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Compliance Inspection Form

Cumberland County SPCA

Compliance Inspection Form
CUMBERLAND COUNTY S.P.C.A.
1376 West Sherman Avenue
Vineland, NJ 08360
Phone: (856) 691-1500

OWNER	ADDRESS
REFERENCE	City
Report received by S.P.C.A.	Repeat ______	Re-Check ____
	SATISFACTORY / UNSATISFACTORY
1. Housing; protection from weather conditions; structurally sound:
	See blue sheet___________
2. Containment (chain/kennel must be 3 times length of dog from nose to tip of tail)
	See green sheet_________ See ________
3. Physical Condition:
	Warning Issued ________ Photos Taken ________ Summons Issued _________
4. Feeding; fresh water, clean feeding containers:
	See yellow sheet ___________
5. Waste Disposal:
	Call SPCA within 24 hours _________
Animals on premises:

UNSATISFACTORY CONDITIONS TO BE CORRECTED BY ________________________. While under investigation, an animal CAN NOT be removed from the premises without reporting it to the investigating agent or to the local shelter. FAILURE TO CORRECT UNSATISFACTORY CONDITIONS may result in a violation of N.J.S.-4:22-26C and/or 4:22-17C with maximum fine of $250.00 to $1,000.00.
INSPECTING AGENT ____________________________ BADGE # ____________DATE ____________

I HAVE READ THE COMPLETED COMPLIANCE FORM AND UNDERSTAND ITS TERMS AND CONDITIONS.

Signature: _______________________________________________________________________

Courtesy of
Cumberland County SPCA
1376 West Sherman Avenue
Vineland, NJ 08360
Phone 856-691-1500
Fax 856-691-2703

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