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1.0 Animal History - All Animals |
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| 1.1 Were these animals born on your property? | no yes |
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1.2 If NO, have you farmed these animals for 60 days or more? | no yes |
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1.3 If 1.2 is NO, do you have information on origin? | no yes
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2.0 Animal Treatments - All Animals |
| 2.1 Are any of these animals within the meat witholding period of any
treatment applied by yourself or a previous owner? | no yes |
2.2 If YES, state the product name(s), methods(s) of treatment,
and date(s) used. These animals are NOT eligible for slaughter
for human consumption.
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Product | Method of Treatment | Date Used |
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3.0 Animal Feeding - cattle, sheep, swine, goats |
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3.1 Have any of these animals been fed with ruminant protein in their lives? | no yes |
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3.2 Have these animals been fed according to Hardwick Beef's protocol? | no yes |
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4.0 HGP Treatment - cattle |
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4.1 Have any of these animals been treated with a hormonal growth
promotant in their lives? | no yes |
Declaration: I declare that the information in this affidavit is true and accurate.
Signature  Date:
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