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Quality Gilt Form
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Driver
*
Choose
Dave Sanders
Matt Black
Ryan Schrader
Blake Lewis
Other
License Trailer Number
*
Your answer
Site Location # 1
*
Your answer
Gilt Age - Birth Week
*
Your answer
Head Out
*
Your answer
Site Location # 2
Your answer
Gilt Age - Birth Week
Your answer
Head Out
Your answer
Site Location # 3
Your answer
Gilt Age - Birth Week
Your answer
Head Out
Your answer
Farm Shipped to
*
Enter in each sow location
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Quality ISO
Other
Ticket Number
*
Your answer
Average Weight
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Pig Condition
*
None
One
Two
Three
Four
Five
Other
Prolaspe
Slows
DOA
Other
None
One
Two
Three
Four
Five
Other
Prolaspe
Slows
DOA
Other
Comments
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