Establishment No
Date of USDA verification
Report of compliance must be delivered to USDA by dateFootnote 1
Follow-up to CVS 3301 - Dated:
Title |
Date |
Name of responsible person |
Signature |
---|
Inspector in Charge |
- |
- |
- |
---|
Designated CFIA supervisor |
- |
- |
- |
---|
MPD representative |
- |
- |
- |
---|
Action Plan - Prepared by the operator
Date |
Name of responsible person |
Signature |
---|
- |
- |
- |
Action Plan - Reviewed by the IIC
Date |
Corrective action measures found acceptable |
Signature |
---|
- |
- |
- |
Action Plan - Establishment reviewed by designated CFIA supervisor
Date |
Corrective action measures implemented/ establishment found acceptable |
Signature |
---|
- |
- |
- |
Action Plan - Area Office
Date |
Documentation reviewed, found satisfactory and forwarded to Ottawa to the Director of the MPD |
Signature |
---|
- |
- |
- |