DY-346 sample.pdf

This document is a Dairy Farm Inspection form issued by the Michigan Department of Agriculture and Rural Development's Food and Dairy Division, located in Lansing, Michigan. The form is designed for conducting official dairy farm inspections in accordance with specific state acts and regulations. The document appears to be a multi-part NCR (No Carbon Required) form with three parts, where all parts are printed in white, with Parts 1 and 2 having front pages printed the same and Part 3 having a different front page print.

The inspection form includes spaces for detailed documentation of a dairy farm inspection, with checkboxes for various inspection types such as initial, routine, suspension, reinstatement, and others. The form contains a warning that failure to correct identified items may result in suspension of the farm's permit and potential administrative fines. While most of the form's detailed sections are blank in this image, it is clearly a standardized state inspection document used to systematically evaluate and record dairy farm compliance with Michigan's agricultural regulations.