @579 Wanm Moon/Ix oovmmi?m mhch?ioLI (EMEWAM ?mirt.
Waugh Bro ?ick \mm int-AMI @Mllx?

RECEIVED BY 

Form 2060 (REV. arzooa)

WARNING: YOU AFIE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS CHAPTER 621 or OHS CHAPTER 616.

SALEM OFFICE COPY

 

 

 

1 of DAIRY FARM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OR 97301-2532 - PHONE (503) 986-4720 - FAX: (503) 986-4729

1 ?09059 2? I
0? Farm Telephone
Slrael 8X05 QCK K120

Stale E) 
Saniluiart

7J9



 

 

 

    

 
       

           
   
    

     

   

Ill?!?

 
 
    
    

 
    
    

o\
50

     
   
 
      

55

234 567?89?

 

      
  
  

 

. 15..
Miscellaneous HequIrarnems 2
meaning Fad?tias 2
Wk Hausa Gonnliness 4

Tails! 4

   



Facilities 2
Pamonnol Cleanliness 1

 
 

TB Bangs? Abnormal Milk Handling

   
 
 
   
   

 
 
 
  
   
 

 
 
  
 
 
 
 
 
 
 
    
  

Soma?ccwmunt

 

      
   
   
 
  
  
 
  
  
    

 
  
 
 

   
  
   
  

 

    
   
 

    
     
  
   
 
     

WalerSupuy 5 mm

WalerSuppIy 2 
Floors GulIers. 1 MW 5
Walsaca?ims 1 El?


SepamloStalIs.Pam-Ovemowd 1 Comanche" 

legh?nn 1 Cleaning 5 3

Fm?m . Sanitation 5 WMman?m
. Wm?. 1 Sienna 2 2
AppmvedPesticIdes-
3 (I. Prope?ySlaed 2
I I 

"3 Surroundings 2
Iffis?a'j Floors 1
W815&Cdi?g5 1 
I 553:1?, Lighting and Vanu?la?on 2 Chem SW DRUG FIESIDUE TEST 1?
Labeling 2 be,
. 
DrugUselLabe?ng 5 
7. 11,4

   

HECE ED

Form 2060 
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN

SALEM OFFICE COPY

ION OF OHS CHAPTER 621 or OHS CHAPTER 616.

 



 

 

 

 

NOTE DAIRY FARM INSPECTION REPORT 
AGE 1 f?
CHANGE OREGON DEPARTMENT OF AGRICULTURE
FOOD DIVISION - 635 CAPITOL STREET N.E.. SALEM, OH 97301-2532 - PHONE (503) 986-4720 - FAX: (503} 986-4729
Parson Comma-:5 4 Eslab. No. Llcenso Type Inapocuan Dam
7.0 11921015 0L 51115] 

 

 

 

Nama? Telephone Lastlnapeclimnaln
DUO cab 055 I 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Clty sum OIL ZIpCode County pt?k
Sanilarlan TravuIMInuIna Inspection Mlnuias hmc?onPwposatcudu?noOr?y]
ZJD 1/0 50 @734 56789..
Enforcement Mien Nu Mrr?aur Cows Handlw
Gammonu Fur Nam (up In 40 mutual-m} mm Insp. Clam
. 1/21.? xfjd'l'fm
a 3 ,g . 11"? n;
Tami" '3 )4th BEE-535ml.
:3 'ecmmingFacmcPersonnel Clean?nm 1
. 3T.- . ToilaI 4
4-5.1? 90mm? Call Counl 5 Water Supply .3'51; Floors?GummEIc 09?: WakiCeilinos 1 .3
201i. 1 . 1. mm 4 $5822." 
men. 1 :10. ("who 5 ?m marmandManumM a
if? FoadSturaga 1 533' 1. 53"?350" 5 MikhwsaOpenlngaPes!
2PT. Ventilation 1 510'390 2 ,1 Control 2
01?. ammonium a MILKINQ 19505; ApprovodPasliddea-
CowYard a .13.. . leml 5 - PWSIW 2
2
5r Floors 1 WW 35$
555:: Walls?rCeiIngs 1 :1 33 BACTERIACOUNTI
5c; (1 Ugl?nlng and 2 Drug?Chan?cal Elma DRUG RESIDUETEST 10
Labeling 2 
DrugUse_& wading 5 . 
COMMENTS
1!
mp?) ?.95 
on 5240000 on Ali-"Eu 0.5. Jinm
4.2.4 -
. AILSQIM doe: \rwa. 1.5312
mun: Lam Baden-PI $00611. ?Fur 9.51m bus/31.4.,
.
an") ?Iran-1 ?rm ?a p.23 (Smifmfr 6P1
warn: atj -
A
1 
RECEIVED BY 
I



WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS ABOVE ARE IN VIOLATION OF OHS CHAPTER 621 or OFIS CHAPTER 516.
SALEM OFFICE COPY

 

NOTE 7 if 
PAGE 1 0  CHANGE DAIRY FARM INSPECTION REPORT 
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM, on 97301-2532 - PHONE (503) 986-4720 - FAX (503) 986-4729

 

 

 

 

Perm Eslnb Nu

Roget?5 02? 1/

 

 

 

Narnc? Telephone 

Sireel (EIIOS v30\4\\w4 @099? WW SLII Q30 

Wale: Source

 

ciIr $00103 Slain 09? {induct?1.304 County p0, P?iqa?)

