Title Page
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Document No.
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Dairy Id and Producer Name
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FarmName
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Conducted on
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Prepared by
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Location
The Farm
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Person in charge of quality
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Date of last analysis of total germs in milk tank
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Number of months in last 12 months with results of < 165
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Results in total germs /ml
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Remarks / Particular problems
Water
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Water Source
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Are Washing Water Being Treated
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How is the water being treated
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Temperature of washing water
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Temperature of Water After Washing
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Volume of water available for washing
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Water Quality
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Is the water tested
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Coli
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EColi
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Water Specs (cfu/ml)
Milk Tank
Milk Tank Hygiene
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Milk Loading
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Cleaning Product used for tanks
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Name of Agent
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Telephone
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Precooler
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When last was pre cooler cleaned
Milk Tank No
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Tank Number (a,b )
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Liters
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5 Degrees within an hour
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Cooling records Available
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Every Day Tank
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Switch for Stirrer Visible& Accessible
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After starting stirrer for how long will the milk be stirred
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Stirring Automatic
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Switching on ever how many minutes
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For how long does stirring take place
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Condenser Clean<br><br>
Milk Machine
Hygiene of Milking Equipment
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Date of last service
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State of Rubber parts
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Change of Rubber Parts
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Milk Stone
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Vacuum Flask
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Wash Action
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Cleaning Products used for Milking Machine
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Name of Agent
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Telephone No
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Milk Sample
Add Sample
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TBT (cfu/ml)
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Coli (cfu/ml)
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EColi (cfu/ml)
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Psigotrofe
General
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Notes
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Owner or Manager
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Date of Next Visist