OMB Control No. 0648-0618 Expiration Date: 04/30/2015
Economic Data Collection (EDC) Form
WEST COAST GROUNDFISH FIRST RECEIVER AND SHOREBASED PROCESSOR 2014
NOAA Fisheries – Northwest Fisheries Science Center |
Who is responsible for submitting:
All owners of a first receiver site license in 2014; or
All owners and lessees of a shore-based processor (as defined under “processor” at §660.11, subpart C, for purposes of EDC) that received round or headed-and-gutted IFQ species groundfish or whiting from a first receiver in 2014.
A separate EDC form is required for each processing facility.
Complete all questions. If a question is not applicable, write "NA" in the answer box. The survey will not be considered complete unless there is an answer to every question.
Submit by September 1, 2015.
Paper submission: Completed and signed EDC forms must be mailed and postmarked by, or hand-delivered to NMFS no later than September 1, 2015. Mail or deliver to
Economic Data Collection Program (FRAM Division)
Northwest Fisheries Science Center
2725 Montlake Boulevard East
Seattle, WA 98112
Web form submission: Completed EDC web forms must be submitted electronically and the signature page faxed, or hand-delivered, or mailed and postmarked no later than September 1, 2015. Mail or deliver to address above. Fax to (206) 861-8225.
Retain a copy. Retain a copy of the completed form.
More information: www.nwfsc.noaa.gov/edc.
Questions: Visit the website above or contact Erin Steiner at (866) 791-3726 or NWFSC.EDC@noaa.gov
Public Reporting Burden Statement
Public reporting burden for this collection of information is estimated to take 20 hours per response, including time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden to Erin Steiner, National Marine Fisheries Service, Northwest Fisheries Science Center, 2725 Montlake Blvd E, Seattle, WA 98112.
Additional Information
Before completing this form, please note the following: 1) Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing efforts under 50 CFR part 660 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under 402(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect the confidentiality of fishery statistics.
Provide the buyer identification number issued by the state fish and game agencies associated with this entity or facility. Enter “NA” if this is a processing facility that does not have a buyer identification number.
Processor/Buyer IDs |
Washington Department of Fish and Wildlife
__________ |
Oregon Department of Fish and Wildlife
__________ |
California Department of Fish and Game
__________ |
Provide the following information about this receiving or processing facility.
Name of Facility |
First Receiver Site License Number for 2014 |
||
Business Mailing Address Street / PO Box
|
Business Phone ( ) |
||
Business Fax ( ) |
|||
City |
State |
Zip Code |
Business Email |
Individual completing this report. If your address, phone, and email are provided above, you do not need to repeat them here, but please provide your name and title.
Name |
Title |
|||
Business Mailing Address Street / PO Box
|
Business Phone ( ) |
|||
Business Fax ( ) |
||||
City |
State |
Zip Code |
Business Email |
Answer the following questions related to the most recent appraisal of this facility.
What was the year of this facility's last appraisal? |
_________ yyyy |
What was the market value of this facility from the appraisal, rounded to the nearest 100 dollars? |
$_________ |
What was the replacement value of the facility from the appraisal, rounded to the nearest 100 dollars? |
$_________ |
Did the survey values given above include the value of all processing equipment* contained on-site? |
Yes No |
For the remainder of the survey, report values from your 2014 fiscal year. When did this facility’s 2014 fiscal year begin?
_____/_____/__________ mm dd yyyy |
Please report values from your 2014 fiscal year for the remainder of this survey. |
Provide the 2014 capitalized expenditures associated with the facility buildings, machinery, and equipment. Round all answers to the nearest 100 dollars.
Capitalized Expenditure Category |
Total Capitalized Expenditures |
Capitalized expenditures on buildings (exclude land but include building improvements) |
$___________________ |
Capitalized expenditures on new and used machinery and equipment (include only equipment used to process*, transport† on-site, or store‡ fish on-site) |
$___________________ |
Provide the following information about the number of employees and wages. Include full and part-time employees and temporary employees working at this facility. The information is requested separately for production workers and all other employees, which are defined below.
Provide the number of production workers in the following table. Production workers include those workers at this facility (up through and including the line-supervisor level) engaged in fabricating, processing, assembling, inspecting, receiving, packing, warehousing, shipping, maintenance, repair, janitorial, product development, or transporting product on-site. If your fiscal year does not follow the calendar year, use the month that corresponds with your fiscal year.