 

 

 

 

 

 

 

 

 

 

 

 

 

Buclrculntad Water (Yes (Eli IPY Sanilarlan Travel Minules lnspeclion Mingle?? In Purposu (Circle One Only)
23456789
Milking mention? Enloroernenl Action Shipper No. Number Cows Milk Handler
ES NO
L351 [Mm-on Comments For NEII Inspeclion (up In 40 characters) ?ea-Ii Insp. Dale
NO. WT. ITEH N0. W12 ITEM NO. WT.
HEB ED Miscellaneous Heguiremanls 2 
5E Cleaning 2 IE Handwashing Facililias 2
TB - Bangs - Abnormal Milk Handling 5 6 Milk House Cleanliness Personnel Cleanliness . 1
7 Tailel . . 4 395mm
18 Somatic Cell Count 5 8 WaterSupply.. . 5 18 Cooling . . MILKINQAEEA 83 Water Supply. . .I 2 WI-
2A Floors? Guitars, 1 WMWENI Fly Breeding and Manure Packm 3
EH Walls 1 9 Construction 4
25 Separale Slalls Pans Overcrowd? I 10 CleaningMilkhouse Opening 8 Pest
Lighling 1 11 Sanilaiion 5 Comrol 2
25 Feed Slnraga 1 I .. 2 Approved Paslicides -
2F Ventilation I mums: Properly Slored 8? 2
G) Cleanliness 3 ?3 Hunks" Udder 3' Teais 5
Cowi'a rd . . 3 In?aH Surroundings Neal :5 Clean. 2
WHEN 14 Proleclion Irom Contamination?, 3
.55 Floorsw. .. 1 Drug Chemical Storage. Drug Equipment 29 BACTERIA 
DRUG RESIDUETEST.. .. . 10
5c Lighung and Ventilation 2 0mg 8' Labeling 5

 

 

 

CHIPS ML. Ina-Ir 

 

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CHEF 
9P1 K5 ?ilk? ?Irk ?aw-E 

 

 

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d? (I a

 

WI lid/mam; Imam, 

 

?mum; in: mICEow In mmw? amt mm 143009?

 

 

 

 

RECEIVED BY

?x

 

 

 

Farm 2060 (REV. 912010)
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS CHAPTER 621 ORS CHAPTER 616

SALEM OFFICE COPY

Vb?w I g/?x

 

 

Phi?pfer, 

mes 1 of NOTE DAIRY FARM INSPECTION REPORT
CHANGE OREGON DEPARTMENT OF AGRICULTURE JW

FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OR SHUT-2532 - PHONE (503] 986-4720 - FAX (503) 93 T29
Person Contained Eslab. No. Linens}: Type Darn

. - I63 9?5? 02 waivi/
Name? 21/0 far? 171-; Tnlaphnnu Lasiinspeciion Dain

 

 

 

 

 

 

 

 

 

 

 

 

 

Slreel

Cltir' LTW Sign 0N Encode 3 Cunnil-
Heum?alm Wuur [Yes I No) IPY Sanitarian Thaw! Minutes Inspecllon Mil-lines Inspuclion Purpose [Glide Or're Onlyl
Tim! Enforcement Action Slippaani Number Cows Milk Handler



YE NO

 

 

 

 

 

 

 

 

LastiliM?'rmimmsiiun Cu 15 Dalia

WT.

man no. w'r. man no. wr. ITEII no. 
SD Miscellaneous Re ulIements. 2
gamma magnum
5E Cleaning Facilities?Bangs? Abnarrnal Milk Handl'ng 5 6 Milk House Cleanliness . . ., . I, 4 17 Personnel .. .. . ..
Toilel .. 4 m?Ll??
?3 atlc Couril 5 Water Supnly .. 5 18 Cooling .. 5
EB Waler Supply 2 
2-0. Floors Gull ers. Etc 1 Fly Breeding and Manure Pack a
Wall?. Ceilings .. 1 Consirucllon 4
211': 5 rate Stalls Pa 1 19 Cleaning 5 Milkhouse Opening Pest
Conlrol . . 2
2E Feed 5' 1 12: Slorage.. .. .. 2 1985!: Approved Pesticides-
21: Venlilal?un MILKIHG Properly Stored a. .. 2
. 13 Flanks, udder &Teals 5
Cleanliness 3
Cow?i'ard . .. . 3 MlL?j?m? 1968M Surroundings Neal 8- Clean. .. . . 2
MILEWOHM Protection Irom Con am nalion
5A Hoots 1 Drug 8. Chemical Slorage. Drug Equipmem 2O BACTERIA 
Walls amm? I 1 &Labeling . .. .. 2 DRUG HESIDUE TESL, . . 10
50 Lighting and 2 ?mg use a 

 

 

 

 

 

 

M, Awe/m: mile 722 A074 3/742

31293.,- ,5in 1mm,
3 (Jar/5r 0/

 

 

 

 

 

 

 

 

.5423? {#31221 [r?mwj?/vva/ncdw?dg

g?x? AM


 

 

 

 

 

RECEIVED BY DEPARTMENT REPRESENTATIVE
?rs/m

Form 2060 IREV. 9/2010) 
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE MLATION OF ORS CHAPTER 621 or ORS CHAPTER 616.

