Report for Partially Regulated Distributing Plants

Report Forms Under Milk Marketing Order Programs (From Milk Handlers and Milk Marketing Cooperatives)

rpt prt reg dist plt_11-02-10

Report Forms Under Milk Marketing Order Programs (From Milk Handlers and Milk Marketing Cooperatives)

OMB: 0581-0032

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United States Department of Agriculture
f325 lndustrial Parkway North

AGRICULTURAL MARKETING SERVICE
DAIRY PROGRAMS

P.O. 8ox 5102
Brunsw¡ck, Ohio44212

Fom approved. OMB 0581.0032

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Phone: 330/2254758
Toll Free: 88817 51-3220

REPORT FOR PARTIALLY REGULATED DISTRIBUTING PLANTS

Fax: 3301220-6675
clevelandma

HANDLER

MONTH
Th¡s report ¡s required by the order in accordance with 7 U.S.C. 608c and d. Failure tc report cân result in the assessment of a civil
penalty of up to $1,000 per day (7 U.S.C. 608c (14X8)) or, upon conv¡ct¡on, in a fìne of up to $5,000 per day (7 U.S.C. 6OBc (14X4))

CLASS
Item

Product

)41

1'l

Whole M¡lk

)4'l

14(

Flavored Whole Milk Products

)4

17(

Orqan¡c Whole Milk Products

)4

211

2olo

)4

21t

2% Reduced Fat M¡lk - Added Solids

)4

221

1% Lowfat Milk - No Solids Added

)41

22t

1% Lowfat Milk - Added Solids

)41

224

1/2olo Lowfat Milk

)4',

22e

1l2o/o Lowfal M¡lk - Added Solids

04'l

231

Fat Free M¡lk - No Solids Added

041

232

Fat Free Milk - Added Solids

041

24C

Flavored Lowfat & Skim M¡lk

o41

25C

Buttermilk

)41

25!

Dr¡nkable Yoqurt

)41

27r

Oroanic Fat-Reduced Milk Products

)41

296

Lactose Reduced

)41

149

Eqgnoq

5 Gellons

I

ROUTE DISPOSITION WITHIN THE MARKETING AREA
Gallons

Half-Gal.

Ouarts

P¡nts

10 Ounces

l/2 Pints

4 Ounces

BF

POUNDS

Test

Product

Reduced Fat Milk - Nô Sol¡ds Added

- No Sol¡ds Added

141

TOTAL
This is to cert¡ty that lhe Class I route d¡sposit¡on with¡n the market¡ng area reported âbove ¡s less than 2570 of the total Class I route d¡sposit¡on for the month.

Name and Handler
(PERSON AUTHORIZED TO SIGN FOR HANDLER)
Date

(ïrLE)

Butterfet

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 0581-0032. The time required to complete this information
collection is estimated to average 0.5 hours 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, political beliefs genetic information, reprisal, or because all or part of an
individual's income is derived from any public assistance program. (Not all prohibited
bases app¡y 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, Assistant Secretary for Civil Rights, Office
of the Assistant Secretary for Civil Rights, 1400 lndependence Avenue, S.W.,
Washington, D.C. 20250-9410, or call (866) 632-9992 (English) or (800) 877-8339
(TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federalrelay). USDA is an equal opportunity provider and employer.


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