Reporting Producer Registration

Prevention of Salmonella Enteritidis in Shell Eggs During Production---Recordkeeping and Registration Provisions

Shell Egg Screen Shots

Reporting Producer Registration

OMB: 0910-0660

Document [pdf]
Download: pdf | pdf
FDA - SHELL EGG PRODUCER REGISTRATION

Please Note:
The system will automatically time out if there is no activity
for 30 minutes and you will need to re-do your work from the
beginning.

https://www.accesstest.fda.gov/...698cd30eb073864rO0ABXQACGduczYzNDc12010031015170722200&uid=rO0ABXQACGduczYzNDc1[3/10/2010 3:17:30 PM]

FDA - SHELL EGG PRODUCER FACILITY REGISTRATION - STEP 1

* - These fields are required
*FACILITY LOCATION
[Please
[PleaseSelect]
Select]

* ARE YOU THE NEW OWNER OF A PREVIOUSLY REGISTERED FACILITY?
Yes
No
If "yes", provide the following information, if known
Previous owner's name

Previous owner's registration number

https://www.accesstest.fda.gov/seprm/registration.do?_flowId=newReg-flow[3/10/2010 3:17:57 PM]

FDA - SHELL EGG PRODUCER FACILITY REGISTRATION - STEP 1

https://www.accesstest.fda.gov/seprm/registration.do?_flowId=newReg-flow[3/10/2010 3:17:57 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP2

* - These fields are required

*FACILITY NAME
*COUNTRY
------United
States-----------United
States-----*FACILITY STREET ADDRESS, Line1
FACILITY STREET ADDRESS, Line2

Please enter 'NONE' in zip code field if zip codes are not used in selected country
*ZIP CODE (POSTAL CODE)
*CITY
[Please
[PleaseSelect]
Select]

*STATE/PROVINCE/TERRITORY
[PleaseSelect]
Select]
[Please

Numbers only. No spaces, dashes or parentheses. Country Code not
required for US phone numbers.
Country
Code

Area/City
Code

Phone Number

Extension

(e.g.033)

(e.g.101)

(e.g.5551111)

(e.g.1111)

Country
Code

Area/City
Code

Fax Number

(e.g.033)

(e.g.101)

(e.g.5551111)

*PHONE
NUMBER

FAX NUMBER
E-MAIL ADDRESS

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:18:29 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP2

(complete this section only if different from Section 2, Facility
Name/Address Information)

*** - This section is optional. If you intend to complete this section, the fields
marked with *** are necessary for the system to process a complete response

Autofill Address will fill the address fields automatically using data in Section 3
from the last registration entered
***NAME
***COUNTRY
[PleaseSelect]
Select]
[Please
***ADDRESS, Line1
ADDRESS, Line2

***ZIP CODE (POSTAL CODE)
***CITY
***STATE/PROVINCE/TERRITORY

Click here to select a Province / Territory

Numbers only. No spaces, dashes or parentheses. Country Code not
required for US phone numbers.
Country
Code

Area/City
Code

Phone Number

Extension

(e.g.033)

(e.g.101)

(e.g.5551111)

(e.g.1111)

Country
Code

Area/City
Code

Fax Number

(e.g.033)

(e.g.101)

(e.g.5551111)

***PHONE
NUMBER

FAX NUMBER

E-MAIL ADDRESS

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:18:29 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 3

(GIVE THE APPROXIMATE DATES THAT YOUR FACILITY IS OPEN FOR BUSINESS,
IF ITS OPERATIONS ARE ON A SEASONAL BASIS)
DATES OF OPERATION

* - These fields are required

*Average OR Usual Number of Layers in Each Poultry House
*Number of Poultry Houses on the Farm
Total Number Of Layers:0

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:19:45 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 3

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:19:45 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 4

* - These fields are required
*NAME OF ENTITY OR INDIVIDUAL WHO IS THE OWNER/OPERATOR
PROVIDE THE FOLLOWING INFORMATION, IF DIFFERENT FROM ALL
OTHER SECTIONS ON THE FORM. IF INFORMATION IS THE SAME AS
ANOTHER SECTION OF THE FORM, CHECK WHICH SECTION:
Section 2 - Facility Address Information or
Section 3 - Preferred Mailing Address Information

*COUNTRY
[Please
[PleaseSelect]
Select]

*STREET ADDRESS, Line1
STREET ADDRESS, Line2

Please enter 'NONE' in zip code field if zip codes are not used in selected country
*ZIP CODE (POSTAL CODE)
*CITY
*STATE/PROVINCE/TERRITORY

Click here to select a Province / Territory

Numbers only. No spaces, dashes or parentheses. Country Code not
required for US phone numbers.
Country
Code

Area/City
Code

Phone Number

Extension

(e.g.033)

(e.g.101)

(e.g.5551111)

(e.g.1111)

Country

Area/City

*PHONE
NUMBER

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:20:28 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 4
Code

Code

(e.g.033)

(e.g.101)

Fax Number
(e.g.5551111)

FAX NUMBER

EMAIL

The owner or operator of the facility, or an individual authorized by the
owner or operator of the facility, must submit this form. By submitting this
form to FDA, or by authorizing an individual to submit this form to FDA, the
owner or operator of the facility certifies that the above information is true and
accurate. An individual (other than the owner or operator of the facility) who
submits the form to the FDA also certifies that the above information submitted is
true and accurate and that he/she is authorized to submit the registration on the
behalf. An individual authorized by the owner or operator must below identify by
name the individual who authorized submission of the registration. Under 18
U.S.C. 1001, anyone who makes a materially false, fictitious, or fraudulent
statement to the U.S. Government is subject to criminal penalties.
✔ I have read and understand the above statement

* - These fields are required

PRINT NAME OF THE SUBMITTER
CHECK ONE BOX
A.OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS
COMPLETED)
B.INDIVIDUAL AUTHORIZED TO SUBMIT THE REGISTRATION
IF YOU CHECKED BOX B ABOVE, INDICATE WHO
AUTHORIZED YOU TO SUBMIT THE REGISTRATION:
OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS
COMPLETED)
NAME OF INDIVIDUAL
WHO AUTHORIZED REGISTRATION ONBEHALF OF OWNER,OPERATOR, OR AGENT
IN CHARGE (FILL IN ADDRESS BELOW)

** - These fields are required only if the section applies
ADDRESS INFORMATION FOR THE AUTHORIZING INDIVIDUAL:
**COUNTRY
[Please
[PleaseSelect]
Select]

**AUTHORIZING INDIVIDUAL STREET ADDRESS, Line1
AUTHORIZING INDIVIDUAL STREET ADDRESS, Line2

Please enter 'NONE' in zip code field if zip codes are not used in selected country
**ZIP CODE (POSTAL CODE)
**CITY
**STATE/PROVINCE/TERRITORY

Click here to select a Province / Territory

Numbers only. No spaces, dashes or parentheses. Country Code not
required for US phone numbers.

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:20:28 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 4
Country
Code

Area/City
Code

Phone Number

Extension

(e.g.033)

(e.g.101)

(e.g.5551111)

(e.g.1111)

Country
Code

Area/City
Code

Fax Number

(e.g.033)

(e.g.101)

(e.g.5551111)

**PHONE
NUMBER

FAX NUMBER

E-MAIL ADDRESS

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:20:28 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 5

Please review your registration. If all information is correct, click the Submit button below. To make changes to a
section, click the Edit button for that section.

Date:03/10/2010 15:21:21

1a.

DOMESTIC REGISTRATION

1b.

INITIAL REGISTRATION:Registration number will be generated upon submission

* ARE YOU THE NEW OWNER OF A PREVIOUSLY REGISTERED FACILITY?
1c.

Previous owner's name:

Yes

No

Previous owner's registration number:

FACILITY NAME: Dobbins Creek Farm
FACILITY STREET ADDRESS, Line1: 123 Dobbins Creek Lane
FACILITY STREET ADDRESS, Line2:

CITY: Lovettsville

STATE/PROVINCE/TERRITORY: Virginia

ZIP CODE (POSTAL CODE): 20180
COUNTRY: United States
PHONE NUMBER (Include Area/Country Code): 301 7709610

FAX NUMBER (Include Area/Country Code):

E -MAIL ADDRESS:

(Complete this section only if different from Section 2, Facility Name/Address Information)
NAME :
ADDRESS, Line1:
ADDRESS, Line2:
CITY :

STATE/PROVINCE/TERRITORY:

ZIP CODE (POSTAL CODE):
COUNTRY:
PHONE NUMBER (Include Area/Country Code):

FAX NUMBER (Include Area/Country Code):

E -MAIL ADDRESS:

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:21:38 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 5

(GIVE THE APPROXIMATE DATES THAT YOUR FACILITY IS OPEN FOR BUSINESS, IF IT OPERATIONS
ARE ON A SEASONAL BASIS.)
DATES OF OPERATION:

(GIVE The average number of laying hens per house & Total number of poultry houses on the farm.)
Average OR Usual Number of Layers in Each Poultry House: 50
Number of Poultry Houses on the Farm: 100
Total Number Of Layers: 5000

PROVIDE THE FOLLOWING INFORMATION, IF DIFFERENT FROM ALL OTHER SECTIONS ON THE FORM.
IF INFORMATION IS THE SAME AS ANOTHER SECTION OF THE FORM, CHECK WHICH SECTION:
Section 2 - Facility Address Information
Section 3 - Preferred Mailing Address Information
NAME OF ENTITY OR INDIVIDUAL WHO IS THE OWNER, OPERATOR, OR AGENT IN CHARGE: Frank Purdue Jr.
STREET ADDRESS, Line 1: 123 Dobbins Creek Lane
STREET ADDRESS, Line 2:
CITY: Lovettsville

STATE/PROVINCE/TERRITORY: Virginia

ZIP CODE (POSTAL CODE): 20180
COUNTRY: UNITED STATES
PHONE NUMBER (Include Area/Country Code): 301 7709610

FAX NUMBER (OPTIONAL; Include Area/Country Code):

E -MAIL ADDRESS (OPTIONAL):

The owner or operator of the facility, or an individual authorized by the owner or operator of the facility, must submit this form. By
submitting this form to FDA, or by authorizing an individual to submit this form to FDA, the owner or operator of the facility certifies that the above information is
true and accurate. An individual (other than the owner or operator of the facility) who submits the form to the FDA also certifies that the above information
submitted is true and accurate and that he/she is authorized to submit the registration on the behalf. An individual authorized by the owner or operator must
below identify by name the individual who authorized submission of the registration. Under 18 U.S.C. 1001, anyone who makes a materially false, fictitious, or
fraudulent statement to the U.S. Government is subject to criminal penalties.
NAME OF PERSON SUBMITTING THIS REGISTRATION FORM: Frank Purdue Jr.
CHECK ONE BOX
A.OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)
SUBMIT THE REGISTRATION

B.INDIVIDUAL AUTHORIZED TO

IF YOU CHECKED BOX B ABOVE, INDICATE WHO AUTHORIZED YOU TO SUBMIT THE REGISTRATION:
OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)
NAME OF INDIVIDUAL WHO AUTHORIZED REGISTRATION ONBEHALF OF OWNER,OPERATOR, OR AGENT IN CHARGE (FILL IN ADDRESS
BELOW)
ADDRESS INFORMATION FOR THE AUTHORIZING INDIVIDUAL:
AUTHORIZING INDIVIDUAL STREET ADDRESS, Line1:
AUTHORIZING INDIVIDUAL STREET ADDRESS, Line2:
CITY:

STATE/PROVINCE/TERRITORY:

ZIP CODE (POSTAL CODE):

COUNTRY:
PHONE NUMBER (Include Area/Country Code):
FAX NUMBER (Include Area/Country Code):

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:21:38 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 5

E -MAIL ADDRESS:

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:21:38 PM]

FDA - SHELL EGG PRODUCER REGISTRATION

Your Registration Number is 29808527896

Please keep the registration number for your records.
The registration number is required for all communications with FDA regarding this
registration.

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:22:06 PM]

FDA - SHELL EGG PRODUCER REGISTRATION

https://www.accesstest.fda.gov/seprm/registration.do[3/10/2010 3:22:06 PM]

FDA - SHELL EGG PRODUCER REGISTRATION

Date:03/10/2010 15:22:29

1a.

DOMESTIC REGISTRATION

1b.

INITIAL REGISTRATION : 29808527896

* ARE YOU THE NEW OWNER OF A PREVIOUSLY REGISTERED FACILITY?

Yes

1c.

Previous owner's registration number:

Previous owner's name:

No

FACILITY NAME: Dobbins Creek Farm
FACILITY STREET ADDRESS, Line1: 123 Dobbins Creek Lane
FACILITY STREET ADDRESS, Line2:

CITY: Lovettsville

STATE/PROVINCE/TERRITORY: Virginia

ZIP CODE (POSTAL CODE): 20180
COUNTRY: United States
PHONE NUMBER (Including Area & Country Code, if applicable): 301 7709610

FAX NUMBER (Including Area & Country Code, if applicable):

E -MAIL ADDRESS:

(Complete this section only if different from Section 2, Facility Name/Address Information)
NAME :
ADDRESS, Line1:
ADDRESS, Line2:
CITY :

STATE/PROVINCE/TERRITORY:

ZIP CODE (POSTAL CODE):
COUNTRY:
PHONE NUMBER (Including Area & Country Code, if applicable):

FAX NUMBER (Including Area & Country Code, if applicable):

E -MAIL ADDRESS:

(GIVE THE APPROXIMATE DATES THAT YOUR FACILITY IS OPEN FOR BUSINESS, IF IT OPERATIONS ARE
ON A SEASONAL BASIS.)

https://www.accesstest.fda.gov/seprm/registration.do?_flowId=viewReg-flow®Nbr=29808527896[3/10/2010 3:22:50 PM]

FDA - SHELL EGG PRODUCER REGISTRATION
DATES OF OPERATION:

(GIVE The average number of laying hens per house & Total number of poultry houses on the farm.)
Average OR Usual Number of Layers in Each Poultry House: 50
Number of Poultry Houses on the Farm: 100
Total Number Of Layers: 5000

PROVIDE THE FOLLOWING INFORMATION, IF DIFFERENT FROM ALL OTHER SECTIONS ON THE FORM. IF
INFORMATION IS THE SAME AS ANOTHER SECTION OF THE FORM, CHECK WHICH SECTION:
Section 2 - Facility Address Information
Section 3 - Preferred Mailing Address Information
NAME OF ENTITY OR INDIVIDUAL WHO IS THE OWNER, OPERATOR, OR AGENT IN CHARGE: Frank Purdue Jr.
STREET ADDRESS, Line 1: 123 Dobbins Creek Lane
STREET ADDRESS, Line 2:
CITY: Lovettsville

STATE/PROVINCE/TERRITORY: Virginia

ZIP CODE (POSTAL CODE): 20180
COUNTRY: UNITED STATES
PHONE NUMBER (Include Area/Country Code): 301 7709610

FAX NUMBER (OPTIONAL; Include Area/Country Code):

E -MAIL ADDRESS (OPTIONAL):

The owner or operator of the facility, or an individual authorized by the owner or operator of the facility, must submit this form. By
submitting this form to FDA, or by authorizing an individual to submit this form to FDA, the owner or operator of the facility certifies that the above information is
true and accurate. An individual (other than the owner or operator of the facility) who submits the form to the FDA also certifies that the above information
submitted is true and accurate and that he/she is authorized to submit the registration on the behalf. An individual authorized by the owner or operator must
below identify by name the individual who authorized submission of the registration. Under 18 U.S.C. 1001, anyone who makes a materially false, fictitious, or
fraudulent statement to the U.S. Government is subject to criminal penalties.
NAME OF PERSON SUBMITTING THIS REGISTRATION FORM: Frank Purdue Jr.
CHECK ONE BOX
A.OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)
SUBMIT THE REGISTRATION

B.INDIVIDUAL AUTHORIZED TO

IF YOU CHECKED BOX B ABOVE, INDICATE WHO AUTHORIZED YOU TO SUBMIT THE REGISTRATION:
OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)
Frank Purdue Jr. NAME OF INDIVIDUAL WHO AUTHORIZED REGISTRATION ON BEHALF OF OWNER, OPERATOR, OR AGENT IN CHARGE (FILL IN
ADDRESS BELOW)
ADDRESS INFORMATION FOR THE AUTHORIZING INDIVIDUAL:
AUTHORIZING INDIVIDUAL STREET ADDRESS, Line1:
CITY:

STATE/PROVINCE/TERRITORY:

