DA-201C Cheese Graders Memorandum

Requirements Under Regulations Governing Inspection and Grading Services of Manufactured or Processed Dairy Products

DA-201C Cheese Graders Memorandum 01-29-09

Reporting Requirements - Private Sector

OMB: 0581-0126

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U.S. DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

CHEESE GRADERS MEMORANDUM

CERTIFICATE NO.

TO: APPLICANT (Name and address)

SHIPPER OR SELLER (Name and address)

RECEIVER OR BUYER (Name and address)

DATE INSPECTED

NO. SAMPLES TAKEN

INSPECTED AT (Name and address)1

INSPECTED BY:

CONDITION OF CONTAINERS

SAMPLE CONTAINERS STAMPED

WITH USDA LOT NO.

applicable U.S. standards for condition of

food containers

MANUFACTURED BY (Name and address)1

ANNOUNCEMENT

NO.

CONTRACT NO.

SEED NO.

SIZE AND KIND OF CONTAINERS

STORAGE LOT

SERVICE DATE

MOISTURE TEST

VAT

NUMBER

YR__MFG.

DATE

NO.

PKGS.

MARKED WEIGHT

TEST
SHORTAGE

NET

WEIGHT

DEFECT RATING

U.S.

GRADE

COMMENTS

(S-Slight, D-Definite, P-Pronounced)

FDB

%

H2O

pH


FLA­VOR

BODY & TEX

COLOR

FINISH





































































































































































































































































































































SIGNATURE OF AGENT FOR APPLICANT

US GRADE

NO. OF PACKAGES

WEIGHT

FEES


GRADE







lbs

INSPECTION

$


GRADE







lbs

EXPENSE



GRADE







lbs

LABORATORY



GRADE







lbs

TOTAL

$


GRADE

BELOW






lbs


DA-201C (01-09) (Destroy previous edition DA-132 dated 01-95 & 12-00)

(See reverse of form for Burden Statement)


According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0126. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.


The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).


To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call 202-795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.


File Typeapplication/msword
File TitleCheese Graders Memorandum
AuthorKen Vorgert
Last Modified Bympish2
File Modified2009-01-29
File Created2009-01-29

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