LS-119 Swine Daily Report

FORM APPROVED. - OMB NO. 0581-0186
UNITED STATES DEPARTMENT OF AGRICULTURE
MARKETING SERVICE

SWINE DAILY REPORT

1. IDENTIFICATION NUMBER
2. COMPANY NAME
3. PLANT STREET ADDRESS
4. PLANT CITY

CLASS CODE

PURCHASE TYPE CODE

1 = BARROWS/GILTS
2 = SOW
3 = BOARS/STAGS

1 = NEGOTIATED
2 = OTHER MARKET FORMULA
3 = SWINE OR PORK MARKET FORMULA
4 = OTHER PURCHASE ARRANGEMENT
5 = PACKER-SOLD NEGOTIATED
6 = PACKER-SOLD OTHER MARKET FORMULA
7 = PACKER-SOLD SWINE OR PORK MARKET FORMULA
8 = PACKER-SOLD OTHER PURCHASE ARRANGEMENT

5. PLANT STATE
NOTE: 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 0581-0186. The time required to complete this information collection is estimated to average .1700 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.

6. PLANT ZIP CODE
7. CONTACT NAME

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 (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider
and employer.

8. PHONE NUMBER (include area code)
9. REPORTING DATE (mm/dd/yyyy)
10. REPORTING TIME (1 = 10:00 a.m.; 2 = 2:00 p.m.)
11. PURCHASED SWINE - Lot Identification

15. PURCHASED SWINE - Head Count

12. PURCHASED SWINE - Purchase Type Code

16. PURCHASED SWINE - Base Price ($/cwt.)

13. PURCHASED SWINE - Average Live Weight

17. PURCHASED SWINE - Origin (2-letter State postal abbr.)

14. PURCHASED SWINE - Class Code

PACKER-SOLD SWINE PURCHASES

ALL OTHER SWINE PURCHASES
26. EST. NEGOTIATED PURCHASES

18. EST. NEGOTIATED PURCHASES
Head Count
19. EST. OTHER MARKET FORMULA PURCHASES

Head Count
27. EST. OTHER MARKET FORMULA PURCHASES

Head Count

Head Count
28. EST. SWINE/PORK MARKET FORMULA PURCHASES

20. EST. SWINE/PORK MARKET FORMULA PURCHASES
Head Count

Head Count
29. EST. OTHER ARRANGEMENT PURCHASES

21. EST. OTHER ARRANGEMENT PURCHASES
Head Count
22. ACT. NEGOTIATED PURCHASES

Head Count
30. ACT. NEGOTIATED PURCHASES

Head Count
23. ACT. OTHER MARKET FORMULA PURCHASES

Head Count
31. ACT. OTHER MARKET FORMULA PURCHASES

Head Count
24. ACT. SWINE/PORK MARKET FORMULA PURCHASES

Head Count
32. ACT. SWINE/PORK MARKET FORMULA PURCHASES

Head Count
Head Count

LS-119 ( 0 5 / 1 3 ) Destroy previous edition

Head Count
33. ACT OTHER ARRANGEMENT PURCHASES

25. ACT OTHER ARRANGEMENT PURCHASES

Head Count