Report for Partially Regulated Distributing Plants

United States Department of Agriculture

Form Approved,

AGRICULTURAL MARKETING SERVICE
DAIRY PROGRAMS
Mideast Marketing Area
Federal Order No. 33

1325 Industrial Parkway North
P.O. Box 5102
Brunswick, Ohio 44212
Phone: 330/225-4758
Toll Free: 888/751-3220

OMB No. 0581-0032

REPORT FOR PARTIALLY REGULATED DISTRIBUTING PLANTS

Fax: 330/220-6675
Email: [email protected]

HANDLER

MONTH
This report is required by the order in accordance with 7 U.S.C. 608c and d. Failure to report can result in the assessment of a civil
penalty of up to $1,000 per day (7 U.S.C. 608c (14)(B)) or, upon conviction, in a fine of up to $5,000 per day (7 U.S.C. 608c (14)(A)).

CLASS I ROUTE DISPOSITION WITHIN THE MARKETING AREA
BF
Sec. Item

Product

5 Gallons

041

110

Whole Milk

041

140

Flavored Whole Milk Products

041

170

Organic Whole Milk Products

041

211

2% Reduced Fat Milk - No Solids Added

041

212

2% Reduced Fat Milk - Added Solids

041

221

1% Lowfat Milk - No Solids Added

041

222

1% Lowfat Milk - Added Solids

041

225

1/2% Lowfat Milk - No Solids Added

041

226

1/2% Lowfat Milk - Added Solids

041

231

Fat Free Milk - No Solids Added

041

232

Fat Free Milk - Added Solids

041

240

Flavored Lowfat & Skim Milk

041

250

Buttermilk

041

255

Drinkable Yogurt

041

270

Organic Fat-Reduced Milk Products

041

296

Lactose Reduced

041

149

Eggnog

Gallons

Half-Gal.

Quarts

Pints

10 Ounces

1/2 Pints

4 Ounces

Test

POUNDS
Product

041
TOTAL
This is to certify that the Class I route disposition within the marketing area reported above is less than 25% of the total Class I route disposition for the month.
I declare under the penalties provided by law that this report has been examined by me and to the best of my knowledge and belief is a true, correct, and complete report. I also certify that I am authorized to sign this report.

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

Butterfat

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 30 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 (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.