SALEM OFFICE COPY

 

 

 

 



PAGE 1 of I BEEN-3E DAIRY FARM INSPECTION REPORT 

 

OREGON DEPARTMENT OF AGRICULTURE

FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OR 97301-2532 - PHONE (503] 986-4720 - FAX (503) 986- 4729

 

 

 

Parson Command Eating; 5' License T359 1 .miar?m? 

 

Howe
Street 810g Q) 

cur 5nIer. swam? mom qdon-f Carr-u 

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HecimulaWWater {Yes (fab IPY Senitarlan Travel Mrnutes lnspeEtion MInules Inapuchun Purpose (Circle One Only)
2. 345 5 (.Tlme Inepecttm? Enlorcement Action Shipper No. Number Cows Handler
(WES I NO ..
Inst PM Inapechort Comments For Next Inspection (up to 40 characters) Next Inspt Date
ITEM NO. WT. ITEM NO. WT. ITEM NO. WT.
EEALMQEQQHS 3D. Miscellaneous Requirements 2 
BE Cleaning 2 16 FacilitiesBangs Abnormal Ml k Handling 5 5 Mill: House Cleanliness .. Personnel Cleanliness 1
3' Toilet 4 
re 5mm 5 3 Water 5 1a Cooling 5
MILKIHEABEA Ba Waler Supply. 2 HEW
2A Floors? Gu?ors. Etc . mum EASE Fty Breeding and Manure Pack 3
EB Welles. Ceilings 9 Construction .. . 4
2c 3mm suns, Pengmemwd? i to Cleaning. .. 5 more mam Omnlne a Pas:
20 Lighting I It S?nllalian? 5 Control .. .. 2
215 Feed Storage . 1 12 2 HELP Approved Pesticides -
2F .. I MILMG Property Stored '5 .. I 2
3 Chairman: 3 13 F'anks' ?dde' s?Tea's' 5
4 CowYand 3 U: 19(3er Surroundings Neat 8: .. 2
qumg??m? 5 Prolection from Contamination 8
5A Floors. .. I. .. 1 15A-C Drug Chamlcal Storage. Drug Equipment 20 BACTERIA COUNT,
WalIs?u Ceilings 1 8- Labellng 2 DRUG RESIDUE . .. .. .. 10
Lighting and Ventilation 2 $an Drug Use 8' Labaling? 5

 

 

 

COMMENTS

 

VIM -m1kl.M, 4w

4o ?elder r5 va' eer?z/om?

 

 

metal: limo

{If L: 7 Jun: ya 

I)

 

6.5 POT/k:ng 

 

 

 

.r . Inge; ?u Ira, 
I. S. W'I?Ihnm 7t [5.041% rm: 

 

TWK #27. mm Hal/f, ?151' of mmv?rr?y {am

 

 

 

Laue or!" 10/ (Int! 'hul'k Mk:

 

?36? Eyre-(rm a;
?Hy ?idling

   

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Jami/0 A

mm? wlgf??ab?f 74%

  
 

 

 

 

 

 

 

 

 

 

 

 

 

RECEIVED BY REPH EZI FE
?ff/x? .f 

WARNING: YOU ARE HEREBY NOTIFIED THATTHE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS CHAPTER 621 or ORS CHAPTER 616.

SALEM OFFICE COPY

 

 

PAGE1 of I 033555 DAIRY FARM INSPECTION REPORT 
OREGON DEPARTMENT OF AGRICULTURE I
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OR 97301-2532 - PHONE (503) 986-4720 - FAX (503) 986- 4729

Person Dani: Eslah No. License Type Imps-alien ale/
A I CI 018/; 2_

Name 0 ?7551? Telephone Lest Ins lien little

?Zl 05 Willie Nw 
Slate All Cm n?r 

Rec-mulm Wu IPY Sarlilelnan Travel MInules harm Mlnules I . Purpasa Ona Only)

5 ?70 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MIIlnng Tlmu Enlcmemenl Adlon Shipper No Numbanun-s Milk Handler
YES NO 7 '7
Last Milking TIme lnspecllon Comments For Next Inspeclion (up to 40 chamelers) Marl Imp Dela
Isa/Jr an OI/wo/ farm?lg, 
ITEM NO. WT. ND. WT. ITEM 
53 Miscellaneous Requiremenle .. 2 PM
5E Cleaning Facilillos. . 2 16 Handwashing Facililiesu 2
IA TB Bangs Abnormal Milk Handling 5 3 Milk House Cleanliness 4 17 Personnel Cleanliness. 1
4 mg
'3 5mm: 5 a Water Supply 5 1a Cooling .. .. 5
I 3 I353. EB Walar Supply. 2 
2A Floors ullets. Etc 1 19MB Fly Breeding and Manure Pack 3
23 Walls 5 Ceilings I 9 Constructlon 
Separate Slalls. 1 10 Cleaning . Opening 8. Pest
:5 Feed .. .. .. 1 Slorage 2 19EEF Approved Pasllcides
2F Ven?nlm 1 Properly Stored 5- Used 2
a Cleanliness? .. ?3 Ham?s ?dd? ?ems 5
Saw Yard 3 1988M Surroundings Neal 8r Clean. 2
14 Proleclion from ConlaminarionFloors . 1 15?: m9 3' Chem? Slmge? Drug Equ'm'em 20' BACTERIA 
Walls 5. swings." .. 1 ::b:ling 2 DRUG RESIDUE 10
5c Lighting and 2 9 5" 5 ?be""g 5

 

 

 

COMMENTS 5 Anne/2x L1H ?16"5 
bx} {I?g?f Fm vi!) 1 5 LAM-IL, ?The
In. er: MIA has: IT. Qn??ba 4- 74"

 

 

 

 

j?c'ICQ?b .. (1352/ 75.) 4.4%
. I. (ff/Lil}. Grimm 

1
Dow Io ?rewall Off-Rx I/gj/x? herself

94W 521m ?rm" gull 
SW3 In 53-1141.? A 

mMIrm-Hom bun {imf/T/J 

My?? {fit 'I??rm 5?1 {?le-Ibo! 
famu'hd?fm Md j?g?xgd? :31. MMJIP 

RECEIVED BY I?ll/7
Form 2060 (REV. 9/2010] 

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS CHAPTER 621 or ORS CHAPTER 616
SALEM OFFICE COPY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE
CHANGE

PAGE 1 of I

 

 

 

DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 535 CAPITOL STREET N.E.. SALEM. OR 97301-2532 - PHONE (503) 986-4720 FAX {503) 986- 4729

 

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ITEM NO. WT. IT Ell ND. WT. ITEM NO. WT.
5D Miscellaneous Requirements . 2 
SE Cleaning 2 16 Handwashing Facilities . 2
TB Bangs Abnormal Milk Handling 5 6 Milk House Cleanliness . 4 17 Personnel Cleanliness 1
7 .. 4 
IB Somalia Cell Couni 5 II Walar Supply . .. . .. 5 1B Cooling 5
IL I BE Waler Supply 2 
2A Floors Gu?ers. Elc. . 19MB Fly Branding and Manure Pack 3
28 W53- Ceilings I 9 Conslrucllon 4
EC Separate Slams. . I ?0 Cleanlng ,?I?hww Opening 8? PesI
20 LJg'illing 5 ?mm" 2
.EE Feed Storage I 12 2 Approved Poslicldes -
2F . ?l musing Pmpe'w sm'ed 8' used 2
3 Cleanliness. .. 3 ?3 Flanks Udder 8? Teals 5

4 Camden! . 3 WE 1968?? ourroundings Neal 8 Clean. 2
I Protection lrorn Conlam?lnalion
5R Floors 1 15% Drug Chemical Slorago Drug Equipmanl 20 BACTERIA 
.. . DRUG RESIDUE TEST 10
53 Walls Ceilings ISDEE Drug Use 3- Labellng . . . 5
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Form 2060 (REV, QIQOIO) ?51-?sz
WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF 0R8 CHAPTER 621 or ORS CHAPTER 616.
SALEM OFFICE COPY

 

PAGE 1 of 1 NOTE

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DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E., SALEM. on 97301-2532 - PHONE {503) 986-4720 - FAX I503)r15 936- 4729

 

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Lasl MINT trff?iminn Comments For Next Inspecliun lupin an aluminum} N?ll Insp. Dale
ITEM NO. WT. ITEM NO. WT. IT EM N0 WT.
WW5: 59 Miscellaneous Requirements 2 
5E Cleaning Facilities . 2 16 Faculties? 2
1A TB - Bangs - Abnormal Milk Handling 5 0 Milk House CleanlinessPersonnel Cleanliness. . 1
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2A Floors ?Gutlers? Elo 1 WILMNLEQQIEMENI Fly Breedlng and Manure Pack 3
25 WallsE. .. 1 Conslruction .I . .. 4
20 Separate Stalls. Pens Overcrowd 10 Cleaning .. . .. .. 5 19050 Openlng Past
21') Lighting .. . I 11 Sanitation 5 CDHIFOI 2
2E Fae (1 Storage I 12 Storage 2 1958f Approved Posllcides 
2F Vantilmion . I Mlk?l?? Properly Slurad Planks. UdderaTeals 5
Cow Yard 3 Neal 8' Clean 2
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14 Prulecllon lrorn Conlamlnatlon
5A Floors 1 16A-C Drug a Chemical Slorago. Drug Equipment 20 BACTERIA 
EH Walls 8- Ceilings DRUG 10
56 and Ventilnlion 2 1505.5 Use 8' Labellng 5
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WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF OHS CHAPTER 621 or OHS CHAPTER 616.

SALEM OFFICE COPY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGE 1 01 NOTE DAIRY FARM IN PE
CHANGE CTION REPORT 1M5 
OREGON DEPARTMENT OF AGRICULTURE ?4 I 
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E., SALEM, OR 973012532 - PHONE (503) 986-4720 - FAX (503) 93 47'29
Parson Contacled Estab. No. license Type Inspection Bull:
'1
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Nnmo- V6 /66 JQ, Telephone Last Inspection 
Street
WP
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Romania! No) Snnimriar. Travel Inspection Minutes Inspection Purpose One OnlyMilking an? Action Shipper No Number Cows Milk Handler

YES NO 
momma inspection Inspection (up to W10 W13 
ITEM no. on. ITEM no. WT N0 WT.
HEALIHQEQQES ED Miscellaneous Requirements 2 
5E Cleaning .. . . . 2 16 Facilities 2
1A TB Bangs - Abnormal Milk Handling 5 6 Milk Houae Cleanliness 4 17 Personnel . 1
4 
18 Somatic Cell Count 5 Water Supply 5 18 Cooling .. .. .. .. 5
MILKINQABEA EB . 2 
Home Gullers, Elc 1 WANDWEM ?Aw F'y 5mm? and ?an? 3
EB Walls Ceilings 1 9 Construclton 4
2C: Separate Stalls, 1 10 Cleaning19mm Milkimuse Openinge- Pest
ED Ugl?mg 1 11 . .. 5 Control 2
2E Feed Slmga 1 12 .. . 2 WEAF Approved Pesticides -
2F Venlilallon .. .. .. 1 ??me 5? used 2
3 Cleanl?nessp 13 Plantar?, Udder&Teats.. . 5 .
4 WYardm a 19mm Neal a Clean 2
MILIUIDUEEMQM Protection from Contamination . ISA-C Drug a Chemical Storage. Drug Equipment 21] BACTERIA 
53 Walis8. Ceilings DRUG RESIDUETEST 10
50 Lighling and ?8??le 2 Drug Use 8. Labeling . 5
COMMENTS [4 
(4.5. 76:14-62? 5H 
A/ey 56? Ma?a .2,

RECEIVED BY 
Form 2060 (REV. 9:201:35 

WARNING: YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN

SALEM OFFICE COPY

LATION OF OFIS CHAPTER 621 or ORS CHAPTER 616.

 

 

PAGE 1 of_l_# DAIRY FARM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM. OFI 97301-2532 - PHONE [503) 986-4720 - FAX (503) 986- 4729
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Wall: Nu} Sanilarlan Travel Minutes Inspeclion Mlnules Inmuon Purposn {Clmin Ono Only]
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YES NO 
Lasl Milking Time Inspection For Nam Truancllan {up lo JD Nerd Insp. Dale
ITEM NO. ITEM NO. WT. ITEM NO. WT.
H5. 513 Miscellaneous Requlrarnenls 2 
5: Cleaning Facilities 2 1E Handwashing . 2
1.0: TB ?Bangs-Abnormal Handling 5 6 Milk House . .. 4 Cleanliness 1
3' .. . 4 SLQQIJHQ
?3 Somauc Call Count 5 Waler Supply. 5 1B Cooling . .. .. 5
W355 BB Walar SuppIy.. 2 PEELQQNIBQL
Floor? Gutters. Em 1 ms Aumurmam 19MB Fly Breeding and Manure Pack .. . a
2B Walls 8- 1 9 Conslruc-llon . .. 4
Separale Slalls. 1 10 Cleanlng . .. .. . . . .. 5 Opening 8 Pest
ED Lighting 1 11 Sanilallon .. 5 Conlrol 2
2E Feed Slorage.? 1 12 Storage". .. .. .. 2 Approved -
2F Vnnlilullon 1 MILKINQ Properly $10er 8 .. 2
?3 Cleanliness a 13 anks' Udder?- Taals. 5
4 CawYard 3 Surroundings Neal 81 Clean.,.. .. . .. 2
mm 14 Proleclionlrom Conlaminau?on 3
5? Floors 1 ISA-C Drug 8. Chemical Storage. Drug Equipment 20 BACTERIA 
EB Walls Cellings .. .. .. .. .. 1 Labeling. 2 DRUG RESIDUE .T .. 10
SC and 2 l?mE Drug Use Labeling 5

 

 

 

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RECEIVED BY DEPWW
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Form 2050 (REU manna f? W/f/f?rf
WARNING: YO AFIE HEREBY NOTIFIED THAT THE ITEMS ABOVE AFIE IN VIOLATION OF OHS CHAPTER 621 or OHS CHAPTER 616.
SALEM OFFICE COPY

 

 

 

 

 

 

 

 

 

 

 

 

 



PAGEI oi I NOTE DAIRY FARM INSPECTION REPORT

CHAN
GE OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N. E.. SALEM. OR 97301-2532 - PHONE {503) 986-4720 - FAX (593) 986-4729

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Milking Time inspection? Enforcement Aclion Shipper .N . Number Cows Milk Handler 
YES No 
Lani Milking Timo Wm Comments For Next Inspnolion (up to 40 characters} Insp. Dale
ND. WT. ITEM NO. WT. ITEH HO. WT.
Miscellaneous Requllernenls 2 mum,
5E Cleaning Facililius. 2 IB Handwushing Facililios 2
TB Bangs - Abnormal Milk Handling 5 6 Milk House Cleanliness 4 1? Personnel 1
'r Tulle: .. . 4 mung
?3 Somatic Cell Count 5 Waler .. 5 1B Cooling 5
Walar Supply 2 
2A Floors - Gu?ers. Etc 1 HENEJMEQHM Fly Breeding and Manure Pack 3
28 Walls 5 Gamma 1 a Conslruclion . . 4
EC Separate Slalls. Pons-Overcrowd 1 10 Cleaning .. .. 5 19128.0 Opening 8. Pest
ED Ughiing 1 11 SanitationConlrol 2
2E Feed 1 12 .. 2 Approvod Peslicides -
2F Vem?alion 1 Slated &Used 2
3 Cleanliness . 3 ?3 F'anks' 5
a CowYard 3 1968M Surroundings Neal a Clean . 2
Wonmou 14 Protection lrom GOnIarnInallon 3
5A Floors. 1 15A-C Drug Chemical Slorage. Drug Equipmonl 20 BACTERIA COUNU
EB Wall: 8. Ceilings 1 8i Labollng .. 2 DRUG RESIDUE TEST 10
BC nghling and Ventilation . 2 1508E Drug Use 8. Labeling 5

