Discharge and Delivery Survey Summary adn Rate Schedule Forms

Instructions For KC-334

PRELIMINARY/FINAL DISCHARGE/DELIVERY SURVEY SUMMARY (FOR CCC-CONTRACTED SURVEYS)

Form used by CCC-contracted surveyors to provide preliminary or final cargo survey information.

Submit the preliminary form by e-mail (tony.holland@kcc.usda.gov) to the appropriate FSA servicing office and the final form with the survey report to the appropriate FSA servicing office. For questions or assistance, contact

Tony Holland, International Procurement Division, Procurement Support Branch, Kansas City Commodity Office, 816-926-6577.

Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.

Surveyors must complete all applicable items.

Fld Name / Item No.	Instruction
Survey Company Name	Enter your company name.
Name of Subcontractor	Enter your subcontractor’s name, if applicable.
Person(s) Who Performed Survey:	Enter the name of the person or persons who performed the survey.
Vessel Name/Voyage Number	Enter the vessel name and voyage number.
CCC Reference Number	Enter the reference number provided by Kansas City Commodity Office.
Destination Country	Enter the destination country.
Discharge Port or Inland Destination	Enter the discharge port or inland destination, as applicable.
Vessel Arrival Date	Enter the date the vessel arrived.
Vessel Discharge	Enter the date the vessel discharge commenced or completed, as applicable.

Fld Name / Item No.	Instruction
Commenced/ Completed
Delivery to Final Destination Commenced/ Completed	Enter the date the delivery commenced or completed, as applicable
Destuffing of Containers Commenced/ Completed	Enter the date destuffing of containers commenced or completed.
Commodity/ Pack Size	Enter the commodity and pack size.
Manifested Units	Enter the manifested units.
Manifested Weight (Kgs/lbs)	Enter the manifested weight in kgs/lbs.
Quantity Discharged Sound units	Enter the number of sound units discharged.
Quantity Discharged Sound accepted weight in Kgs/lbs. (includes reconstituted/ sound)	Enter the accepted weight of sound units discharged in kgs/lbs. Includes reconstituted/sound.
Torn/Slack/ Leaking units	Enter the number of torn, slack, or leaking units.
Torn/Slack/ Leaking units accepted weight in kgs/lbs. (includes reconstituted/ sound)	Enter the accepted weight of torn, slack or leaking units in kgs/lbs. Includes reconstituted/sound.
Torn/Slack/ Leaking units weight loss in kgs/lbs (includes	Enter the weight loss of torn, slack, or leaking units in kgs/lbs. Includes unfit losses.

Fld Name / Item No.	Instruction
unfit losses)
Discharged Empty Units	Enter the number of units discharged empty.
Discharged Empty weight loss in kgs/lbs (includes unfit losses)	Enter the weight loss of discharged empty units in kgs/lbs. Includes unfit losses.
Wet Units	Enter the number of wet units.
Wet accepted weight in kgs/lbs (includes reconstituted/ sound)	Enter the accepted weight of wet units in kgs/lbs. Includes reconstituted/sound.
Wet weight loss in kgs/lbs (includes unfit losses)	Enter the weight loss of wet units in kgs/lbs. Includes unfit losses.
Infested Units	Enter the number of infested units.
Infested accepted weight in kgs/lbs (includes reconstituted/ sound)	Enter the accepted weight of infested units in kgs/lbs. Includes reconstituted/sound.
Infested weight loss in kgs/lbs (includes unfit losses)	Enter the weight loss of infested units in kgs/lbs. Includes unfit losses.
Moldy Units	Enter the number of moldy units.
Moldy accepted weight in kgs/lbs (includes reconstituted/ sound)	Enter the accepted weight of moldy units in kgs/lbs. Includes reconstituted/sound.
Moldy weight loss in kgs/lbs (includes unfit losses)	Enter the weight loss of moldy units in kgs/lbs. Includes unfit losses.
Other Unfit Units (i.e., contaminated/	Enter the number of other unfit units (for example, contaminated, caked, or stained units).

Fld Name / Item No.	Instruction
caked/stained)
Other (i.e., contaminated/ caked/stained) accepted weight in kgs/lbs (includes reconstituted/ sound)	Enter the accepted weight of other unfit units in kgs/lbs (for example, contaminated, caked, or stained units). Includes reconstituted/sound.
Other unfit weight losses (i.e., contaminated/ caked/stained) in kgs/lbs)	Enter the weight loss of other unfit units in kgs/lbs (for example, contaminated, caked, or stained).
TOTAL QUANTITY DISCHARGED units	Enter the total units discharged.
TOTAL QUANTITY DISCHARGED accepted weight in kgs/lbs (includes reconstituted/ sound)	Enter the total accepted weight in kgs/lbs. Includes reconstituted/sound.
TOTAL QUANTITY DISCHARGED weight loss in kgs/lbs (includes unfit losses)	Enter the total weight loss in kgs/lbs. Includes unfit losses.
Short Landed units	Enter the number of short landed units.
Short Landed weight loss in kgs/lbs (includes unfit losses)	Enter the weight loss of short landed units in kgs/lbs. Includes unfit losses.
Excess Landed units	Enter the number of excess landed units.
Excess Landed	Enter the accepted weight of excess landed units in kgs/lbs. Includes

Fld Name / Item No.	Instruction
accepted weight in kgs/lbs (includes reconstituted/ sound)	reconstituted/sound.
Sound/ recovered Sweepings accepted weight in kgs/lbs (includes reconstituted/ sound)	Enter the accepted weight of sweepings in kgs/lbs. Includes reconstituted/sound.
Additional Comments	Enter any additional comments, as necessary.
Tally Sheets	Check this box if tally sheets are attached to this form.
3 day notice to Vessel or Agent of loss	Check this box if three-day notice to vessel or agent of loss is attached to this form.
Short Landing Certificate	Check this box if short landing certificate is attached to this form.
Unfit Certificates / Lab Analysis	Check this box if unfit certificates or lab analysis are attached to this form.
Confirmation of Attendance	Check this box if confirmation of attendance is attached to this form.
Photographs	Check this box if photographs are attached to this form.
Disposition Documentation	Check this box if disposition documentation is attached to this form and indicate whether disposition is sold, donated, or destroyed/dumped. If no documentation, explain disposition in comments.
Printed Name of Preparer	Print the name of the preparer.
Signature of Preparer	Preparer signs this block.
Date	Date the form is signed.

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