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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”
Enter the following Foster Home/Animal Shelter Agent information
Please check type of inspection and enter the date
Please check one or more categories

[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”
Inspected by
Foster Home/Animal shelter Agent
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