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pdfOMB No. 0581-0274
DAIRY PRODUCT MANDATORY REPORTING PROGRAM
DAIRY PRODUCT SALES SURVEY
Annual Validation Worksheet
U.S. Department of Agriculture,
Rm. 2535, South Building 1400
Independence Ave., S.W.
Washington, DC 20250-0225
Phone: 202-720-4392
Fax: 202-690-3410
Email: [email protected]
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 0581-0274. The time required to complete this information collection is estimated to average 20 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.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the
USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from
discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income
derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or
activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by
program or incident.
USDA AMS collects weekly information on the sales of
dairy products such as cheddar cheese to be published in
the Dairy Products Sales Release. The information you
provide is important to establish U.S. dairy product prices
used in setting minimum class prices under the Federal
Milk Order program. An accurate response to this survey
is mandatory and subject to verification by the AMS
under Public Law No. 106-532. This law specifically
protects the confidentiality of your report from public
disclosure except as directed by the US Secretary of
Agriculture or the US Attorney General for enforcement
purposes to ensure compliance with the Dairy Product
Mandatory Reporting program.
This worksheet should be completed by an AMS representative with the owner or manager making day-to-day marketing decisions and
all other employees (including primary and secondary reporters) working on the weekly Dairy Product Mandatory Reporting Program
(DPMRP) Dairy Product Sales Survey.
List the names of all those who attended the meeting and any changes that could affect DPMRP reporting since the last Dairy Product
Sales Survey was completed. (i.e. change in personnel, equipment, software, production):
(Shift+Enter or Ctrl+Enter for a new line in text box below)
1. Does this plant/company own or partially own other plants/companies producing or selling dairy products,
have tolling agreements with other plants/companies, or have an exclusive marketing agreement with other
plants/companies?
[Interviewer Note: If yes, complete the Supplement. If no, continue.]. . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
2. In a calendar year, does this plant/company sell one million pounds of:
a. Cheddar cheese in 40 pound blocks, colored between 6 and 8 on the National Cheese Institute color chart,
meeting Wisconsin State Brand, USDA Grade A, or better standards?
[Interviewer Note: If yes, complete Section 1a and 1b.] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Salted butter (80% butterfat), fresh or storage, in 25 kilogram and 68 pound boxes meeting USDA Grade AA
standards? [Interviewer Note: If yes, complete Section 2] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Non-fortified, nonfat dry milk in 25 kilogram bags, 50 pound bags, totes, and tankers meeting USDA Extra
Grade or USPH Grade A standards?
[Interviewer Note: If yes, complete Section 3]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Edible non-hygroscopic dry whey in 25 kilogram bags, 50 pound bags, totes, and tankers meeting USDA Extra
Grade standards? [Interviewer Note: If yes, complete Section 4] . . . . . . . . . . . . . . . . . . . . . . . .
3. If all of the above are checked “No”, please explain: (Shift+Enter or Ctrl+Enter for a new line in text box below)
Interviewer Note: If all parts of Question 2 are “no”, skip to Page 8 of 8. If any are checked “yes” complete all applicable commodity sections.
DA-230
Page 1 of 8
Section 1 – Cheddar Cheese in 40-Pound Blocks Sales
1. The following are the specifications for reporting weekly cheddar cheese in 40-pound blocks data
to AMS. Please review with the responsible reporting party and verify:
-Current Reporting Plants/Companies understand and are reporting based on each specification
listed below. Discuss and answer any questions.
-Potential Reporting Plants/Companies understand and can report based on each specification
listed below. Discuss and answer any questions.
Responsible reporting party
understands and is currently
reporting or can report based
on each specification listed
below
N/A = Not Applicable - the specification
does not apply to the plant/company
(i.e. No organic production)
Yes
No
N/A
a. Report only cheese colored between 6 and 8 on the National Cheese
institute color chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Report only cheese meeting Wisconsin State Brand, USDA Grade A, or better standard
c. Report price reflecting packaging costs for cheese wrapped in a sealed, airtight package in
corrugated or solid fiberboard container with a reinforcing inner liner or sleeve (excluding all other
packaging cost from the reported price). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Exclude all cheese that will be aged. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Report price as f.o.b. plant if the product is “shipped out” from a plant/company. . . . . .
f.
