Document
Inspection Report
ICR 202607-0579-003 · OMB 0579-0036 · Object 170739400.
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Inspection Report |
| Author | Moxey, Joseph - APHIS |
| Last Modified By | Acrobat PDFMaker 20 for Word |
| File Modified | 2020-11-16 |
| File Created | 2020-11-16 |
| Conversion State | complete |
Extracted Text
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 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 – SPECIES INSPECTED 7. COUNT 0 8A. SCIENTIFIC NAME 8B. COMMON NAME TOTAL SECTION III - INSPECTION FINDINGS 9A. INSPECTION TYPE: 9B. INSPECTION DATE: 10. NARRATIVE REPORT: CONTINUED ON NEXT PAGE SECTION IV - PREPARER AND RECEIVER INFORMATION 11A. NAME, TITLE, AND SIGNATURE OF PREPARER: 12A. NAME, TITLE, AND SIGNATURE OF RECEIVER: APHIS FORM 7008 NOV 2020 11B. INSPECTOR ID NUMBER: 11C. DATE: 12B. DATE: PAGE 1 OF 10. NARRATIVE REPORT CONTINUED: CONTINUED ON SEPARATE PAGE PAGE OF UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE ANIMAL CARE TEACHABLE MOMENTS (Supplement to APHIS Form 7008) 1. NAME OF FACILITY 2. CUSTOMER IDENTIFICATION NUMBER: 5. NAME AND TITLE OF INSPECTOR 7. TEACHABLE MOMENT 1 SECTION NARRATIVE 8. TEACHABLE MOMENT 2 SECTION NARRATIVE 9. TEACHABLE MOMENT 3 SECTION NARRATIVE 10. TEACHABLE MOMENT 4 SECTION NARRATIVE 3. USDA CERTIFICATE NUMBER: 4. SITE NUMBER: 6. INSPECTION DATE: