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FDA Form # | Date | Title | Format | Paper Copy or Contact Info. |
---|---|---|---|---|
421 | 03/80 | Sample Accountability Record (ORA) | Not Yet Electronic | PPF |
431 | 05/84 | Analyst Worksheet | PPF | |
431a | 05/84 | General Continuation Sheet | PPF | |
431d | 10/74 | Bacteriological Record | PPF | |
431e | 03/80 | Industrial Chemicals Worksheet | Not Yet Electronic | PPF |
431f | 11/89 | Quantity of Contents | PPF | |
431g | 08/85 | Salmonella Record | William Campanaro 301-827-1036 |
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431h | 07/85 | Shigella Record | PPF | |
431i | 10/85 | Canned Food Continuation Sheet | PPF | |
431j | 08/85 | Botulism Continuation Sheet | William Campanaro 301-827-1036 |
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431k | 08/85 | Shellfish Bacteriological Record | William Campanaro 301-827-1036 |
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431m | 12/79 | Elemental Analysis Worksheet | PPF | |
433 | 06/82 | Tomato Inspection Report | Gerald Blackwell 301-827-5639 |
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465 | 08/85 | Sample Summary | PPF | |
701 | 01/89 | Customs Form 3461 "Entry/Immediate Delivery" | Sammie Hadden 301-827-9632 |
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766 | 12/97 | Application for Authorization to Relabel or to Perform Other Action | Carl R. Nielsen 301-443-6553 |
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1533 | 10/01 | Results of Sediment Pad Grading | Gerald Blackwell 301-827-5639 |
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1551 | 04/94 | Report of Sample Analysis | PPF | |
1551b | 01/93 | Report of Sample Analysis (Aflatoxins) | Not Yet Electronic | PPF |
1570 | 04/78 | Summary of Bacteriological Results | William Campanaro 301-827-1036 |
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1570a | 04/78 | Bacteriological Definitions | William Campanaro 301-827-1036 |
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1609 | 03/86 | Research Project Record | |
William Campanaro 301-827-1036 |
1609a | 03/86 | Research Progress Record |
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William Campanaro 301-827-1036 |
1814 | 11/01 | Permit to Ship or Transport Milk and/or
Cream into the United States Under the Federal Import Milk Act |
Esther Lazar 301-436-1485 |
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1815 | 02/03 | Certificate/ Transmittal for an
Application |
PPF | |
1993 | 02/03 | Application for Permit to Ship or Transport Milk and/or Cream into US | Esther Lazar 301-436-1485 |
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1994 | 02/03 | Report of Tuberculin Tests of Cattle | Esther Lazar 301-436-1485 |
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1995 | 02/03 | Report of Physical Examination of Cows | Esther Lazar 301-436-1485 |
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1996 | 02/03 | Dairy Farm Sanitation Report | Esther Lazar 301-436-1485 |
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1997 | 02/03 | Score Card for Sanitation Inspections of Milk Plants | Esther Lazar 301-436-1485 |
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2196 | 07/87 | Laboratory Management Coding Sheet | Not Yet Electronic | PPF |
2359 | 06/00 | Milk Plant Inspection Report | Richard Eubanks 301-436-2174 |
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2359a | 03/97 | Dairy Farm Inspection Report | Richard Eubanks 301-436-2174 |
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2359b | 06/00 | Milk Plant Equipment Tests Report | Richard Eubanks 301-436-2174 |
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2359c | 03/92 | Manufacturing Plant Inspection Report | PPF | |
2359d | 03/04 | Report of Certification | PPF | |
2359g | 04/86 | Condensed & Dry-Milk & Whey Plant Inspection Report | PPF | |
2359h | 02/98 | Interstate Milk Shipper Check-Rating Report | PPF | |
2359i | 03/04 | Interstate Milk Shipper Report | Richard Eubanks 301-436-2174 |
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2359j | 06/04 | Milk Sanitation Rating Report | PPF | |
2359k | 09/03 | Status of Raw Milk for Pasteurization | Richard Eubanks 301-436-2174 |
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2359l | 06/04 | Status of Milk Plants | Richard Eubanks 301-436-2174 |
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2359l-1 | 05/04 | Status of Condensed and Dry Milk Plants | Richard Eubanks 301-436-2174 |
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2399 | 07/04 | Dairy Plant Sampling - Raw & Pasteurized Milk | |
Richard Eubanks 301-436-2174 |
2399a | 08/04 | Milk Tank Truck, Hauler Report and Sampler Evaluation | |
Richard Eubanks 301-436-2174 |
2399b | 07/04 | Milk Tank Truck Inspection | Richard Eubanks 301-436-2174 |
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2399c | 08/04 | Farm Bulk Tank Milk Sampling Inspection Record | Richard Eubanks 301-436-2174 |
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2400 | 03/01 | Cultural Procedures - General Requirements | Virgil Jones 708-728-4120 |
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2400a | 03/01 | Milk Laboratory Evaluation Form: Standard Plate Count, Coliform, and Simplified Count Methods | Virgil Jones 708-728-4120 |
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2400a-1 | 03/01 | Milk Laboratory Evaluation Form: Spiral Plate Count Methods | Virgil Jones 708-728-4120 |
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2400b | 05/87 | MLEF Detention of Inhibitory Substances in Milk | Not Yet Electronic | Virgil Jones 708-728-4120 |
2400b-1 | 03/01 | MLEF Detection of Inhibitory Substances in Milk Bacillus Stearothermophilus | Virgil Jones 708-728-4120 |
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2400b-3 | 03/01 | MLEF Detection of Inhibitory Substances in Milk Delvotest 5 Pack | Virgil Jones 708-728-4120 |
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2400d | 03/01 | MLEF Direct Microscopic Somatic Cell Count | Virgil Jones 708-728-4120 |
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2400h | 03/01 | Optical Somatic Cell Count | Virgil Jones 708-728-4120 |
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2400 h-1 | 03/01 | MLEF Electronic Somatic Cell Count Foss 250/300/360/400 | Virgil Jones 708-728-4120 |
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2400h-2 | 03/01 | MLEF Electronic Somatic Cell Count Bentley Somacount 150/300/500 | Virgil Jones 708-728-4120 |
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2400h-3 | 03/01 | MLEF Electronic Somatic Cell Count Fossmatic 5000 | Virgil Jones 708-728-4120 |
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2400i | 03/01 | Pasteurized Milk Containers | Virgil Jones 708-728-4120 |
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2400j | 03/01 | Phosphatase Tests | Virgil Jones 708-728-4120 |
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2400k | 03/01 | MLEF Flat Lid Methods | Virgil Jones 708-728-4120 |
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2400l | 03/01 | MLEF Disintegration Method for Paper, etc. | Virgil Jones 708-728-4120 |
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2400m | 03/01 | MLEF Dairy Waters | Virgil Jones 708-728-4120 |
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2589 | 08/01 | Inspection Summary - Bus Service Area Sanitation | PPF | |
2591 | 08/01 | Inspection Summary - Equipment Evaluation | PPF | |
2679 | 08/01 | Food Warehouse Inspection Report | Glen Johnson 301-827-2907 |
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2681 | 02/02 | Bakery Inspection Report | |
Glen Johnson 301-827-2907 |
2682 | 08/01 | Beverage Plant Inspection Report | PPF | |
2684 | 03/87 | State Contract Monthly Food Report | |
Glen Johnson 301-827-2907 |
2684a | 04/02 | State Contract Monthly Feed Establishment Report |
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Glen Johnson 301-827-2907 |
2782 | 09/98 | Field Test Record Continuation Sheet | Stephen Toigo 301-827-2906 |
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2783 | 10/80 | Mobile Radiographic Systems Field Test Record | PPF | |
2784 | 05/82 | Above Table X-Ray Source Radiographic Systems | PPF | |
2785 | 05/82 | Dental Radiographic Systems Field Test Record | PPF | |
2786 | 05/82 | Under Table X-Ray Source Fluoroscopic & Spot Film Systems Field Test Record | Stephen Toigo 301-827-2906 |
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2814 | 08/93 | Field Equipment Request |
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William Campanaro 301-827-1036 |
2966 | 10/88 | Food GMP Inspection Report | PPF | |
3068 | 08/92 | Peak Kilovoltage Determination Field Test Record | PPF | |
3069 | 10/80 | Above Table X-Ray Source Fluoroscopic & Spot Film Systems Field Test Record | PPF | |
3070 | 08/92 | Mammography Systems Field Test Record | PPF | |
3071 | 10/80 | General Information Field Test Record | Not Yet Electronic | PPF |
3131 | 08/01 | Contract Property Administration Completion Report | Mike McGrath 301-827-7105 |
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3260 | 02/83 | C-Arm Fluoroscopic & Spot-Film Systems Field Test Record | PPF | |
3261 | 02/83 | Vertical Mount Cassette Holder Radiographic Systems Field Test Record | PPF | |
3297 | 04/84 | Head and Neck Radiographic Systems Field Test Record | PPF | |
3500 | 09/03 | MedWatch: FDA Medical Product Reporting Program {Instructions} | |
MEDWATCH 1-800-FDA-1088 |
3500A | 09/03 | MedWatch: FDA Medical Products Reporting Program - Mandatory {Instructions} | MEDWATCH 1-800-FDA-1088 |
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3511 | 01/01 | FDA LACF Inspection Report | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511-2 | 01/02 | FDA Acidified Food Inspection Report | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511-3 | 06/04 | Aseptic Processing & Packaging Report | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511a | 01/01 | Processing in Steam in Still Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511b | 01/01 | Processing in Water in Still Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511c | 11/03 | Processing in Steam in Continuous Agitating Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511d | 01/01 | Processing in Steam in Discontinuous Agitating Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511e | 01/01 | Processing in Water in Discontinuous Agitating Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511f | 01/01 | Processing in Steam in Hydrostatic Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511g | 01/01 | Processing in Cascading/Spray Water Retort | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511h | 01/01 | Processing in Steam-Air Retorts | Brian Hendrickson 317-226-6500 Ext. 12 |
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3511i | 01/01 | Processing in Other Unique Retort Systems | Brian Hendrickson 317-226-6500 Ext. 12 |
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3537 | 10/03 | Food Facility Registration {Instructions} | Melissa Scales 301-436-1720 |
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3537a | 10/03 | Cancellation of Food Facility Registration {Instructions} | Melissa Scales 301-436-1720 |
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3610 | 10/03 | Contract Audit | |
Glen Johnson 301-827-2907 |
3611 | 09/03 | Audit Report | |
Glen Johnson 301-827-2907 |
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Edition: November 15, 2004