Report price as f.o.b. storage facility if the product is “shipped out” from a storage
facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. Report only complete transactions, i.e. cheddar cheese is “shipped out” and title transfer
occurs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Report only sales of cheddar cheese 4 to 30 days in age. . . . . . . . . . . . . . . . . . . . . . . . . .
i. Report prices without deduction for brokerage fees paid by the manufacturer. . . . . . . .
j. Report prices without deduction for clearing charges paid by the manufacturer. . . . . . .
k. Include sales of products labeled or contracted as sourced from cows not treated
with recombinant bovine somatotropin (rBST)
Exclude forward pricing sales: sales in which the selling price is established (and not
l. adjusted) 30 or more days before the transaction is completed. . . . . . . . . . . . . . . . . . . .
m. Exclude intra-company sales of cheddar cheese. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
n. Exclude sales of cheddar cheese produced under faith-based close supervision and
marketed at a higher price than the manufacturer’s wholesale market price for the
basic commodity (for example, kosher cheddar cheese poduced with a rabbi on site
who is actively involved in the supervision of the production process). . . . . . . . . . . . . . . . . . . . .
o. Exclude re-sales of purchased cheddar cheese. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
p. Exclude sales of premium assisted sales (for example: export assistance sales
through the Cooperatives Working Together (CWT) program). . . . . . . . . . . . . . . . . . . . . .
q. Exclude cheddar cheese certified as organic by a USDA-accredited certifying agent. . . .
2. If any of the above are checked “No” or "N/A", please explain:
(Shift+Enter or Ctrl+Enter for a new line in text box below)
DA-230
Page 5 of 8
Section 2 – Butter Sales
1. The following are the specifications for reporting weekly Butter sales data to AMS.
Please review with the responsible reporting party and verify:
-Current Reporting Plants/Companies understand and are reporting based on each specification
listed below. Discuss and answer any questions.
-Potential Reporting Plants/Companies understand and can report based on each specification
listed below. Discuss and answer any questions.
Responsible reporting party
understands and is currently
reporting or can report based
on each specification listed
below
N/A = Not Applicable - the specification
does not apply to the plant/company
(i.e. No organic production)
Yes
No
N/A
a. Report only salted butter with butterfat of 80% in 25 kilogram
and 68 pound boxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Report all fresh or storage butter sales meeting the other reporting
specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Report only butter meeting USDA Grade AA standards. . . . . . . . . . . . . . . . . . . . . . . . . .
d. Report price as f.o.b. plant if the product is “shipped out” from
a plant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Report price as f.o.b. storage facility if the product is “shipped out”
from the storage facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Report only complete transactions, i.e. butter is “shipped out”
and title transfer occurs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. Report prices without deduction for brokerage fees paid by
the manufacturer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. Report prices without deduction for clearing charges paid by
the manufacturer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i.
Include sales of products labeled or contracted as sourced from
cows not treated with recombinant bovine somatotropin (rBST). . . . . . . . . . . . . . . . . .
j.
Exclude forward pricing sales: sales in which the selling price is established
(and not adjusted) 30 or more days before the transaction is completed. . . . . . . . . . . . .
k. Exclude intra-company sales of butter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Exclude re-sales of purchased butter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l.
m. Exclude butter certified as organic by a USDA-accredited
certifying agent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
n. Exclude sales of butter produced under faith-based close supervision and marketed
at a higher price than the manufacturer’s wholesale market price for the basic
commodity (for example, kosher butter produced with a rabbi on site who is actively
involved in the supervision of the production process). . . . . . . . . . . . . . . . . . . . . . . . . . . .
o. Exclude sales of premium assisted sales (for example: export assistance sales
through the Cooperatives Working Together (CWT) program). . . . . . . . . . . . . . . . . . . . . .
p. Exclude all sales of unsalted butter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
q. Exclude all sales of Grade A butter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. If any of the above are checked “No” or "N/A", please explain:
(Shift+Enter or Ctrl+Enter for a new line in text box below)
DA-230
Page 4 of 8
Section 3 – Nonfat Dry Milk Sales
1. The following are the specifications for reporting weekly Nonfat Dry Milk sales data to
AMS. Please review with the responsible reporting party and verify:
-Current Reporting Plants/Companies understand and are reporting based on each specification
listed below. Discuss and answer any questions.
-Potential Reporting Plants/Companies understand and can report based on each specification
listed below. Discuss and answer any questions.
Responsible reporting party
understands and is currently
reporting or can report based
on each specification listed
below
N/A = Not Applicable - the specification
does not apply to the plant/company
(i.e. No organic production)
Yes
No
N/A
a. Report only non-fortified, nonfat dry milk in 25 kilogram bags,
50 pound bags, totes, and tankers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Report only nonfat dry milk meeting USDA Extra Grade or USPH Grade A standards. . . . . .
c. Report price as f.o.b. plant if the product is “shipped out” from a plant. . . . . . . . . . . . . .
d. Report price as f.o.b. storage facility if the product is “shipped out” from the
storage facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Report only complete transactions, i.e. nonfat dry milk is “shipped
out” and title transfer occurs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Report only nonfat dry milk manufactured using low or medium heat process. . . . . . . . .
g. Report prices without deduction for brokerage fees paid by the manufacturer. . . . . . . . .
h. Report prices without deduction for clearing charges paid by the manufacturer. . . . . . . .
i. Include sales of products labeled or contracted as sourced from
cows not treated with recombinant bovine somatotropin (rBST). . . . . . . . . . . . . . . . . .
j. Exclude forward pricing sales: sales in which the selling price is established
(and not adjusted) 30 or more days before the transaction is completed. . . . . . . . . . . . .
k. Exclude intra-company sales of nonfat dry milk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l. Exclude re-sales of purchased nonfat dry milk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
m. Exclude nonfat dry milk certified as organic by a USDA-accredited certifying agent. . . . .
n. Exclude sales of nonfat dry milk produced under faith-based close supervision and
marketed at a higher price than the manufacturer’s wholesale market price for the
basic commodity (for example, kosher nonfat dry milk produced with a rabbi on site
who is actively involved in the supervision of the production process). . . . . . . . . . . . . . . . . . . . .
o. Exclude all sales of nonfat dry milk using high heat process. . . . . . . . . . . . . . . . . . . . . .
p. Exclude sales of premium assisted sales (for example: export assistance sales
through the Cooperatives Working Together (CWT) program). . . . . . . . . . . . . . . . . . . . . .
q. Exclude all sales of nonfat dry milk more than 180 days old. . . . . . . . . . . . . . . . . . . . . . .
r. Exclude all sales of instant nonfat dry milk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
s. Exclude all sales of dry buttermilk products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. If any of the above are checked “No” or "N/A", please explain:
(Shift+Enter or Ctrl+Enter for a new line in text box below)
DA-230
Page 5 of 8
Section 4 – Dry Whey Sales
1. The following are the specifications for reporting weekly Dry Whey sales data to
AMS. Please review with the responsible reporting party and verify:
-Current Reporting Plants/Companies understand and are reporting based on each specification
listed below. Discuss and answer any questions.
-Potential Reporting Plants/Companies understand and can report based on each specification
listed below. Discuss and answer any questions.
