Form APHIS 7008 APHIS 7008 Inspection Report

Clear Form
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0579-0036. The time required
to complete the information collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
ANIMAL CARE

OMB Approved
0579-0036
EXP: XX/XXXX

INSPECTION REPORT

SECTION I - LICENSEE/REGISTRANT INFORMATION
1. NAME OF LICENSEE/REGISTRANT (first, middle initial, last):

4. CUSTOMER IDENTIFICATION NUMBER:

2. DOING BUSINESS AS (DBA) (if applicable):

5. USDA CERTIFICATE NUMBER:

3. FULL BUSINESS ADDRESS:

6. SITE NUMBER:

SECTION II - INSPECTION FINDINGS
7A. INSPECTION TYPE:

7B. INSPECTION DATE:

8. FINDINGS:

CONTINUED ON SEPARATE PAGE

SECTION III - PREPARER AND RECEIVER INFORMATION
9A. NAME, TITLE, AND SIGNATURE OF PREPARER:

10A. NAME, TITLE, AND SIGNATURE OF RECEIVER:

APHIS FORM 7008
JUN 2018

9B. INSPECTOR ID NUMBER:

9C. DATE:

10B. DATE:

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