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Date Rec. by Program Specialist: ____________

Initials:

____________

Sanitarian Supervisor:

____________

GUIDE AND COVER SHEET FOR THE SUBMISSION OF PLANS:

DAIRY PROCESSING FACILITY

Preparation of this cover sheet will aid in the timely review of the proposed project.

Before work is begun, two copies of properly prepared plans for all processing facilities, their construction,

reconstruction, alterations, equipment changes, or system alterations therein shall be submitted to the Ohio

Department of Agriculture, Dairy Division, 8995 East Main Street, Reynoldsburg, OH 43068-3399.

Proposed project is (circle all that apply): Building

Equipment

Piping

Other

Expansion

New

Replacement

Repair

Other

Plant Name:

_____________________________

Contact Person: _________________________

Address:

_____________________________

Contact Phone: _________________________

City:

_____________________________

Email:

_________________________

State / Zip:

_____________________________

Description of the Proposed Project (if letter of intent does not accompany this plan submittal, outline the

project below). Include in the description, the make, model and serial number of equipment, size of product

pipelines, location of equipment installation, proposed project beginning date and completion date. Attach

floor plan drawing, equipment schematics or piping diagrams.

______________________________________________________________________________________

District Program Specialist remarks and suggested specifications to be attached to this approval letter:

______________________________________________________________________________________

Use additional pages if necessary.

OHIO DEPARTMENT OF AGRICULTURE, Dairy Division, Revision: 3/28/07

Guide And Cover Sheet For The Submission Of Plans - Diary Processing Facility - Ohio Department Of Agriculture