For the week of your fiscal year that includes |
Number of production workers (full time, part time, and temporary) |
Total Hours Worked |
January 12th |
___________workers |
___________hrs |
February 12th |
___________workers |
___________hrs |
March 12th |
___________workers |
___________hrs |
April 12th |
___________workers |
___________hrs |
May 12th |
___________workers |
___________hrs |
June 12th |
___________workers |
___________hrs |
July 12th |
___________workers |
___________hrs |
August 12th |
___________workers |
___________hrs |
September 12th |
___________workers |
___________hrs |
October 12th |
___________workers |
___________hrs |
November 12th |
___________workers |
___________hrs |
December 12th |
___________workers |
___________hrs |
Provide the number of all other employees in the following table. All other employees includes those involved in supervision above line-supervisor level, sales, advertising, credit, collection, installation, cafeteria, recordkeeping, clerical and routine office functions, guard services, executive, purchasing, finance, and legal. If hours are not tracked for salaried employees, please assume a 40-hour work week. If your fiscal year does not follow the calendar year, use the month that corresponds with your fiscal year.
For the week of your fiscal year that includes |
Number of all other employees (full time, part time, and temporary) |
Total Hours Worked |
March 12th |
___________________employees |
___________________hrs |
Provide the total number of individuals who worked at this facility during 2014 in production activities and in all other activities.
This value should represent the number of individuals who worked at any point during the year, rather than the number of positions.
Include full-time and part-time workers, contract workers, temporary workers, and workers on paid leave.
Labor Category |
Total Number of Individuals |
Production workers (see definition in Question 7) |
___________ individuals |
All other employees (see definition in Question 8) |
___________ individuals |
Provide the total 2014 labor expenses for production workers and all other employees.
Include wages, bonuses, benefits, payroll taxes, and unemployment insurance.
Labor Category |
Total Expenses |
Production workers (see definition in Question 7) |
$__________________ |
All other employees (see definition in Question 8) |
$__________________ |
Provide the total cost of quota pounds and quota shares purchased or leased during 2014 in the West Coast Groundfish Trawl Catch Share Program. Purchase of quota reflects a permanent transfer, whereas lease implies a temporary transfer.
Purchase or Lease of Quota |
Total Costs |
Lease of quota pounds |
$__________________ |
Purchase of quota pounds |
$__________________ |
Lease of quota shares |
$__________________ |
Purchase of quota shares |
$__________________ |
Provide the total expenses on utilities at your facility in 2014.
Utility Expense Category |
Total Expenses |
Electricity |
$__________________ |
Natural gas |
$__________________ |
Propane gas for transportation and processing |
$__________________ |
Other gas (not gasoline) |
$__________________ |
Water |
$__________________ |
Sewer, waste, and byproduct disposal |
$__________________ |
Provide the total expenses on rental or lease payments for this facility.
Rental or Lease Payments |
Total Expenses |
Rental or lease of buildings, job-site trailers, and other structures (including land) |
$__________________ |
Rental or lease of processing machinery or equipment |
$__________________ |
Provide total expenses on repair and maintenance on facility buildings, machinery, and equipment (see definitions on bottom of page 3) expensed in 2014?
Total Repair and Maintenance Expenses |
$__________________ |
What was the total depreciation for all capital investments on buildings, new and used machinery and equipment (see definitions of equipment on page 3) taken in 2014?
Total Depreciation |
$___________________ |
Provide the following information on 2014 custom processing of fish you owned that was performed by another processor outside of this facility.
|
Total weight of fish supplied to custom processors |
Custom Processing Fees Paid |
Whiting |
_________________lbs |
$_________________ |
Non-Whiting Groundfish |
_________________lbs |
$_________________ |
Other |
_________________lbs |
$_________________ |
Provide the total amount expensed during 2014 in each of the categories below for this facility.
Expense Category |
Total Expenses |
Shoreside monitoring costs |
$______________________ |
Offloading expenses paid to other facilities |
$______________________ |
Production supplies (boots, smocks, hairnets, knives, etc.) |
$______________________ |
Cleaning and custodial supplies |
$______________________ |
Packing materials |
$______________________ |
Freight costs for supplies to the facility |
$______________________ |
Non-fish ingredients (additives) |
$______________________ |
Off-site product freezing and storage |
$______________________ |
Insurance payments (property, product, personal liability and fire liability) |
$______________________ |
Taxes (property and excise) |
$______________________ |
Licensing fees |
$______________________ |
Other Specify________________ |
$______________________ |
Other Specify________________ |
$______________________ |
Provide the following information about the landing origin of groundfish received at this facility in 2014.