 

 

 

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RECEIVED BY DEPART ENT 
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Palm 2060 (REV SQUID) 

WARNING: YOU ARE HEREBY NOTIFIED THATTHE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS CHAPTER 621 or OHS CHAPTER 616
SALEM OFFICE COPY

 

 

PAGE 1 of I CHER-5E DAIRY FARM INSPECTION REPORT

OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY DIVISION - 635 CAPITOL STREET N.E.. SALEM, OH 97301-2532 - PHONE (503) 956-4720 - FAX (503) 986- 4729

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Milki spaclion? Enlorcumunt Acllon Shme Nu. Cows ?andiar
Cv'e?? No "We:
Last ?Ii-Wm Inspection Callnmanls For Nell Inspeclion (up In 40 characlers) NBXI "15:3 Dale
NO. WT. ITEH ND. WT. ITEM NO. WT.
WM 51] Miscellaneous Requirements .. .. .. 2 BEESQNHEL
5E Claaning Facililias.. .. . . . 2 Handwashing FaciIillas. .. 2
IA TB- Bangs ?Abnormal Milk Handling 5 5 Milk House Cleanliness .. ..I .. 4 17 Personnel Cleanliness" .. .. 1
?3 swam 5 II Waler Supply . 5 IB Cooling .. .. .. .. 5
Ea Waleraupm 2 
2A Floors-Gutters, 1 Fly Breeding and Manure Pack .. .. . . a
28 Walls aCoI'Iings 1 Conslrucllon 4
2C. Separate Pens~0vercrowd i 10 Cleaning .. .. . . .. . . .. . 5 1908-0 Milkhouse Opening Pesl
2? ?Wing .. 1 11 SaniImion . 5 Cannot . . . 2
2E Feed 1 Slorage,.. I. 2 IBEIIF Approved Peslicides -
2F Vemnauon . . I prupm? S'md 5? 2
(D Cleanliness" 3 13 Flank!" Uddm aTealS? 5
.. 3 WE Surroundings Neal 8. . 2
14 Proleclion lrorn .. . 3
5A Floors . . 1 15A.C: Dru. 8. Chemical Storage. Drug Equlpmenl 20 BACTERIA 
53 Walls 5 Ceilings. 1 &LabBIl1g .. 2 DRUG .. . . . . .. .. .. 10
ac Lighting and 2 15'an 8' Labe'mg 5

 

 

 

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RECEIVED BY

 

 

 

 

 

 

Form 2060 (REV. 9/2010)
WARNING. YOU ARE HEREBY NOTIFIED THAT THE ITEMS CIRCLED ABOVE ARE IN VIOLATION OF ORS CHAPTER 621 or ORS CHAPTER 616

SALEM OFFICE COPY

6/3/2014 4:18:37 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM, OR 97301
PHONE: (503) 986-4720 - FAX: (503) 986-4729 

VOLBEDA FARMS Contact Datez6/3/2014
8105 WALLACE RD NW

SALEM OR 97304 License No.: AG-L0072477FMP
541 -936?1090 Inspection Purpose: Routine Milking Time

Person Contacted: Rod - Owner
Score: 91

Fluid Milk Producer
This report documents violations observed during an inspection of your premises today. WARNING: You are hereby noti?ed that the items
listed are in violation of ORS Chapter 621, the Oregon Dairy Law. Any repeat items from the previous inspection(s) may be cause for
suspension Of your "Grade dairy license.

Comments:

If repeat violations have not been corrected by the next routine inspection the farm will bed placed on SANITATION WARNING and subject to
a DEGRADE of milk.

This is a routine inspection.

MILKING AREA

Cleanliness -3 REPEAT

Violation: Milk parlor is accumulating manure on the back plates. ceiling. and milking equipment.
Legal Reference: OAR 603?024-0211

E3

MILK HOUSE OR ROOM

Milk House Cleanliness -6

Violation: Dirty stagnant water is pooling in Milkhouse. appears floor drain is plugged.
Legal Reference: OAR 603-024-0211

E4

PERSONNEL

Handwashing Facilities -16 REPEAT

\?olation: Milkhouse paper towel dispenser is not functioning and no other hand drying provisions are available.
Legal Reference: OAR 603-024-0211

E2

Reviewed 

Received by; SIGNA TOR A 

Food Safety Specialist: Brian Hawkins
541 928-1447

12/18/2014 2:36:57 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM, OR 97301
PHONE: (503) 986-4720 - FAX: (503)986-4729 

VOLBEDA FARMS Contact Datez12/1a/2014
8105 WALLACE RD NW

SALEM OR 97304 License No.: AG-L0072477FMP
541-936-1090 Inspection Purpose: Routine Milking Time

Person Contacted: Operator not present
Score: 97

Fluid Milk Producer
This report documents violations observed during an inspection of your premises today. WARNING: You are hereby noti?ed that the Items
listed are in violation of ORS Chapter 621. the Oregon Dairy Law. Any repeat items from the previous inepection(s) may be cause for
suspension of your "Grade dairy license.

Comments:
This is a routine inspection.

Thank you for ?xing standing water/poor drainage in the Milkhouse. paper towels are available and milking parlor has less manure
accumulation.

MILKING AREA

Cleanliness -3

Violation: Milking parlor floors. under mats, are accumulating manure as well as the tail/back plates.
Lgai Reference: OAR 603-024-0211

E3

Reviewed 
Received by:
Food Safety Specialist: Brian Hawkins
541-928-1447

6/12/2015 2:54 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM, OR 97301
PHONE: (503) 986-4720 - FAX: (503) 986-4729 

VOLBEDA FARMS Contact Date:6/12/2015
8105 WALLACE RD NW

SALEM OR 97304 License No.: 
541-936?1090 Inspection Purpose: Routine

Person Contacted: Operator not present
Score: 98

Fluid Producer
This report documents violations observed during an inspection of your premises today. WARNING: You are hereby noti?ed that the items
listed are in violation of ORS Chapter 621. the Oregon Dairy Law. Any repeat items from the previous inspection(s) may be cause for
suspension of your "Grade dairy license.

Comments:
This Is a routine inspection.

PEST CONTROL

Milkhouse Opening Pest Control 4908.0

Violation: Garden hose going through hose port out to a new water trough and creating an opening into the milkhouse.
ngal Relemce: OAR 603-024-0211

m2

SIGNA TOFI A 

Food Salety Specialist: Brian Hawkins
541 -928-1 447

8/8/2015 6:18:01 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM. OR 97301
PHONE: (503) 986-4720 - FAX: (503) 986-4729 

VOLBEDA FARMS Contact Date:8/7/2015
8105 WALLACE RD NW

SALEM OR 97304 License No.: AG-L0072477FMP
541 -936?1090 Inspection Purpose: State Dairy Rating Milking Time

Person Contacted: Rod - Owner
Score: 95

Fluid Milk Producer
This report documents violations observed during an inspection of your premises today. WARNING: You are hereby noti?ed that the items
listed are in violation of ORS Chapter 621. the Oregon Dairy Law. Any repeat items from the previous Inspection(s) may be cause for
suspension of your ?Grade dairy license.

UTENSILS AND EQUIPMENT

Storage -12

Violation: In?ation plugs. Jetter cups not properly stored.
L?al Reference: OAR 603-024-0211

ma

TRANSFER MILK PROTECTION

Protection From Contamination -14

\?olation: Tank 2 rear agitator shaft not protected.
Legal Reference: OAR 603-024-0211

M43

22:53.33; SIGNA TOR 

Food Safety Specialist: Janice Challis
503-493-0003

4/28/2016 1:23:26 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM, OR 97301
PHONE: (503)986-4720 - FAX: (503) 986-4729 

Volbeda Farms Contact Datez4/28/2016
8105 Wallace Rd Nw
Salem OR 97304 License No.: AG-L0072477FMP
541 -936-1090 Inspectlon Purpose: Routine
Person Contacted: Darren Volbeda -
Score: 88
Fluid Milk Producer

This report documents violations observed during an Inspection of your premises today. WARNING: You are hereby noti?ed that the Items
listed are In violation of ORS Chapter 621, the Oregon Dairy Law. Any repeat items from the previous Inspection(s) may be cause for
suspension 01 your IGrade dairy license.

Comments:
This was a routine non milking time inspection.

MILKING AREA

Cleanlinm -3

The backplates have a heavy accumulation of manure.

The ?oors of the milking area are covered with rubber mats which have a heavy buildup of manure beneath them.
LEW OAR 603-024-0211

ME: 3

MILK HOUSE OR ROOM

Walls And Ceilings -58
Malian; The walls and ceilings In the are discolored and are not maintained clean. there Is a heavy buildup of webbing. A vent
on the ceiling Is rusted and damaged.

LEW OAR 603-024-0613
1

Milk House Cleanliness -6

509131120.? The outside of milking cans In the milkhcuse are with manure.
LEI-1W OAR 603-024-0211

4

UT ENSILS AND EQUIPMENT

Storage -12
mamm- Ouarter plugs and extender tubes In the milking parlor were note stored protected. Store In sanitizer.
A bulk tank manhole gasket stored in the ls moldy. dirty, cracked. and worn.

L?g??m OAR 603-024-0211
M: 2

PERSONNEL

?otation; The sink was not accessible. Containers of soap and used towels were stored In the sink.

Leeai?eiemm OAR 603-024-0211
2



Reviewed 3. ref 

- 



-- 

Food Safety Specialist: Eric 
541 -891 -41 18



7/27/2016 11:10:57 AM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM, OR 97301
PHONE: (503) 986-4720 - FAX: (503) 986-4729 

Volbeda Farms Contact Date:7/27/2016
8105 Wallace Rd Nw
Salem OR 97304 License No.: AG-L0072477FMP
541-936-1090 Inspection Purpose: Routine
Person Contacted: Rod - Owner
Score: 82
Fluid Milk Producer

This report documents violations observed during an inspection of your premises today. WARNING: You are hereby noti?ed that the items
listed are in violation of ORS Chapter 621. the Oregon Dairy Law. Any repeat Items from the previous inspection(s) may be cause for
suspension of your ?Grade dairy license.

Comments:

This was a routine milking time inspection. Due to the repeat violations. a follow up inspection will be conducted within 30 days. Failure to
correct violations will result In enioicernent action.

Walls And Ceilings -SB REPEAT

382131190; The walls and ceilings in the milkhouse are discolored and are not maintained clean. there is a heavy buildup of webbing. The light
?xture on the ceiling ls meted and damaged.

OAR 603?024-0613

my; 11/26/2016

MM

Storage -12 REPEAT
ngia?gn; Quarter plugs and and letter cups in the milking parlor were note stored protected. Store the cups In their covers. and the plugs in
sanitizer.

The milk ?lter storage box ls dirty, with brown and green residue. Brown particles were observed In contact with the milk filters
OAR 603-024-0211
991mm; 11/26/2016

m2

Handwashing Facilities -16 REPEAT

309161120. The handwashing sink was not accessible. Containers of soap and used towels were stored In the sink.
LegaLlieteLence: OAR 603-024- 0211

92mm; 11/26/2016

3MB 2
MILK HOUSE OR ROOM

Floors -5A
Migla?gn; The miikhouse ?oors have green algae growth on them.

99mg; OAR 603-024-0613
WT: 1

TRANSFER 8: MILK PROTECTION

Drug Use Chemical Storage, Drug Equipment Labeling -15-AC

lighting; The lactating and non-lactating drugs are not stored' In separate labeled storage areas. Both lactating and non lactating drugs
were observed on the same shelf.

OAR 603-024-0211

WI 2

Drug Use 8: Labeling 

mam Nitrofurazone. a prohibited drug, was found stored with the dairy cattl drugs. The drug container was labeled for use in dogs.
horses. and cats.

Reviewed 3. [g 4 '13? 
Received by: g?25? kw A 



Food Saiety Specialist: Eric Brundidge
541 691-4118

mam OAR 603-024-0211
WI: 5

COOLING

Cooling -18

Violation: The chart recorders are not accurately recording cooling temperature . The tank 1 chart displayed a milk temperature of and
the milk temp was according to the inspector's calibrated thermometer.

OAR 603-024-0211. OAFI 603-024-0640

WI: 5

 

8/30/2016 1:06:05 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM 635 CAPITOL ST NE. SALEM. OR 97301
PHONE: (503) 986-4720 - FAX: (503) 966?4729 

Volbeda Farms Contact Dete:BI30/2016
6105 Wallace Rd NW

Salem OR 97304 License Ne.: AG-L0072477FMP
541-936-1090 Inspection Purpose: Follow-up

Person Contacted: Operator not present
Score: 99
Fluid Milk Producer
This report documents violations observed during an Inspection of your premises today. WARNING: You are hereby noti?ed that the items

listed are in violation of ORS Chapter 621, the Oregon Dairy Law. Any repeat Items from the previous lnspectlon(s) may be cause for
suspension of your ?Grade dairy license.

Comments:
This was a follow Up Inspection to ensure that previously cited violations have been corrected.

Walls And Ceilings ?53 REPEAT
mutation; The light ?xtures and vents on the ceiling are rusted and damaged.

Wan; Repair or replace.
OAR 603-024-0613
1213012016

w_T=1

i - - ..
22:53:33,: [No Signator Available] Tea; xi: .3

Food Safety Specialist: Eric Brundidge
541-691-4113

9/14/2016 6:29:26 PM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM. OR 97301
PHONE: (503) 986-4720 - FAX: (503) 986~4729 

Volbeda Farms Contact Date:9/7/2016
8105 Wallace Rd Nw
Salem OR 97304 License No.: 
541-936-1090 Inspection Purpose: State Dairy Rating Milking Time
Person Contaoted: John Volbeda - Owner
Score: 85
Fluid Milk Producer

This report documents violations observed during an inspection of your premises today. WARNING: You are hereby noti?ed that the items
listed are in violation of ORS Chapter 621. the Oregon Dairy Law. Any repeat items from the previous inspectionis) may be cause for
suspension of your ?Grade dairy license.

MILK HOUSE OH ROOM

Water Supply -8

3119mm No Baok?ow protection on water line to backplate gutter.
LEW OAR 503?024-0211

5

UTENSILS AND EQUIPMENT

Storage -12
Violation: In?ation plugs stored along pipeline.

Legalasiatsma OAR 603-024-0211
2

TRANSFER 8: MILK PROTECTION

Protection From Contamination ?14

300101100: Tank 2 rear agitator shaft Is not protected.
WW OAR 603~024~0211

WI: 3

COOLING

Cooling -1B

Mien; Bent cover on re-circulated water tank.
ngai?gjergme; OAR 603?024-0211, OAR 603-024-0640
5

23:23:33,. [No Sig nator Available] (X0 1/917

Food Saiely Specialist: Janice Challis
503-493-0003

1 1/30/2017 11:25:56 AM INSPECTION REPORT
OREGON DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND ANIMAL HEALTH PROGRAM - 635 CAPITOL ST NE. SALEM. OR 97301
PHONE: (503) 986?4720 - FAX: (508) 086-4729 

Volbeda Farms Contact Date: 
8105 Wallace Rd Nw

Salem OR 97304 License No.: 
541-936-1090 Inspection Purpose: Routine

Person Oontacted: Operator not present
Scare: 100
Fluid Milk Producer
This report documents violations observed during an inspection of your premises today. WARNING: You are hereby notified that the items
listed are in violation of OHS Chapter 621. the Oregon Dairy Law. Any repeat Items from the previous lnspection(s) may because for
suspension of your "Grade dairy license.
Comments:
Farm stopped milking. March 2017.



323332351113: [No Signator Available] 

Food Safety Specialist: Eric Eirundidge
54irE-91?411B