| Specifications | Application for Permit to Ship or Transport Milk and/or Cream into the United States FORM FDA 1993 PSC Graphics |
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| Specifications | Application for Permit to Ship or Transport Milk and/or Cream into the United States FORM FDA 1993 PSC Graphics |
| Business section |
| Specifications | Application for Permit to Ship or Transport Milk and/or Cream into the United States FORM FDA 1993 PSC Graphics |
| Suggested Link Details/Purchase | |
| Content | FORM FDA 1993 (8/09)PREVIOUS EDITION IS OBSOLETE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATION Form Approved: OMB No. 0910-0212 Expiration Date: June 30, 2012 See Reverse for OMB Statement NOTE: Read regulations carefully before filling out this application. A separate application must be filled out for each establishment making direct shipment to the United States. If additional space is required, continue on reverse referring to specific item being continued. APPLICATION FOR PERMIT TO SHIP OR TRANSPORT MILK AND/OR CREAM INTO THE UNITED STATES Application is hereby made by a permit to ship or transport milk and/or cream into the United States as provided by the Federal Import Milk Act of February 15, 1927. 1. Shipper s name in full2. Establishment location from which applicant ships 3. List names and locations of the dairy farm(s) from which the milk is obtained (Use separate sheet if necessary.) 4. Have the cows passed a tuberculin test applied by a duly authorized official veterinarian of the United States or of the country in which milk or cream is produced, within one year previous to the time of the importation, showing that such cows are free from tuberculosis? 5. Have the cows producing milk or cream been subjected to a physical examination in the past year? If Yes , by whom? 6. List the approximate number of cows furnishing the milk supply proposed for importation. 7. List plant(s) and/or station(s) 8. Does applicant reside in the United States and make collections of milk or cream by his own or hired conveyances which transport the product to the United States? 9. If the answer to Question 8 is YES , list by name the dairy farms supplying milk to the collecting conveyances. 10. Usual means of transportationa.TRUCKb.RAILROADc.OTHER (Specify) YES NO 11. Give location of customs office through which entry into the United States is made. 12. Are you the operator in the United States of a condensery or condenseries in which sterilization is a necessary process, and which condensery or condenseries are within 15 miles of the point of production of the milk or cream? 13. If the answer to Question 12 is YES , do you wish to have waived the requirements of paragraph 4 of Section 2 of the act when a permit is issued to you? 14. If the answer to Question 12 is YES , give name and location of such condensery or condenseries. 15. Are you the operator of or a producer shipping to a creamery or condensery in the United States within 20 miles of the point of production of the milk? State whether operator or producer. 16. If the answer to Question 15 is YES , do you import raw milk for any purpose other than pasteurization, condensation, or evaporation? 17. If the answer to Question 15 is YES , give names and locations of creameries or condenseries. 18. Name of milk or cream product involved 20. Title and signature of officer of corporation or partnership 21. Address to which permit is to be sent19. YES NO YES NO YES NO YES NO YES NO YES NO Corporation Partnership PSC Graphics (301) 443-1090 EF |
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| Following Datasheets | UCM053438_1 (2 pages) UCM053453_1 (1 pages) UCM053459_1 (1 pages) UCM053474_1 (1 pages) UCM053493_1 (1 pages) UCM053528_1 (3 pages) UCM053529_1 (1 pages) UCM053532_1 (2 pages) UCM053635_1 (2 pages) ucm056731_1 (7 pages) |
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