Responsible reporting party
understands and is currently
reporting or can report based
on each specification listed
below
N/A = Not Applicable - the specification
does not apply to the plant/company
(i.e. No organic production)
Yes
No
N/A
a. Report only edible non-hygroscopic dry whey in 25 kilogram
bags, 50 pound bags, totes, and tankers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Report only dry whey meeting USDA Extra Grade standards. . . . . . . . . . . . . . . . . . . . . .
c. Report price as f.o.b. plant if the product is “shipped out” from a plant. . . . . . . . . . . . .
d. Report price as f.o.b. storage facility if the product is “shipped
out” from the storage facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Report only complete transactions, i.e. dry whey is “shipped out”
and title transfer occurs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Report prices without deduction for brokerage fees paid by the manufacturer. . . . . . . .
g. Report prices without deduction for clearing charges paid by the manufacturer. . . . . . .
h. Include sales of products labeled or contracted as sourced from
cows not treated with recombinant bovine somatotropin (rBST). . . . . . . . . . . . . . . . .
i. Exclude forward pricing sales: sales in which the selling price is established
(and not adjusted) 30 or more days before the transaction is completed. . . . . . . . . . . . .
j. Exclude intra-company sales of dry whey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
k. Exclude re-sales of purchased dry whey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l. Exclude dry whey certified as organic by a USDA-accredited certifying agent. . . . . . . . .
m. Exclude sales of dry whey produced under faith-based close supervision and
marketed at a higher price than the manufacturer’s wholesale market price for the
basic commodity (for example, kosher dry whey produced with a rabbi on site who is
actively involved in the supervision of the production process). . . . . . . . . . . . . . . . . . . .
n. Exclude premium assisted sales (for example: seller receives additional monetary
value above sale price from a third party (i.e. government or private entity) for the
export of dairy products based on criteria defined by the third party). . . . . . . . . . . . . . . .
o. Exclude all sales of dry whey more than 180 days old. . . . . . . . . . . . . . . . . . . . . . . . . . .
p. Exclude all Grade A dry whey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. If any of the above are checked “No” or "N/A", please explain:
(Shift+Enter or Ctrl+Enter for a new line in text box below)
DA-230
Page 6 of 8
Section 5 – Other Information
Yes
No
1. Does another plant/company report any Dairy Product Sales data for this plant/company?
a. If yes, who and what products? [Interviewer Note: If no, skip to Question 2]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Plant Name
Reported Product
b. If yes, does this plant/company have production sales not included in data submitted through your reporting
plant/company (i.e. cheese is reported through another plant/company but your plant/company also makes
and sells dry whey OR your plant/company has additional cheese cash sales outside the information reported
by the plant/company listed)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If yes, what products? [Interviewer Note: If no, skip to Question 2]
(Shift+Enter or Ctrl+Enter for a new line in text box below)
2. Does this plant/company make day-to-day marketing decisions and report (or can report) for more than one plant?
If yes, please identify all plants in the Multiple Plant List (page 8) to be included in the reporting of this
plant's/company's information before continuing to Question 3. If no, and there are plants listed on the
completed Supplement that are or should be reporting , please list the Plant ID (or office use if plant is
new,i.e., P1, P2) for these plants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Shift+Enter or Ctrl+Enter for a new line in text box below)
Interviewer Note: If plant/company qualifies, inform respondents of the weekly responsibilities and collect contact information.
3. Primary contact at this plant/company for completing the Dairy Product Sales Surveys?
Name:
Telephone:
Position:
Email:
Secondary contact at this plant/company for completing the Dairy Product Sales Survey?
Name:
Telephone:
Position:
Email:
Additional contact at this plant/company for completing the Dairy Product Sales Survey?
Name:
Telephone:
D
A-230
Position:
Email:
Page 7
8
Multiple Plants List Table: [Interviewer Note: List Plant Name, Location, and Dairy Products
reported for all company locations currently included in submitting a weekly report.]
Entered by MIB
Reporting
Plant
ID
ID
Plant Name
Location
Products
Reported
4. Do you understand the instructions and requirements of the Dairy Product Mandatory
Reporting Program? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
Report
Type
No
5. Do you need any additional explanation of any definition, question, or issues discussed in the Annual
Validation Worksheet?
If yes, review all sections the respondent would like additional clarification .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General Survey Comments: (Text Box Note- If you want to press enter to start a new line you need to press either CTRL+ENTER or SHIFT+ENTER)
(Shift+Enter or Ctrl+Enter for a new line in text box below)
Interviewer Name:
Respondent Name:
Signature:
A-230
Telephone:
Date:
Page 8 of
Instructions for inserting a PDF (scan) of the signed page 8 of 8:
Click on the INSERT Ribbon (next to home) in Excel.
Click on OBJECT
The insert an object will appear ( it should default to Adobe Acrobat Document).
Click OK, Then browse to find your file, Then click OPEN
Once you have inserted your Signed Page 8 of 8 PDF, you can move the Object to the
upper left corner of this sheet.
OMB No. 0581-0274
Supplement - Multiple Plants Reporting Screening Table
Note: This supplement is required for all operations answering "YES" to Question 1 in Section 1 of the Annual Validation.
1. Please list your company's headquarters location, all dairy plant locations, any plants/companies owned or partially owned producing or selling dairy
products, plants/companies with whom you have tolling agreements, or plants/companies with whom you have exclusive marketing agreements.
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
HQ
P1
P2
P3
[Interviewer Note: In the Question Answer Log - For each plant listed in the supplement with reportable products , answer questions 2, 3 and 4 listed below.]
2. Does your office have full access to (insert Plant Name of each entry) weekly sales data (i.e. all ledgers, contracts,
invoices, and cash receipts)? If "No" or "Unknown", please explain in the comment box.
3. Does (insert Plant Name of each entry) produce and/or market products outside of the information you can provide to AMS (i.e. cheese is
reported through your office but the plant listed above sells dry whey using a different office)? If "Yes" or "Unknown", please explain in the comment box.
4. Does (insert Plant Name of each entry) market products of the same type outside of information you can provide to AMS (i.e. the plant
listed above may have cash sales you cannot access)? If "Yes" or "Unknown", please explain in the comment box.
5. Comment Box: (Shift+Enter or Ctrl+Enter for a new line in text box below)
[After completion of the supplement return to the Annual Validation Worksheet in Section 1, Question 2.]
DA-230-S (Supplement sheet to DA-230)
Supplement Page 1 of 3
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS
LISTED are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P4
P5
P6
P7
P8
P9
P10
P11
P12
P13
DA-230-S (Supplement sheet to DA-230)
Supplement Page 2 of 3
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P14
P15
P16
P17
P18
P19
P20
P21
P22
P23
DA-230-S (Supplement sheet to DA-230)
Supplement Page 3 of 3
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P24
P25
P26
P27
P28
P29
P30
P31
P32
P33
DA-230-S (Supplement sheet to DA-230)
Supplement Page 4
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P34
P35
P36
P37
P38
P39
P40
P41
P42
P43
DA-230-S (Supplement sheet to DA-230)
Supplement Page 5
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P44
P45
P46
P47
P48
P49
P50
P51
P52
P53
DA-230-S (Supplement sheet to DA-230)
Supplement Page 6
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P54
P55
P56
P57
P58
P59
P60
P61
P62
P63
DA-230-S (Supplement sheet to DA-230)
Supplement Page 7
Interviewer Note: List Company Name, Plant Name, Physical Address, Mailing Address, Contact, Telephone, and Dairy Products Produced for each location.
Office
Use
Company Name
Physical Address
Contact Name
List ALL Dairy Products
Produced at Plant
Plant
Id
Plant Name
Mailing Address
Telephone Number
(Check the box ONLY if ALL PRODUCTS LISTED
are NOT REPORTABLE )
Question Answer Log
(For plants with reportable products, answer
questions in the boxes below)
Question 2
Question 3
Question 4
P64
P65
P66
P67
P68
P69
P70
P71
P72
P73
DA-230-S (Supplement sheet to DA-230)
Supplement Page 8
| File Type | application/pdf |
| Author | Colleen Eigenfeld |
| File Modified | 2025-03-19 |
| File Created | 2025-03-18 |