(16) Block 16: Total Number of Cases in Shipment. Record the total number
of 30 dozen cases or 30 dozen equivalent cases. To do this, divide the total manifest
dozen (see block 9f) by 30. Round the end result to the nearest full case. Example:
2500 divided by 30 = 83.
(17) Block 17: Egg Breakdown.
(a) Lot Average Tolerances. Enter in blocks (1) and (2) the minimum
and maximum requirements for the grade of eggs being inspected. Use lines (a)
through (d). Enter in block (3), the actual lot average percentages of the samples
inspected from the reverse side of the form. Circle the nonconformances.
(b) Individual Case Tolerances. Enter individual case tolerances and
nonconformances. In the first column, enter in block (10) the requirement for the
individual case weight. In the second column, enter individual case tolerances in blocks
(2), (5), and (8) and the requirement for underweight eggs in block (13). In the third
column, write NONE in those blocks where the cases are conforming. For the
nonconformances, in blocks (3), (6), (9), and (14), enter the individual samples, by
sample case number, that are over or under the minimum or maximum requirements.
Circle the nonconformances.
(c) Other Loss Breakdown. Identify Other Loss using the listing of
Loss symbols, by count, name, and abbreviation. Example: four Bloody White (BW) or
two Mixed Rot (MR).
(18) Block 18: Remarks. Enter all information or explanation affecting
contract administration. Enter the name of the individual to whom the nonconformance
was reported, the date and the time. Enter any action taken and authority for the action.
(19) Block 19: Quality Assurance Representative. Enter the name of
inspector, the rank or grade, the signature of the inspector, and the date the report was