VS Form 10-6B Listing Agreement for a Rendering Establishment Handling

Blood and Tissue Collection, and Recordkeeping, at Slaughtering, Rendering, and Approved Livestock Marketing Establishments and Facilities

VS 10-6B MAY 2017

OMB: 0579-0212

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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 0579-0212. The time required to complete this information collection is
estimated to average .5 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
VETERINARY SERVICES
NAME OF ESTABLISHMENT

OMB APPROVED
0579-0212
EXP. XX/XXXX

LISTING AGREEMENT FOR A RENDERING
ESTABLISHMENT HANDLING LIVESTOCK, POULTRY, OR
CARCASSES IN INTERSTATE COMMERCE PURSUANT TO
TITLE 9, CODE OF FEDERAL REGULATIONS
ADDRESS OF ESTABLISHMENT

TELEPHONE NUMBER

I, _____________________________________________________, operator of _______________________________________________________,
(name of the person legally responsible for the day-to-day operations of the establishment)

(name of facility)

hereby agree to maintain and operate the rendering establishment located at the address above in accordance with the applicable provisions of this
agreement and Title 9, Part 71.21, of the Code of Federal Regulations.
TYPE OF LIVESTOCK, POULTRY, AND CARCASSES BEING HANDLED (check all that apply)
BOVINE

BISON

PORCINE

OVINE

CAPRINE

EQUINE

CERVID

AVIAN

OTHER (specify): ___________________

Cooperation
The Animal and Plant Health Inspection Service (APHIS), Veterinary Services (VS), must be provided with a schedule of
the rendering establishment’s days of operation, along with the types of animals that will be handled at the establishment
on the days of operation. The Assistant Director (AD) responsible for the State in which the establishment is located must
be informed of any changes to the hours of normal operation within 1 week prior to the implementation of the changes. In
emergency situations, such as large livestock or poultry losses due to weather, fire, or failure of ventilation equipment, the
AD will be notified of changed operating hours as soon as practical.
APHIS will provide the operator of the rendering establishment advance notice of when APHIS personnel or representatives
will be taking blood and/or tissue samples at the establishment.
This notice may be in any form or by any means that the AD reasonably believes will reach the operator of the rendering
establishment prior to the start of sample collection. The notice will include the anticipated date and time sample collection
will begin. The notice will also include the anticipated ending date and time except that in cases of perpetual sampling the
ending date may be stated as “ongoing.”
The rendering establishment agrees to grant access to APHIS personnel or its representatives during normal business
hours at the establishment to collect tissue samples and to evaluate whether the rendering establishment and its operations
are in compliance with the applicable provisions of this agreement and 9 CFR 71.21.
The AD or his/her representative must be immediately notified if the rendering establishment discovers, suspects, or has
reason to believe that any livestock, poultry, or carcasses presented at the rendering establishment are affected by, exposed
to, or show signs of possibly being affected by or exposed to any program, emerging, or foreign animal disease.
The rendering establishment agrees to allow APHIS or its representatives to collect blood and tissue samples from all
livestock, poultry or carcasses at the establishment, and to facilitate the collection.
There will be no cost to APHIS or its representatives for the blood or tissue. The establishment agrees to provide
unobstructed space for each specimen collector to safely collect all samples needed.
The rendering establishment agrees to provide adequate facilities and supplies, including soap and disinfectant for washing
hands and sterilizing instruments. These facilities must be located in the area of the specimen collection workstation to
provide APHIS or its representatives timely access to the facilities as needed.
The rendering establishment agrees to allow APHIS personnel or its representatives to record the identification of individual
animals and retain any external or internal identification devices.
NOTE: Some small rendering establishments may not completely comply with these collection area requirements. VS will
be as flexible as possible in these cases as long as collector safety is ensured and sample quality is maintained. For
example, our regulations allow for offsite sample processing. It may be possible to collect critical parts of livestock or poultry
carcasses and transport them to a nearby facility for sample collection and preparation. If such arrangements are made,
they must be specified in writing and attached to the agreement. Correlation of the samples and the animals’ identification
devices must be maintained at all times. In all cases of noncompliance, efforts should be made to minimize the rendering
establishment’s cost of complying.
VS FORM 10-6B
MAY 2017

Records
The rendering establishment agrees that documents such as weigh tickets; sales slips; and records of origin, identification,
and destination that relate to livestock, poultry, and their carcasses that are in, or that have been in, the rendering
establishment, will be maintained by the establishment for a period of 2 years for poultry and swine, and 5 years for cattle,
bison, sheep, goats, cervid, and equines. APHIS personnel or representatives will be permitted to review and copy those
documents during normal business hours.
Identification
The rendering establishment agrees that all livestock or poultry and carcasses will be officially identified in accordance with
the applicable regulations in 9 CFR Parts 71, 75, 78, 79, and 85, at the time of, or before, entry into the establishment.
Cleaning and Disinfection
The rendering establishment agrees that live animal handling facilities, including all yards, docks, pens, alleys, chutes,
scales, means of conveyance, and their associated equipment, must be maintained in a clean and sanitary condition. In
addition, it is agreed that the operator of the rendering establishment is responsible for the cleaning and disinfection of the
rendering establishment in accordance with 9 CFR Parts 71, 75, 78, and 85, and for maintaining an adequate supply of
disinfectant and serviceable equipment for cleaning and disinfection.
Listing
Request to be listed:
The rendering establishment requests approval for its facility to operate as a listed establishment for the classes of livestock,
poultry, or carcasses indicated in this agreement. The rendering establishment also agrees to allow APHIS personnel or
representatives to take blood and tissue samples from all livestock, poultry, or carcasses at this rendering establishment
without cost to the United States Government. The rendering establishment specifically allows these personnel adequate,
safe access to the processing line for collection of blood and tissue specimens and allows these personnel to record and
retain all forms of internal and external individual animal identification devices.
The rendering establishment acknowledges that it has been informed and understands that failure to abide by the provisions
of this agreement and the applicable provisions of 9 CFR Parts 71, 75, 78, and 85 constitutes a basis to withdraw this listing.

PRINTED NAME OF OPERATOR

SIGNATURE OF OPERATOR

DATE

PRE-LISTING INSPECTION OF SLAUGHTER FACILITY CONDUCTED BY:
PRINTED NAME OF APHIS REPRESENTATIVE
SIGNATURE OF APHIS REPRESENTATIVE
DATE

PRINTED NAME OF ASSISTANT DIRECTOR

VS FORM 10-6B (REVERSE)

RECOMMEND APPROVAL:
SIGNATURE OF ASSISTANT DIRECTOR

DATE


File Typeapplication/pdf
File TitleInForms - vs10-6.wpf
AuthorKHBROWN
File Modified2017-06-02
File Created2017-06-02

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