ScoringSystem: Grain Bins (Sample Record)

PIDC
Date (MM/DD/YYYY), Time (hh:rr)
Operator   
PIDC
Date (MM/DD/YYYY), Time (hh:rr)
field
PIDC
Date (MM/DD/YYYY), Time (hh:rr)
Storage
PIDC
Date (MM/DD/YYYY), Time (hh:rr)
Packaging
PIDC
Date (MM/DD/YYYY), Time (hh:rr)
Shipping
PIDC
Date (MM/DD/YYYY), Time (hh:rr)
Wholesaler

General Information:

Previous Codes: 956221
Type: Grain Bin
Manufacturer:
Owner:
Composition: Plastic / Metal / Wood
Size: L / W / H
Capacity: Vol.
Areation included: Y / N
Type of weight: Static
New / Used:
Purchased from:
Last products stored:
Cleaned: Y / N
Cleaned by whom:
Sanitizing agent used:
Container ID:
Container color:
Barcode No.
UPC:
Product code:
Company Logo:
Leased or rental: Yes / No Date / Time:


Chemical / Material Exposure History

Fertilizer:
Amount
Date:
Analysis:
How Applied:
Dry / Liquid:
N/A N/A N/A N/A N/A N/A
Herbicide:
Amount
Date:
Reg. No.:
How Applied:
Result:
N/A N/A N/A N/A N/A N/A
Pesticides:
Amount
Date:
Reg. No.:
How Applied:
Result:
N/A N/A N/A N/A N/A N/A
Biological:
Amount
Date:
Reg. No.:
How Applied:
Result:
N/A N/A N/A N/A N/A N/A

Miscellaneous

Other Bins Nearby: Yes / No Type
Insect Pressure: Yes / No Type
Type of Loading: Hand / Machine  
Crop / Bin Temperature: F / C  
Transported from field: Date: Type
Total amount: Weight /Date:
Storage temperature: F / C  
Storage area: Dimensions:  
Atmospheric Modified treatment: Gas used: Amount:

Scores

TYPE: SCORE: SCORED BY:
Cleaning equipment Number Organization
Storage Facilities Number Organization
Loading Equipment Number Organization
Loading Sanitation Number Organization
Shipping Equipment Number Organization
Shipping Sanitation Number Organization
Storage Practices Number Organization
Site Conditions Number Organization