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1 Step 1

Name of farm

Farm Address

Farm legal entity name

Primary ContactFirst + Last Name

Primary Contact Email

Primary Contact Phone

Mailing Address

Dairy Information

Please fill out the best of your ability. Any answers that are not easily accessible can be left blank.

Total Herd SizeTotal Animals

Herd size by animal type

Milking Cows	Dry Cows	Heifers	Calves
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(1)

Breed

Type of bedding used

How is manure collected by animal category?

Milking Cows

FlushScrapeVacuumOther

Other (please explain):your full name

Dry Cows

FlushScrapeVacuumOther

Other (please explain):your full name

Heifers Cows

FlushScrapeVacuumOther

Other (please explain):your full name

Calves

FlushScrapeVacuumOther

Other (please explain):your full name

How much fresh water is used per day for cleaning?Gallons per day

What is the source of the water?

What chemicals do you use in the cleaning process?

How much recycled water do you use in the cleaning process?Gallons per day

Do you have plans to increase or decrease the herd size in the near term?

YesNo

By how many animals?

Do you have an air-cooled or water cooled refrigeration system?

How deep are existing lagoons?

Do you have a plater cooler?

YesNo

Do you have a wash pen?

YesNo

Do you have soakers?

YesNo

Do you have a solids separator?

YesNo

Do you have a sand settling pit?

YesNo

How does manure flow to the lagoons?

GravityPump Station

Do you have a parallel or rotary barn?

ParallelRotary

Other (please explain)

How deep is the underground water?in feet

Additional comments?

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