PIDC Date (MM/DD/YYYY) Time (hh:mm) Feed manufacturer PIDC Date (MM/DD/YYYY) Time (hh:mm) Storage Warehouse PIDC Date (MM/DD/YYYY) Time (hh:mm) Bin Location PIDC Date (MM/DD/YYYY) Time (hh:mm) Mixer Location PIDC Date (MM/DD/YYYY) Time (hh:mm) Feed Storage / Transport PIDC Date (MM/DD/YYYY) Time (hh:mm) Feed Distributor PIDC Date (MM/DD/YYYY) Time (hh:mm) Feed Dealer PIDC Date (MM/DD/YYYY) Time (hh:mm) Farm Use Location
General Information:
	Feed type / Class:   Manufacturer name:   Amount Produced::     Gross content analysis Grain or Ingredient:   Additives   GMO - Y/N, %     Feed Nutritional Analysis Crude Protein   Crude Fat   Digestible Fiber   Crude Fiber
	Ingredient Analysis Moisture:   Inert material:   Chemical contamination, %   Biological contamination, %     Grain or Ingredient source Grain or Ingredient type:   Delivery date,time:   Delivery date, amount:   Delivery equipment type:   Transport type   Origin country, state:     Brokerage firm Name:   Date:   Transaction No.

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Laboratory tested - Y / N, results
1.
2.
3.
Certfying agency: name, date, inspector No.
1.
EUREPGAP record - Y / N, date, time
1.
Quality control implementation - Y / N, inspection name / No. / date
1.

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	Grain or Ingredient Analysis
Moisture:
Inert material:
Chemical contamination:
Biological contamination:

 

	Bulk / bag size, weight (kgs, lbs )
Packaging / Type :
Storage conditions: Humidity, Temp °F, °C
Transport: Load amounts, Temp °F, °C
Handling / storage / transport: cleaning, sanitation:

Material Name	PIDC	Source / Supplier	Delivery: Date / Method
Corn:
Oats:
Soybeam meal:
Fish meal:
Phosphorous:
Dicalcium phosphate:
Vitamins A D:
Lycene:
Copper: