"Foster Home/Animal Shelter Agent - Inspection Report" - Georgia (United States)

Foster Home/Animal Shelter Agent - Inspection Report is a legal document that was released by the Georgia Department of Agriculture - a government authority operating within Georgia (United States).

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FOSTER HOME/ANIMAL SHELTER AGENT - INSPECTION REPORT
Georgia Department of Agriculture [Hereinafter “GDA”]
[1] “Pet” is used as defined in the “Rules of “GDA” 40-13-13-.01 Animal Protection”
[2] “Animal Shelter Agent” is used as stated in the “Rules of “GDA” 40-13-13-.02(6) Animal Protection”
“GDA” Licensed Animal Shelter ___________________________________________________ “GDA” License # _________________
Enter the following Foster Home/Animal Shelter Agent information: Name _______________________________________________
Physical address _______________________________________________________________County _________________________
City ________________________________________________________ State ____________________ Zip ____________________
Please check type of inspection and enter the date: Routine Inspection____/ Re-Inspection____/ Inspection date ____________
Please check one or more categories: Indoor Pet Housing____/ Outdoor Pet Housing____/ Pet Transport Vehicle____/
[1] Any category marked fail must be re-inspected; [2] Categories not marked pass or fail require an explanation on the adjacent
line; [3] This report must be on file at the Animal Shelter’s licensed address and a copy at the Foster Home/Animal Shelter Agent’s
address; [4] The following categories are found in the “Rules of “GDA” 40-13-13 Animal Protection”
(1) Adequate food 40-13-13-.01 > Pass____/ Fail____/ ____________________________________________________________
(2) Adequate water 40-13-13-.01 > Pass____/ Fail____/ ___________________________________________________________
(3) Adequate temperature control 40-13-13-.01 > Pass____/ Fail____/ ______________________________________________
(4) Adequate ventilation 40-13-13-.01 > Pass____/ Fail____/ _______________________________________________________
(5) Proper animal health care 40-13-13-.01 > Pass____/ Fail____/ ___________________________________________________
(6) Classification & separation 40-13-13-.04 > Pass____/ Fail____/ __________________________________________________
(7) Housekeeping 40-13-13-.04 > Pass____/ Fail____/ ____________________________________________________________
(8) Pest control 40-13-13-.04 > Pass____/ Fail____/ ______________________________________________________________
(9) Sanitation 40-13-13-.04 > Pass____/ Fail____/ _______________________________________________________________
(10) Shelter 40-13-13-.04 > Pass____/ Fail____/ _________________________________________________________________
(11) Space requirement 40-13-13-.04 > Pass____/ Fail____/ _______________________________________________________
(12) Structural strength 40-13-13-.04 > Pass____/ Fail____/ ________________________________________________________
(13) Waste disposal 40-13-13-.04 > Pass____/ Fail____/ ___________________________________________________________
Inspected by (signature) _________________________________________ (print) _________________________________________
Foster Home/Animal shelter Agent (signature) ______________________________________________________________________
FOSTER HOME/ANIMAL SHELTER AGENT - INSPECTION REPORT
Georgia Department of Agriculture [Hereinafter “GDA”]
[1] “Pet” is used as defined in the “Rules of “GDA” 40-13-13-.01 Animal Protection”
[2] “Animal Shelter Agent” is used as stated in the “Rules of “GDA” 40-13-13-.02(6) Animal Protection”
“GDA” Licensed Animal Shelter ___________________________________________________ “GDA” License # _________________
Enter the following Foster Home/Animal Shelter Agent information: Name _______________________________________________
Physical address _______________________________________________________________County _________________________
City ________________________________________________________ State ____________________ Zip ____________________
Please check type of inspection and enter the date: Routine Inspection____/ Re-Inspection____/ Inspection date ____________
Please check one or more categories: Indoor Pet Housing____/ Outdoor Pet Housing____/ Pet Transport Vehicle____/
[1] Any category marked fail must be re-inspected; [2] Categories not marked pass or fail require an explanation on the adjacent
line; [3] This report must be on file at the Animal Shelter’s licensed address and a copy at the Foster Home/Animal Shelter Agent’s
address; [4] The following categories are found in the “Rules of “GDA” 40-13-13 Animal Protection”
(1) Adequate food 40-13-13-.01 > Pass____/ Fail____/ ____________________________________________________________
(2) Adequate water 40-13-13-.01 > Pass____/ Fail____/ ___________________________________________________________
(3) Adequate temperature control 40-13-13-.01 > Pass____/ Fail____/ ______________________________________________
(4) Adequate ventilation 40-13-13-.01 > Pass____/ Fail____/ _______________________________________________________
(5) Proper animal health care 40-13-13-.01 > Pass____/ Fail____/ ___________________________________________________
(6) Classification & separation 40-13-13-.04 > Pass____/ Fail____/ __________________________________________________
(7) Housekeeping 40-13-13-.04 > Pass____/ Fail____/ ____________________________________________________________
(8) Pest control 40-13-13-.04 > Pass____/ Fail____/ ______________________________________________________________
(9) Sanitation 40-13-13-.04 > Pass____/ Fail____/ _______________________________________________________________
(10) Shelter 40-13-13-.04 > Pass____/ Fail____/ _________________________________________________________________
(11) Space requirement 40-13-13-.04 > Pass____/ Fail____/ _______________________________________________________
(12) Structural strength 40-13-13-.04 > Pass____/ Fail____/ ________________________________________________________
(13) Waste disposal 40-13-13-.04 > Pass____/ Fail____/ ___________________________________________________________
Inspected by (signature) _________________________________________ (print) _________________________________________
Foster Home/Animal shelter Agent (signature) ______________________________________________________________________