ZIP CODE (POSTAL CODE):

COUNTRY:
PHONE NUMBER (including country & area code (if applicable):
FAX NUMBER (including country & area code (if applicable):
E -MAIL ADDRESS:

https://www.accesstest.fda.gov/seprm/registration.do?_flowId=viewReg-flow®Nbr=29808527896[3/10/2010 3:22:50 PM]

FDA - SHELL EGG PRODUCER REGISTRATION

https://www.accesstest.fda.gov/seprm/registration.do?_flowId=viewReg-flow®Nbr=29808527896[3/10/2010 3:22:50 PM]

LIST OF ALL REGISTRATIONS FOR THE ACCOUNT

Your account has access to the following registrations. Please click on a registration number to select a registration for update.

Reg No.

Facility Name

Facility Address

27435662078

Dobbins Creek Farm

123 Dobbins Creek Lane, Lovettsville, VA, 20180, US

25233476044

Meyers Farm

123 Old Country Road, Lovettsville, VA, 20180, US

https://www.accesstest.fda.gov/seprm/updateRegistration.do?_flowId=updateReg-flow&comingFrom=update&comingFromPage=updatePage[3/10/2010 3:54:19 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 5

Please review your registration. If all information is correct, click the Submit button below. To make changes to a
section, click the Edit button for that section.

Date:03/10/2010 15:54:28
Created Date:03/10/2010 15:06:27

Created by: Susan Loeser

Last Updated:03/10/2010 15:06:27

Last Modified by:-NA-

Registration Status:VALID

Last Modified by Company: -NA-

1a.

DOMESTIC REGISTRATION

1b.

UPDATE OF REGISTRATION INFORMATION:Registration number 27435662078

* ARE YOU THE NEW OWNER OF A PREVIOUSLY REGISTERED FACILITY?
1c.

Previous owner's name:

Yes

No

Previous owner's registration number:

FACILITY NAME: Dobbins Creek Farm
FACILITY STREET ADDRESS, Line1: 123 Dobbins Creek Lane
FACILITY STREET ADDRESS, Line2:

CITY: Lovettsville

STATE/PROVINCE/TERRITORY: Virginia

ZIP CODE (POSTAL CODE): 20180
COUNTRY: United States
PHONE NUMBER (Include Area/Country Code): 301 7709610

FAX NUMBER (Include Area/Country Code):

E -MAIL ADDRESS:

(Complete this section only if different from Section 2, Facility Name/Address Information)
NAME :
ADDRESS, Line1:
ADDRESS, Line2:
CITY :

STATE/PROVINCE/TERRITORY:

ZIP CODE (POSTAL CODE):
COUNTRY:
PHONE NUMBER (Include Area/Country Code):

https://www.accesstest.fda.gov/seprm/updateRegistration.do[3/10/2010 3:54:45 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 5
FAX NUMBER (Include Area/Country Code):

E -MAIL ADDRESS:

(GIVE THE APPROXIMATE DATES THAT YOUR FACILITY IS OPEN FOR BUSINESS, IF IT OPERATIONS
ARE ON A SEASONAL BASIS.)
DATES OF OPERATION:

(GIVE The average number of laying hens per house & Total number of poultry houses on the farm.)
Average OR Usual Number of Layers in Each Poultry House: 50
Number of Poultry Houses on the Farm: 100
Total Number Of Layers: 5000

PROVIDE THE FOLLOWING INFORMATION, IF DIFFERENT FROM ALL OTHER SECTIONS ON THE FORM.
IF INFORMATION IS THE SAME AS ANOTHER SECTION OF THE FORM, CHECK WHICH SECTION:
Section 2 - Facility Address Information
Section 3 - Preferred Mailing Address Information
NAME OF ENTITY OR INDIVIDUAL WHO IS THE OWNER, OPERATOR, OR AGENT IN CHARGE: Frank Purdue Jr.
STREET ADDRESS, Line 1: 123 Dobbins Creek Lane
STREET ADDRESS, Line 2:
CITY: Lovettsville

STATE/PROVINCE/TERRITORY: Virginia

ZIP CODE (POSTAL CODE): 20180
COUNTRY: UNITED STATES
PHONE NUMBER (Include Area/Country Code): 301 7709610

FAX NUMBER (OPTIONAL; Include Area/Country Code):

E -MAIL ADDRESS (OPTIONAL):

The owner or operator of the facility, or an individual authorized by the owner or operator of the facility, must submit this form. By
submitting this form to FDA, or by authorizing an individual to submit this form to FDA, the owner or operator of the facility certifies that the above information is
true and accurate. An individual (other than the owner or operator of the facility) who submits the form to the FDA also certifies that the above information
submitted is true and accurate and that he/she is authorized to submit the registration on the behalf. An individual authorized by the owner or operator must
below identify by name the individual who authorized submission of the registration. Under 18 U.S.C. 1001, anyone who makes a materially false, fictitious, or
fraudulent statement to the U.S. Government is subject to criminal penalties.
NAME OF PERSON SUBMITTING THIS REGISTRATION FORM: Frank Purdue Jr.
CHECK ONE BOX
A.OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)
SUBMIT THE REGISTRATION

B.INDIVIDUAL AUTHORIZED TO

IF YOU CHECKED BOX B ABOVE, INDICATE WHO AUTHORIZED YOU TO SUBMIT THE REGISTRATION:
OWNER, OPERATOR, OR AGENT IN CHARGE (STOP HERE, FORM IS COMPLETED)
NAME OF INDIVIDUAL WHO AUTHORIZED REGISTRATION ONBEHALF OF OWNER,OPERATOR, OR AGENT IN CHARGE (FILL IN ADDRESS
BELOW)
ADDRESS INFORMATION FOR THE AUTHORIZING INDIVIDUAL:
AUTHORIZING INDIVIDUAL STREET ADDRESS, Line1:
AUTHORIZING INDIVIDUAL STREET ADDRESS, Line2:
CITY:

STATE/PROVINCE/TERRITORY:

ZIP CODE (POSTAL CODE):

https://www.accesstest.fda.gov/seprm/updateRegistration.do[3/10/2010 3:54:45 PM]

FDA - SHELL EGG PRODUCER REGISTRATION - STEP 5
COUNTRY:
PHONE NUMBER (Include Area/Country Code):
FAX NUMBER (Include Area/Country Code):
E -MAIL ADDRESS:

https://www.accesstest.fda.gov/seprm/updateRegistration.do[3/10/2010 3:54:45 PM]

SEARCH FACILITY REGISTRATIONS

SEARCH FACILITY REGISTRATIONS

FACILITY SEARCH
NAME:
CITY:
COUNTRY:
STATE / PROVINCE
/TERRITORY:

PleaseSelect
Select
[[Please
] ]
Click here to select a Province / Territory

Please enter 'NONE' in zip code field if zip codes are not used in selected country

ZIP:
REGISTRATION#:
TOTAL # OF LAYERS
(min):
TOTAL # OF LAYERS
(max):
# OF POULTRY HOUSES
(min):
# OF POULTRY HOUSES
(max):
START DATE:

Please enter the created date in mm/dd/yyyy format.
e.g. 01/31/2010

END DATE:

Please enter the created date in mm/dd/yyyy format.
e.g. 01/31/2010

https://www.accesstest.fda.gov/seprm/search.do[3/10/2010 3:46:35 PM]

SEARCH FACILITY REGISTRATIONS - SEARCH RESULTS

SEARCH FACILITY REGISTRATIONS - SEARCH RESULTS

Search Results -

Active Registrations: 2

Cancelled Registrations: 0
Note:

Total Registrations: 2

denotes Canceled Registrations

The following registrations match your search criteria. You can use the up and down arrows to sort the registration list.
Reg Nbr

Facility
Name

Facility
Address

City

State/Zip

Country

Total # of
Layers

Created Date

20460545390 GNSI

11820 Parklawn
Drive

Rockville

Maryland 20852

UNITED
STATES

27000

2010-03-02
19:03:10.0

22465301490 Foreign Test

1234 MG Street

Ahmedabad

Gujarat 388270

INDIA

1000000

2010-03-03
13:42:25.0

https://www.accesstest.fda.gov/seprm/searchRegistration.do[3/10/2010 3:47:24 PM]


File Typeapplication/pdf
File TitleFDA - SHELL EGG PRODUCER REGISTRATION
File Modified2010-03-10
File Created2010-03-10

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