"Application to Install or Modify an Existing Milking System" - Nevada

Application to Install or Modify an Existing Milking System is a legal document that was released by the Nevada Department of Agriculture - a government authority operating within Nevada.

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APPLICATION TO INSTALL OR MODIFY AN EXISTING MILKING SYSTEM
Nevada Department of Agriculture / Animal Industry Division / Food Safety
st
405 S. 21
Street, Sparks, NV 89431 Telephone: (775) 353-3758 Fax number: (775) 353-3749
This application must be completed and submitted the above address along with a blueprint / drawing which include the items listed on this application. Plans will be
reviewed and you will be contacted by this office upon approval of the application.
APPLICANT INFORMATION
New Installation
Modification to Existing System
Name of applicant
Telephone number
County
(
)
Name of farm
Address of farm (number and street, city, state and ZIP code)
Installer / Company Name
Telephone Number
Address
Proposed Installation Date:
Number of cows to be milked:
Please complete the following information: (check
or fill in the blank appropriate)
1. Parlor Configuration:
Parallel
Tie-stall
Stanchion
Basement
Herringbone
Rotary
Other
2. Operation Design:
Pipeline Diameter
Size of Hot Water Heater
gal –
must maintain >120 °F thru cycle
Low or High
Restrictors:
Yes
No
Size of Line Washer
3. Vacuum System*
CFM Rating (3 x units)
Number of claws / unit
Distribution tank?
Yes
No
Automatic drains & pulsator airlines
Yes
No
*Vacuum pump requirements:
a.
35 CFM is used as the base plus 3 CFM per unit
b.
If more than one receiver group, sharing a common vacuum source, 35 CFM is still the base measure.
c.
If there are separate vacuum sources for each receiver, then each receiver group will be figured separately.
4. Water Supply:
Well (1)
Wells (multiple)
City / Public
Hauled
Cistern
Spring
Point of use backflow prevention?
Yes
No (
Show location on plans)
Water Softener (
)
Must drain properly – show location on plans
High Pressure Washer (
)
must have backflow prevention
APPLICATION TO INSTALL OR MODIFY AN EXISTING MILKING SYSTEM
Nevada Department of Agriculture / Animal Industry Division / Food Safety
st
405 S. 21
Street, Sparks, NV 89431 Telephone: (775) 353-3758 Fax number: (775) 353-3749
This application must be completed and submitted the above address along with a blueprint / drawing which include the items listed on this application. Plans will be
reviewed and you will be contacted by this office upon approval of the application.
APPLICANT INFORMATION
New Installation
Modification to Existing System
Name of applicant
Telephone number
County
(
)
Name of farm
Address of farm (number and street, city, state and ZIP code)
Installer / Company Name
Telephone Number
Address
Proposed Installation Date:
Number of cows to be milked:
Please complete the following information: (check
or fill in the blank appropriate)
1. Parlor Configuration:
Parallel
Tie-stall
Stanchion
Basement
Herringbone
Rotary
Other
2. Operation Design:
Pipeline Diameter
Size of Hot Water Heater
gal –
must maintain >120 °F thru cycle
Low or High
Restrictors:
Yes
No
Size of Line Washer
3. Vacuum System*
CFM Rating (3 x units)
Number of claws / unit
Distribution tank?
Yes
No
Automatic drains & pulsator airlines
Yes
No
*Vacuum pump requirements:
a.
35 CFM is used as the base plus 3 CFM per unit
b.
If more than one receiver group, sharing a common vacuum source, 35 CFM is still the base measure.
c.
If there are separate vacuum sources for each receiver, then each receiver group will be figured separately.
4. Water Supply:
Well (1)
Wells (multiple)
City / Public
Hauled
Cistern
Spring
Point of use backflow prevention?
Yes
No (
Show location on plans)
Water Softener (
)
Must drain properly – show location on plans
High Pressure Washer (
)
must have backflow prevention
5. Wash / Sanitize System
System of Cleaning (CIP)
Vacuum Gravity
Vacuum Recirculation
Centrifugal Pressure Recirculation
Manual
Or
Jetter cover protection?
Yes
No
Air injection location
Sanitizing Agent:
Chlorine
Quaternary Ammonium
Acid
Hydrogen Peroxide
Other
6. Cooling / Storage / Transfer
Bulk Tank
Silo
Cans
Bulk Tank Size
Brand
Year
Pre-
cooler? Type of coolant
Glycol
Chilled Water
Well Water
Load out pump?
Yes
No
Truck shelter?
Yes
No
Direct Load System
Load-out bays? How Many?
Glycol
Chilled Water
Well Water
Pre-cooler? Type of Coolant
In-Line sampling device?
Anderson
Isolok
QMI
Temperature recording device and refrigeration required.
7. Abnormal Milk
Separate System for abnormal milk?
Yes
No
If no, please explain -
8. Blueprints / Drawing
Please indicate the following regarding pipeline:
-Milk flow direction
-Air injectors
-Trap –high Point
(this may change during installation)
-Inspection points
Please indicate the following regarding the structure and specific equipment:
-Milkhouse and barn dimensions & layout
-Hoseport
-Restroom or utility room if applicable
-Wash vats and hand sink
-Location of drains and type
-Bulk tank / silo
-Location of light fixtures
-Location of water supply
-Location of cow yard and size
-Water heater and water softener
-Location of cattle housing – size and type
-Heating / ventilation system vents
-Location of plate coolers if applicable
-Location of backflow prevention devices
-Location of milk receiver group
-Location of stock water tanks
-Location of calf, maternity, horse stalls etc.
-Proposed location of manure pile / lagoon
-Location of windows and doors
(direction of opening, in/out, left/right)
Producer Signature
Date
Installer Signature
Date
(if applicable)
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