Current Form Number/Title:
VS 16-25 Application for Approval of Report of Inspection of Establishment Handling Restricted Animal Byproducts or Controlled Materials
VS 16-26 Agreement for Handling Restricted Imports of Animal Byproducts and Controlled Materials
Updated Form Number/Title:
VS 16-28 Approved Warehouse Request and Agreement to Handle Restricted Animal Byproducts
VS 16-29 Approved Establishment Request and Agreement to Handle Restricted Animal Byproducts
Current Form |
Box #/Title |
Corresponding Item Box #/Tile |
Updated Form |
VS 16-25 VS 16-26 |
Current Agreement Date Date of Agreement |
1. Date of agreement |
VS 16-28 VS 16-29 |
VS 16-25 |
7. Inspections |
2. Agreement type 2. Agreement type |
VS 16-28 VS 16-29 |
VS 16-25 |
8. Truck or rail shipping address |
5. Physical address of warehouse 5. Physical address of establishment |
VS 16-28 VS 16-29 |
VS 16-25
|
9. Name and mailing address of establishment, Telephone number |
4. Name of approved establishment 6. Mailing address of establishment 7. Phone number of establishment |
VS 16-29 VS 16-28 |
VS 16-26 |
Mailing address of establishment |
6. Mailing address of establishment 6. Mailing address of warehouse |
VS 16-29 VS 16-28 |
VS 16-26 |
Name and address of establishment |
4. Name of approved establishment 5. Physical address of establishment 4. Name of approved warehouse 5. Physical address of warehouse |
VS 16-29
VS 16-28 |
VS 16-25
VS 16-26 |
12A. Name of contact at establishment 12B. Title of contact person at establishment Typed Name and Title of Establishment Officer |
9. Name and title of authorized establishment official 9. Name and title of authorized warehouse official |
VS 16-29
VS 16-28 |
VS 16-25
VS 16-26 |
13. Name each restricted product, byproduct, or material to be handled Kind of byproducts or materials |
11. Specific restricted trophies to be handled |
VS 16-29 |
VS 16-25 |
14. Methods used for sewage and effluent disposal 24. What method was used to clean and disinfect |
12. Briefly describe disposal methods for any damaged packing 14. Briefly describe disposal methods for water and waste . . . |
VS 16-28
VS 16-29 |
VS 16-25 |
19. If separate storage facilities are maintained, describe capacity and construction material |
10. Storage capabilities 12. Storage before treatment |
VS 16-28 VS 16-29 |
VS 16-25 |
20. Describe in detail, processing and/or disinfection of the restricted material 21. Methods used to control procedure in item 20 |
11. Specific restricted trophies to be handled (check all applicable processing methods to be used) |
VS 16-29 |
VS 16-25 |
23. What disinfectant was used on car, truck, etc.? 24. What method was used to clean and disinfect? |
11. List products used to clean and disinfect contaminated areas per written protocol 13. List products used to clean and disinfect contaminated areas per written protocol |
VS 16-28
VS 16-29 |
VS 16-25 |
22. What persons supervised the work in item 20 or conducted tests |
10. Name and title of person responsible for treating restricted trophies |
VS 16-29 |
VS 16-25 VS 16-26 |
26-32 (signatures and dates) Signatures and dates |
15-18 (signatures and dates) 17-20 (signatures and dates) |
VS 16-28 VS 16-29 |
VS 16-26 |
For all restricted animal products, byproducts, etc……. |
13. I understand the following conditions 15. I understand the following conditions |
VS 16-28 VS 16-29 |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Holliday, Markus J - APHIS |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |