Title Page
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Document No.
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Producer Database Entry Form
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Client / Site
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Prepared by
GENERAL FARM INFO
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Farm Name:
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Owner Name:
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SMS Number:
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Site Capacity:
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Water Source:
- Multiple Water Sources
- Public
- Surface
- Well
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Generator Manufacturer:
- Katolight Auto Start
- Kohler
- MQ Auto Start
- Portable
- PTO
- Other
- N/A
- Baldor Auto Start
- Blue Star Auto Start
- CAT
- Cummings Auto Start
- Generac Auto Start
- John Deere Auto
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Size (KW):
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Management Type:
- Contractor
- Owner/Hired Labor
- Owner Operator
BUILDING LAYOUT
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Builder:
- MEP/QC Supply
- Murphy Built
- New Modern
- PSI
- Quality Ag
- Various Builders
- Other
- AgriTech
- Custom builders/Vittitoe
- Davidson Const
- Hog Slat
- Integrity Builders
- JDL Longhorn
- Krominga
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Year Built:
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Building Length-Ft (ID):
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Building Width-Ft (ID):
- 50
- 60
- 70
- 80
- 100
- 120
- Other
- 30
- 36
- 40
- 45
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Barn(s) Capacity:
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Bin Type:
- In Tandem
- Not in Tandem
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Bin Diameter:
- <10'
- >10'
- <10' & >10'
- Other
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Bin Agitators:
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Number of Pens:
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Pen Size (# of Head):
- <36
- 36-60
- 61-100
- 101-120
- 121-200
- >201
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Pen Style:
- No Pre-sort
- Pre-sort Capability
- Sort/Scale Barn
- Other
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Room Capacity:
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Alley Location in Barn:
- Center
- Side
- None/Sort Barn
- Center & Side
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Loadout Type:
- Attached Sloped Chute
- Combo-Chute & Dock
- Combo-Dock & Trailer Height
- Dock-Exposed
- Dock-Enclosed
- Portable Chute
- Other
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Loadout Location:
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Loadout Alley Width in Barn:
VENTILATION
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Ventilation Style:
- Power Only
- Power/Natural
- Tunnel
- Other
- Natural- no fans
- Natural Tunnel
- N/A
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Tunnel Curtain Location:
- Endwall & Sidewall
- Endwall Only
- Sidewall Only
- N/A
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Min CFM:
- <30
- 30-35
- 36-40
- Tunnel Only
- Other
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Controller Manufacturer & Model:
- Acme Climate Controller
- Acme PP16
- Acme PP20
- AeroTech 1F5N
- AeroTech Ultra
- AreoTech Unibox
- AP 212
- AP Expert Series 2
- AP PN 110
- AP TC 5
- AP VT 110
- Choretronics
- Fancom
- Hired Hand 1200
- Hired Hand 3000
- Phason
- RayDot CV5 24H & CW5 T 11HA
- RayDot CW5 T 11 HA Curtain Only
- Valco CV5 24H
- Valco Ventra
- Ventium
- Various Controllers
- Other
- AeroTech AeroBoss 1.6
- AP EDGE
- Hired Hand 600
- Maximus
- Varifan ECS4
- Varifan IC 68 ND
- Varifan IC 610
- Varifan IC 611
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Inlet Type:
- Actuated
- Weighted
- Manual
- N/A
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Alarm Manufacturer:
- AgriAlert 2400
- AgriAlert 800EZ
- AgriAlert 800T
- EnviroWatch
- Hawk
- Hired Hand
- Sensaphone
- Other
- None
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Number of Override Thermostats:
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Items Override Thermostats Control:
- Pit Fans+Tunnel Fans+ Curtain Drop
- Pit Fans+Tunnel Fans+ Curtain Drop + Heater
- Fan + Curtain Drop + Heater
- Fans+ Curtain Drop
- Curtain Drop + Heater
- Other
- Nothing
- Pit fans only
- Pit fans + Tunnel fan
- Curtain Drop Only
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Curtain Drop Style:
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Room Heaters Manufacturer:
- LB White
- Hired Hand
- AP
- ACME
- Other
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Number of Heaters:
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Output (BTU's):
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Brooder Heaters Manufacturer:
- Gasolec
- Grower Select
- Heat Lamps
- LB Whte
- Other
- N/A
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Number of Brooder Heaters:
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Brooder Output (BTU's):
FEEDERS
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Feeder Manufacturer:
- Chrystal Springs
- Hog Slat
- Omara
- SDI
- Thorp
- Other
- Aqua Tube
- Choretime
- Various Fdr Mfgs
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Feeder Type:
- Dry
- Paddle
- Shelf
- Tube
- Other
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Number of Feeders in Barn:
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Feeder Capacity/Pen (lbs):
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Total Feeder Length/Pen (Inches/both sides):
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Number of Feeder Holes/Tubes per Pen:
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Size Feeder Holes (Inches):
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Pigs/Fdr Hole
WATERERS
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Waterflow:
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Restrictions:
- Pressure Reg/Water Meter
- Pressure Reg/Water Meter/Waterline into barn
- Pressure Reg/Waterline into barn
- Water Meter Only
- Water Meter/Waterline into barn
- Waterline into barn only
- Medicator/Water Meter
- Medicator Only
- Medicator/Pressure Reg
- Medicator/Pressure Reg/Water Meter
- Medicator/Pressure Reg/Water Meter/Waterline into barn
- Medicator/Pressure Reg/Waterline into barn
- Medicator/Water Meter/Waterline into barn
- Medicator/Waterline into barn
- Pressure Reg Only
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Drinker Type:
- Combo Drinker Typer
- Cup
- Nipple-Fixed
- Nipple-Swinging
- Wet/Dry
- Other
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Number of Pigs/Drinker:
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Number of Weaned Pigs/Nipple:
- 12
- 12.5
- 12.9
- 13.6
- 16.7
- 25
- Other
- N/A
- 6.5
- 7.5
- 8.6
- 10
- 10.8
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Number of Weaned Pigs/Cup:
FLOORING
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Finishing Flooring Type:
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Nursery Flooring Type:
ENVIRONMENTAL
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Dead Animal Disposal Type:
- Composting
- Incineration
- Rendering
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Manure Storage Type:
- Deep Pit
- Lagoon/Earthen Basin
- Outside Storage Tank
- Pit in Other Building
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Freeboard (Inches):
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Manure Handling:
- Deep Pit
- Flush
- Pull Plug
- Scraper
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NOTES: