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DL-89(9/01) f
NYS DEPARTMENT OF AGRICULTURE&MARKETS
I � � REVIEWED BY:
DIVISION OF ANIMAL INDUSTRY
1013 AIRLINE DRIVE,ALBANY,NY 12235 1 ` ,
518457.3502
DOG CONTROL OFFICER INSPECTION REPORT
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SATISFACTORY
INSPECTION I DATE ° r]UNSATISFACTORY
[]RE INSPECT16N TIME
NEXT INSPECTION DUE
❑INFO CHANGE
TCV CODES
DCO(S)NAME
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MAIL ADDRESS .
NY
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PHONE(S) f
EMAIL/ADDRESS'
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A.SEIZURES
S U B.RECORDS S U
1.DCO SERVICES 1.DL-18 COMPLETE
2.HOLDING PERIOD
2,EQUIPMENT..
3.TRANSPORT VEHICLE 3 4.IMPOUND FEE PAID
.LRELEASE
ICE BEFORE
4.SANITATION ,�
5.PENALTY ACTIONS
5.VETERINARY CARE ✓
6.DANGEROUS DOG PROCEDURES
6.EUTHANASIA
7.NUMBER OF DOGS SEIZED � C.OTHER
COMMENTS
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DATE
INSPECTOR NAME/TITLE/ID# ,
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DATE
REPORT RECEIVED BY/TITLI�'« Ll�
FIRST COPY- OCO SECOND COPY-INSPECTOR
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