AD Screening Form: Swine Facility

Caution!

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The Following Errors must be resolved to submit this form:

1. Farm Location and General Information

* Farm Name: * Contact Person:

Company Name
(if applicable):

Phone No.: * Email:

Farm Address:

* State:

* County:

2. Farm Type and Livestock Population

If the farm is divided into different sites, please use a different screening form for each site.

Please complete either the Pig Spaces/Turns column or the Finished column

Type of Pig	# Pig Spaces/ # Turns per year	# Finished per year
* Gestating sows
* Lactating sows
* Boars
* Nursery pigs
* Weaned pigs
* Feeder pigs

3. Method of Confinement

Please indicate hours per day in each type of confinement facility as appropriate

Type of Pig	Flush, pull plug pit, or pit recharge barn	Deep pit barn or other manure storage under slatted floor	Pasture or other
* Gestating sows
* Lactating sows
* Boars
* Nursery pigs
* Weaned pigs
* Feeder pigs

* How do you store manure?

Anaerobic lagoon with secondary storage
Storage tank or pond
Combined storage and treatment lagoon
Deep pit

* How often do you remove manure from the storage tank(s) or pond(s)?

4. Energy

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