|
|
U.S. Government Forms
wiccangirl 2/15/2008 | 0 (0) | 156 | 14 | 0 | English
FORM FDA 3611 (9/03)PSC Media Arts (301) 443-1090EFAUDIT REPORTNUMBER OF AUDITS/JOINT INSPECTIONS(ReportSepartely)**DEPARTMENT OF HEALTH AND HUMAN SERVICESFOOD AND DRUG ADMINISTRATIONSTATENEEDS IMPROVEMENTPROGRAM*AGENCYSubmit quarterly report to:Division of Federal-State Relations, HFC-1505600 Fishers Lane, Room 12-07Rockville, Maryland 20857Teleph ... more>>
wiccangirl 2/15/2008 | 0 (0) | 74 | 14 | 0 | English
DETECTION OF INHIBITORY SUBSTANCES IN MILK Delvotest 5 Pack For Raw and Finished Cow and Goat Milk [Unless otherwise stated all tolerances are ±5%] FORM FDA 2400b-3 (3/01) Page 1 of 3 LABORATORY LOCATION DATE LAB # X = DEVIATION U = UNDETERMINED O = NOT USED NA = NOT APPLICABLE DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE FOOD AND ... more>>
wiccangirl 2/15/2008 | 0 (0) | 57 | 12 | 0 | English
c. Test for suitability each time prepared, add to one (1) disc, must produce zone 16 -20 mm; records maintained .......... Avg. Zone Size _________ .................................................... d. Use rehydrated standard within 48 hours if refrigerated at 0 -4.4C .............................................................................. ... more>>
wiccangirl 2/15/2008 | 0 (0) | 242 | 6 | 0 | English
PREVIOUS EDITION IS OBSOLETE. PAGE 1 OF 2 Form Approved: OMB No. 0910-0014. Expiration Date: May 31, 2009 See OMB Statement on Reverse. (Specify) SERIAL NUMBER NOTE: No drug may be shipped or clinical investigation begun until an IND for that investigation is in effect (21 CFR 312.40). 3. ADDRESS (Number, Street, City, State and Zip Code) 4. TELEPH ... more>>
wiccangirl 2/15/2008 | 0 (0) | 168 | 6 | 0 | English
HACCP Plan MILK PLANT, RECEIVING STATION OR TRANSFER STATION NCIMS HACCP SYSTEM AUDIT REPORT DATE FORM FDA 2359m (10/06) EF PSC Graphics (301) 443-1090 Department of Health and Human Services Food and Drug Administration TYPE OF AUDIT STATE REGULATORY FOLLOW-UP STATE LISTING FDA AUDIT OF LISTING FIRM NAME LICENSE/PERMIT NO. IMS PLANT NO. ADDRESS (L ... more>>
wiccangirl 2/15/2008 | 0 (0) | 189 | 6 | 0 | English
Sale of Car or Other Motor Vehicle For value received, the undersigned seller, ____________(1)___________, sells and transfers to ____________(2)___________, buyer, the vehicle described therein. Seller warrants that: (1) seller is the sole owner of the vehicle; (2) such vehicle is free of all encumbrances, security interests, and other defenses ag ... more>>
wiccangirl 2/15/2008 | 0 (0) | 108 | 5 | 0 | English
DEPARTMENT OF HEALTH AND HUMAN SERVICESFOOD AND DRUG ADMINISTRATIONCONTRACT AUDITINSPECTION OBSERVATIONS AND PERFORMANCECFN /FEI NUMBERFORM FDA 3610 (10/03)STATE INSPECTORFDA AUDITORFIRMOVERALL RATINGII.PREINSPECTION ASSESSMENTI.Needs ImprovementAcceptable1.DIDTHEINSPECTORREVIEWTHESTATE'SESTABLISHMENTFILEFORTHEPREVIOUSINSPECTIONREPORTANDPOSSIBLECOM ... more>>
wiccangirl 2/15/2008 | 0 (0) | 114 | 4 | 0 | English
Is appropriate bulk container labeling information carried over to retail package DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration FOOD WAREHOUSE INSPECTION REPORT INSTRUCTIONS: Answer the following questions by checking the appropriate box. Explain "No", answers on continuation sheet(s). Precede each explanation with the item n ... more>>
wls95201 6/25/2008 | 0 (0) | 43 | 4 | 0 | English
Adult Webmaster Notice Print-Fill PDF Form.pdf This is meant for those adults who may no may not be thinking about opening or running and adult website. Nothing in this form is pornographic however it should only be viewed by those person 18 years or older. ... more>>
wiccangirl 2/15/2008 | 0 (0) | 131 | 3 | 0 | English
Form B19 12/94 Form 19. CERTIFICATION AND SIGNATURE OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110) [Caption as in Form 16B.] CERTIFICATION AND SIGNATURE OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110) I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110, that I prepared this documen ... more>>
wiccangirl 2/15/2008 | 0 (0) | 117 | 3 | 0 | English
Real Estate Salesman Independent Contractor Agreement THIS AGREEMENT made and entered into this _(1)_ day of _______(2)________, 19_(3)_, by and between _______(4)__________, of ___________(5)______________, (hereinafter referred to as "Broker"), and _________(6)___________ of ________(7)___________, (hereinafter referred to as "Salesman"). The Par ... more>>
wiccangirl 2/15/2008 | 0 (0) | 112 | 2 | 0 | English
NO. STORAGE CONDITIONS YES NO 1. Is water supply used for manufacturing purposes from an approved source and of satisfactory quality Are stocks of liquid and/or dry sugar stored under conditions which prevent adulteration by rodents, insects, mold, etc. Are beverage bases, concentrates, colors, flavors, and other raw materials stored in clean conta ... more>>
wiccangirl 2/15/2008 | 0 (0) | 97 | 2 | 0 | English
AUTHORIZED U.S. AGENT NAME & ADDRESS (Number, Street, City, State, ZIP Code, telephone & FAX number) IF APPLICABLE (PROPOSED) INDICATION(S)FOR USE: FACSIMILE (FAX) Number (Include Area Code) APPLICATION TYPE (check one) NEW DRUG APPLICATION (NDA, 21 CFR 314.50) ABBREVIATED NEW DRUG APPLICATION (ANDA, 21 CFR 314.94) BIOLOGICS LICENSE APPLICATION (BL ... more>>
wiccangirl 2/15/2008 | 0 (0) | 99 | 2 | 0 | English
DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATION INSPECTION SUMMARY -EQUIPMENT EVALUATION NOTE: ESTABLISHMENT NAME OWNER/OPERATOR AND ADDRESS FEI NO. INSPECTION DATE CLASSIFICATION RECOMMENDED (Check One) NOT APPROVED PROVISIONAL (Expiration Date) APPROVED ) REPORT PREPARED BY (Name and Title) NAME/TITLE/ORGANIZATION REQUESTING ... more>>
wiccangirl 2/15/2008 | 0 (0) | 115 | 2 | 0 | English
10. LOCKERS AND LUNCHROOMS Separate from plant operation; self-closing doors .................. (a) Eating/storage of food prohibited in fabrication and storage areas ....................................................................... (b) Locker and lunchrooms clean ................................................ (c) Cleanable trash containers ... more>>
|