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

Exp. XX/XXXX

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
Sec. Item

Product

041

110 Whole Milk

041

140 Flavored Whole Milk Products

5 Gallons

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

BF
Test

POUNDS
Product

Butterfat

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 _________________________________________________________________

_______________________________________________________________

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.
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