If this information is not available, place an “NA” in the answer box.
Do not include fish received that you custom processed for others.
Landing Origin |
Total Weight of Groundfish Received |
Total Cost of Groundfish Received |
Whiting |
|
|
West Coast (WA, OR, CA) |
____________lbs |
$_______________ |
Canada |
____________lbs |
$_______________ |
Other Specify_______________ |
____________lbs |
$_______________ |
Non-whiting groundfish |
|
|
West Coast (WA, OR, CA) |
____________lbs |
$_______________ |
Alaska (excluding pollock) |
____________lbs |
$_______________ |
Canada |
____________lbs |
$_______________ |
Other Specify_______________ |
____________lbs |
$_______________ |
Fish Received. In the table below provide the weight and cost of fish received in 2014. Please note that there are separate columns for fish that were not paid for and fish that were paid for.
Do not include fish received for custom processing.
Include fish purchased by you that are custom processed by another processor outside of this facility.
Include any post-season adjustments.
LE Trawl Vessels: fish acquired directly from a vessel registered to a Limited Entry (LE) permit with a trawl endorsement and caught either with trawl or fixed gear (longline or pots).
LE Fixed Gear Vessels: fish acquired directly from a vessel registered to a LE permit with a fixed gear endorsement. Do not include fish caught with fixed gear using a LE permit with a trawl endorsement.
Other Vessels: fish acquired directly from a vessel without a limited entry trawl or fixed gear endorsement, including open access fisheries.
Non-Vessel Sources: includes fish acquired from other entities, including first receivers, processors, wholesale dealers, brokers, aquaculture producers, and transfers from outside this facility.
Gross Cost of Fish Paid for includes the value of any taxes paid on behalf of delivering vessels.
Type and Source of Fish |
Fish NOT PAID for
|
Fish PAID for |
||
Total weight not paid for due to quality or size reasons |
Total weight not paid for transfers from outside this facility |
Total weight of fish paid for from vessels or non-vessel sources |
Gross cost of fish paid for from vessels or non-vessel sources |
|
Whiting |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Arrowtooth flounder |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Dover sole |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
English sole |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Lingcod |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
19. (Continued)
Type and Source of Fish |
Fish NOT PAID for
|
Fish PAID for |
||
Total weight not paid for due to quality or size reasons |
Total weight not paid for transfers from outside this facility |
Total weight of fish paid for from vessels or non-vessel sources |
Gross cost of fish paid for from vessels or non-vessel sources |
|
Pacific sanddab |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Petrale sole |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Rex sole |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Rockfish |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Sablefish (black cod) |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Thornyheads |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Sharks, skates, rays |
|
|
|
|
LE Trawl Vessels |
____________lbs |
|
____________lbs |
$____________ |
LE Fixed Gear Vessels |
____________lbs |
|
____________lbs |
$____________ |
Other Vessels |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Coastal pelagic (include sardines and mackerel) |
|
|||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
19. (Continued)
Type and Source of Fish |
Fish NOT PAID for
|
Fish PAID for |
||||
Total weight not paid for due to quality or size reasons |
Total weight not paid for transfers from outside this facility |
Total weight of fish paid for from vessels or non-vessel sources |
Gross cost of fish paid for from vessels or non-vessel sources |
|||
Crab |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Echinoderms (include sea urchins and sea cucumbers) |
|
|||||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
California Halibut |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Pacific Halibut |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Herring |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Salmon |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Shrimp |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Squid |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Sturgeon |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Tuna |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Other Shellfish |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
Other Species (please list) |
|
|||||
__________________ |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
||
__________________ |
|
|
|
|
||
Vessel Sources |
____________lbs |
|
____________lbs |
$____________ |
||
Non-Vessel Sources |
____________lbs |
____________lbs |
____________lbs |
$____________ |
Fish Production. Provide the 2014 value of production FOB plant (after discounts and allowances and excluding freight charges).
Frozen includes fish that is frozen in the round or fish that is processed in any form (e.g. fillets, H&G) and frozen.
Unprocessed includes fish sold in the round.
Include:
Products made or acquired during 2014 and held in inventory at the end of the year. Estimate the value on the basis of the average price received for similar products sold during the year.
Products shipped to other facilities of your company. Estimate the value on the basis of the average price received for similar products sold during the year.
Products made from custom processing performed for you.
Any post-season adjustments.
Do not include:
Revenue from products produced or acquired in previous years.
Products you produced as a custom processing service for others.
Any additional payment you received to cover any shipping, handling, or storage costs associated with the sale beyond the plant.
Discards.
Type of Fish |
Total weight of 2014 fish production (both processed and unprocessed) |
Total value of 2014 fish production (both processed and unprocessed) |
|
|
|
Whiting |
|
|
Surimi |
_______________lbs |
$_______________ |
H&G |
_______________lbs |
$_______________ |
Fillets |
_______________lbs |
$_______________ |
Roe |
_______________lbs |
$_______________ |
Frozen Whole |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other ____________ |
_______________lbs |
$_______________ |
Other ____________ |
_______________lbs |
$_______________ |
Arrowtooth flounder |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Dover sole |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
English Sole |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Type of Fish |
Total weight of 2014 fish production (both processed and unprocessed) |
Total value of 2014 fish production (both processed and unprocessed) |
|
|
|
Lingcod |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Pacific Sanddab |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Petrale sole |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Rex sole |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Rockfish |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Sablefish |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Thornyheads |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Sharks, Skates, Rays |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Coastal Pelagic (include sardines and mackerel) |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Canned |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
20. (Continued)
Type of Fish |
Total weight of 2014 fish production (both processed and unprocessed) |
Total value of 2014 fish production (both processed and unprocessed) |
|
|
|
Crab |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Canned |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Echinoderms (include sea urchins and sea cucumbers) |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
California Halibut |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Pacific Halibut |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Herring |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Salmon |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Smoked |
_______________lbs |
$_______________ |
Canned |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Shrimp |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Canned |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
20. (Continued)
Type of Fish |
Total weight of 2014 fish production (both processed and unprocessed) |
Total value of 2014 fish production (both processed and unprocessed) |
|
|
|
Squid |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Sturgeon |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Canned |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Tuna |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Canned |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Other Shellfish |
|
|
Processed Fresh |
_______________lbs |
$_______________ |
Frozen |
_______________lbs |
$_______________ |
Unprocessed |
_______________lbs |
$_______________ |
Other |
_______________lbs |
$_______________ |
Other Non-Species Specific Products |
|
|
Fish Meal |
_______________lbs |
$_______________ |
Fish Oil |
_______________lbs |
$_______________ |
Bait |
_______________lbs |
$_______________ |
Other products |
_______________lbs |
$_______________ |
Other Species (please list) |
|
|
__________________ |
_______________lbs |
$_______________ |
__________________ |
_______________lbs |
$_______________ |
__________________ |
_______________lbs |
$_______________ |
Provide the revenue received by you for custom processing of fish owned by another processor outside of this facility in 2014.
|
2014 Custom Processing Revenue |
Whiting |
$__________________ |
Non-Whiting Groundfish |
$__________________ |
Other |
$__________________ |
Provide the revenue received in 2014 for each of the earnings sources listed below.
Earnings Source |
2014 Total Revenue |
Offloading earnings received from others |
$__________________ |
Sale of quota pounds |
$__________________ |
Leasing of quota pounds |
$__________________ |
Leasing of quota share |
$__________________ |
Sale of quota share |
$__________________ |
Insurance settlements |
$__________________ |
Read the following statement, and sign and date the box below.
I certify under penalty of perjury that I have reviewed all the information in this questionnaire and that it is true and complete to the best of my knowledge. |
|
Signature |
Date signed
_____/_____/_________ mm dd yyyy |
Print Name |
Questionnaire Comments:
Revised: 11/23/11: v6
* Processing equipment: All equipment present at this physical location that is used for preparation or packaging of seafood to render it suitable for human consumption, retail sale, industrial uses or long-term storage, including, but not limited to, cooking, canning, smoking, salting, drying, filleting, freezing, or rendering into meal or oil.
† Transportation equipment: Equipment such as trucks, forklifts, etc. used to transport seafood within this physical location.
‡ Storage equipment: Equipment present at this physical location for packaging and freezing of seafood.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Please provide the following information about the person completing this questionnaire: |
Author | Carl Lian |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |