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Inspection Report

ICR 202607-0579-003 · OMB 0579-0036 · Object 170739400.

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File Typeapplication/pdf
File TitleInspection Report
AuthorMoxey, Joseph - APHIS
Last Modified ByAcrobat PDFMaker 20 for Word
File Modified2020-11-16
File Created2020-11-16
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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 0579-0036. 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: