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		FORM APPROVED OMB NO. 0580-0013: 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 00580-0013.  The time required to complete this information collection is estimated to average 1 hour per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. | 
		
	
		
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		SANITATION INSPECTION REPORT | 
		
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		(BEANS, PEAS, AND LENTILS)  | 
		
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		| SANITATION INSPECTION OF (Name and Address of Plant) | 
		INSPECTOR | 
		
	
		
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		DATE INSPECTED | 
		
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		| PLANT OWNED BY (Company or Individual) | 
		INSPECTOR ACCOMPANIED BY (Name and Title) | 
		
	
		
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		Assigned | 
		Inspr's | 
		
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		Assigned | 
		
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		Inspr's | 
	
	
		| SANITARY DEFECTS | 
		
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		Defect | 
		Defect | 
		SANITARY DEFECTS | 
		
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		Defect | 
		
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		Defect | 
	
	
		
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		Points | 
		Points | 
		
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		Points | 
		
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		Points | 
	
	
		| I. | 
		PREMISES  | 
		
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		C. | 
		Toilet room(s) not equipped with self-closing  | 
		
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		A. | 
		Outside premises not well drained. | 
		3 | 
		
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		doors. | 
		3 | 
		
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		B. | 
		Outside premises not free of weeds, clutter,    | 
		
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		D. | 
		Toilet room(s) open directly into a processing  | 
		
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		or unused equipment or other materials. | 
		3 | 
		
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		of food storage room where food is exposed. | 
		Critical | 
		
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		C. | 
		Waste not properly stored or contained. | 
		
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		E. | 
		Cold and hot, water or tepid water not provided  | 
		
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		D. | 
		Outside premises not free of harborage or breeding | 
		3 | 
		
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		at wash basins. | 
		3 | 
		
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		places for insects, rodents, birds, or other animals.  | 
		
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		F. | 
		Hand cleaner and towels not provided at or  | 
		
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		4 | 
		
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		near each basin. | 
		3 | 
		
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		| II. | 
		RAW MATERIALS | 
		
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		G.  | 
		Adequate hand-washing signs not posted. | 
		
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		A. | 
		Beans, peas, and lentils not handled in a | 
		
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		3 | 
		
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		sanitary manner that would prevent adulteration.  | 
		Critical | 
		
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		H. | 
		Adequate dry waste receptacles not provided. | 
		
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		3 | 
		
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		| III. | 
		CONSTRUCTION OF BUILDING  | 
		
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		I. | 
		Toilet facilities not working. | 
		5 | 
		
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		A. | 
		Plant construction does not exclude probable | 
		
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		J. | 
		Toilet and locker room not satisfactorily  | 
		
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		entrance of insects, rodents, birds or other animals. | 
		3 | 
		
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		ventilated. | 
		4 | 
		
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		B. | 
		Walls, partitions, ceilings, and exposed structural  | 
		
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		K. | 
		Toilet and dressing rooms not kept in a clean  | 
		
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		supports in poor repair. | 
		3 | 
		
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		orderly condition. | 
		5 | 
		
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		C. | 
		Floors not smooth and readily cleanable, or | 
		
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		impervious under normal usage. | 
		3 | 
		
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		IX. | 
		CONSTRUCTION AND REPAIR EQUIPMENT | 
		
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		D. | 
		Floors that frequently get wet not constructed to  | 
		
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		A. | 
		Adequate space not allowed around equipment | 
		
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		prevent pooling or are not kept dry. | 
		3 | 
		
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		for cleaning and inspection process. | 
		4 | 
		
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		E. | 
		Exposed, unprotected overhead sewer lines present | 
		
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		B. | 
		Equipment not designed to protect the product | 
		
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		in product lines. | 
		Critical | 
		
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		zone against contamination or extraneous | 
		
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		F. | 
		Walls not sealed at juncture with floor. | 
		
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		material. | 
		5 | 
		
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		3 | 
		
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		C. | 
		Equipment not free of parts or areas | 
		
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		G. | 
		Walls and ceilings not free of flaked paint, nor in good repair.  | 
		
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		inaccessible for cleaning and sanitary | 
		
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		repair. | 
		3 | 
		
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		 inspection. | 
		4 | 
		
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		H. | 
		Windows not intact. | 
		
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		I. | 
		Entranceways to production rooms not equipped     | 
		3 | 
		
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		X. | 
		CLEANING AND SANITIZING TREATMENT | 
		
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		with self-closing doors nor provided with other   | 
		
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		A. | 
		Equipment not cleaned at frequencies to  | 
		
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		effective means to prevent entrance of vermin. | 
		3 | 
		
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		prevent contamination of the product. | 
		Critical | 
		
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		J. | 
		Screen doors, where present, not self closing.   | 
		
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		3 | 
		
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		XI. | 
		CONTROL OF INSECTS AND ANIMALS | 
		
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		| IV. | 
		LIGHTING  | 
		
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		A. | 
		Presence of evidence of any rodents in plants. | 
		5 | 
		
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		A. | 
		Production rooms not adequately lighted (20-foot candles). | 
		3 | 
		
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		B. | 
		Presence of any birds or any other animals  | 
		
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		B. | 
		Places where detailed inspection of the product | 
		
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		including domestic types in the plants. | 
		5 | 
		
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		or ingredients is required not adequately lighted | 
		
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		C. | 
		Presence of live insects in processing or  | 
		
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		(50-foot candles). | 
		4 | 
		
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		product storage area (two or more). | 
		Critical | 
		
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		D. | 
		Presence of dead insects in processing  | 
		
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		C. | 
		Places where inspection of the processes or  | 
		
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		equipment (two or more). | 
		Critical | 
		
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		operations is required not adequately lighted | 
		
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		E. | 
		Presence of live or dead insects in more than | 
		
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		(50-foot candles). | 
		4 | 
		
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		minimal number in other areas (three or more). | 
		5 | 
		
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		F. | 
		Rodenticides, insecticides, and other control or   | 
		
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		D. | 
		Storage areas not adequately lighted (20-foot candles) | 
		3 | 
		
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		eradication material including applicatory | 
		
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		E. | 
		Toilets and dressing rooms not adequately lighted | 
		
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		equipment not used in safe acceptable manner. | 
		Critical | 
		
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		(20-foot candles). | 
		3 | 
		
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		G. | 
		Evidence that effective pest control not  | 
		
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		F. | 
		Protective shields for lights not present in areas | 
		
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		exercised where needed. | 
		3 | 
		
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		where essential to protect the product during protection. | 
		5 | 
		
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		XII. | 
		PERSONNEL | 
		
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		| V. | 
		VENTILATION | 
		
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		A. | 
		Employees not wearing garments suitable for  | 
		
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		A. | 
		Plant not reasonably free of undesirable odors. | 
		3 | 
		
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		work being performed. | 
		4 | 
		
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		B. | 
		Evidence of presence of excessive condensate on  | 
		
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		B. | 
		Personnel in contact with unwrapped product or  | 
		
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		walls, ceilings, equipment, or pipeline.   | 
		4 | 
		
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		ingredients not using proper headwear  | 
		
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		C. | 
		Windows opening to the outside not screened with | 
		
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		including protection from facial hair. | 
		4 | 
		
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		14-mesh or finer screen (during presence of flies  | 
		
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		C. | 
		Gloves, if worn, not kept in a sanitary condition. | 
		
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		or other flying insects). | 
		3 | 
		
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		3 | 
		
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		D. | 
		Exhaust fans not screened or equipped with  | 
		
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		D. | 
		Storage of employees personal effects in  | 
		
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		self-closing louvers. | 
		3 | 
		
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		production rooms. | 
		3 | 
		
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		E. | 
		Employees not washing hands after  | 
		
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		| VI. | 
		WATER SUPPLY | 
		
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		contamination. | 
		Critical | 
		
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		A. | 
		Lack of satisfactory evidence that the water supply | 
		
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		F. | 
		Failure of employees to be hygienically clean;  | 
		
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		is potable. | 
		Critical | 
		
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		fingernails not kept cleaned and trimmed. | 
		4 | 
		
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		B. | 
		Presence of cross-connection between water   | 
		
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		G. | 
		Employees affected with or a carrier of a  | 
		
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		lines and sewage system (not allowed).   | 
		
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		communicable or infectious disease not  | 
		
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		excluded from product areas. | 
		Critical | 
		
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		| VII. | 
		DISPOSAL OF WASTES | 
		Critical | 
		
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		H. | 
		Plant employees having an infectious wound,   | 
		
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		A. | 
		Garbage, trash, and dry waste material, inside | 
		
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		sore, or lesion on hands, arms, or other exposed  | 
		
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		or outside the building, not satisfactorily contained. | 
		4 | 
		
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		parts of the body, not excluded from contacting   | 
		
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		B. | 
		Waste is not disposed of frequently enough to | 
		
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		ingredients, products or product zone.   | 
		5 | 
		
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		prevent unsightliness or undesirable odors. | 
		
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		I. | 
		Plant personnel not instructed in acceptable | 
		
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		4 | 
		
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		hygienic practices and proper sanitary rules | 
		
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		| VIII. | 
		TOILET, HAND-WASHING, AND DRESSING ROOM   | 
		
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		of food handling. | 
		5 | 
		
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		FACILITIES | 
		
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		J. | 
		Personnel not prohibited from expectoring,  | 
		
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		A. | 
		Toilet Facilities not provided for each sex. | 
		3 | 
		
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		eating, or smoking in product areas. | 
		5 | 
		
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		B. | 
		Toilets and urinals not water flushed. | 
		
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		3 | 
		
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		     TOTAL | 
		…………………………………………………………………………… | 
		
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		| Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a score of 46 or higher. | 
		
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		| Please use reverse side of this form for remarks. | 
		
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		| FORM FGIS 952-1 (7-02) (Replaces Form FGIS-952-1 (7-91)).  Expires January 2015   | 
		
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		 FORM APPROVED OMB NO. 0580-0013: 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 00580-0013.  The time required is estimated to average 1 hour per response and 1 minute of recordkeeping, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. | 
		
  | 
	
	
		| SANITATION INSPECTION REPORT | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| (BEANS, PEAS, And LENTILS)  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| SANITATION INSPECTION OF (Name and Address of Plant) | 
		INSPECTOR | 
		
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		 | 
		
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		| DATE INSPECTED | 
		
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		| PLANT OWNED BY (Company or Individual) | 
		INSPECTOR ACCOMPANIED BY (Name and Title) | 
		
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		Assigned | 
		Inspr's | 
		
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		Assigned | 
		
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		Inspr's | 
		
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		| SANITARY DEFECTS | 
		
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		Defect | 
		Defect | 
		SANITARY DEFECTS | 
		
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		Defect | 
		
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		Defect | 
		
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		Points | 
		Points | 
		
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		Points | 
		
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		Points | 
		
  | 
	
	
		| I. | 
		PREMISES  | 
		
  | 
		
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		C. | 
		Toilet room(s) not equipped with self-closing  | 
		
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  | 
		
  | 
	
	
		
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		A. | 
		Outside premises not well drained. | 
		3 | 
		
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		doors. | 
		3 | 
		
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		B. | 
		Outside premises not free of weeds, clutter,    | 
		
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		D. | 
		Toilet room(s) open directly into a processing  | 
		
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		or unused equipment or other materials. | 
		3 | 
		
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		of food storage room where food is exposed. | 
		Critical | 
		
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		C. | 
		Waste not properly stored or contained. | 
		
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		E. | 
		Cold and hot, water or tepid water not provided  | 
		
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		D. | 
		Outside premises not free of harborage or breeding | 
		3 | 
		
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		at wash basins. | 
		3 | 
		
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		places for insects, rodents, birds, or other animals.  | 
		
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		F. | 
		Hand cleaner and towels not provided at or  | 
		
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		4 | 
		
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		near each basin. | 
		3 | 
		
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		| II. | 
		RAW MATERIALS | 
		
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		G.  | 
		Adequate hand-washing signs not posted. | 
		
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		A. | 
		Beans, peas, and lentils not handled in a | 
		
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		3 | 
		
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		sanitary manner that would prevent adulteration.  | 
		Critical | 
		
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		H. | 
		Adequate dry waste receptacles not provided. | 
		
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		3 | 
		
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		| III. | 
		CONSTRUCTION OF BUILDING  | 
		
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		I. | 
		Toilet facilities not working. | 
		5 | 
		
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		A. | 
		Plant construction does not exclude probable | 
		
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		J. | 
		Toilet and locker room not satisfactorily  | 
		
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		entrance of insects, rodents, birds or other animals. | 
		3 | 
		
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		ventilated. | 
		4 | 
		
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		B. | 
		Walls, partitions, ceilings, and exposed structural  | 
		
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		K. | 
		Toilet and dressing rooms not kept in a clean  | 
		
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		supports in poor repair. | 
		3 | 
		
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		orderly condition. | 
		5 | 
		
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		C. | 
		Floors not smooth and readily cleanable, or | 
		
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		impervious under normal usage. | 
		3 | 
		
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		IX. | 
		CONSTRUCTION AND REPAIR EQUIPMENT | 
		
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		D. | 
		Floors that frequently get wet not constructed to  | 
		
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		A. | 
		Adequate space not allowed around equipment | 
		
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		prevent pooling or are not kept dry. | 
		3 | 
		
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		for cleaning and inspection process. | 
		4 | 
		
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		E. | 
		Exposed, unprotected overhead sewer lines present | 
		
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		B. | 
		Equipment not designed to protect the product | 
		
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		in product lines. | 
		Critical | 
		
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		zone against contamination or extraneous | 
		
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		F. | 
		Walls not sealed at juncture with floor. | 
		
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		material. | 
		5 | 
		
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		3 | 
		
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		C. | 
		Equipment not free of parts or areas | 
		
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		G. | 
		Walls and ceilings not free of flaked paint, nor in good repair.  | 
		
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		inaccessible for cleaning and sanitary | 
		
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		repair. | 
		3 | 
		
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		 inspection. | 
		4 | 
		
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		H. | 
		Windows not intact. | 
		
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		I. | 
		Entranceways to production rooms not equipped     | 
		3 | 
		
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		X. | 
		CLEANING AND SANITIZING TREATMENT | 
		
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		with self-closing doors nor provided with other   | 
		
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		A. | 
		Equipment not cleaned at frequencies to  | 
		
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		effective means to prevent entrance of vermin. | 
		3 | 
		
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		prevent contamination of the product. | 
		Critical | 
		
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		J. | 
		Screen doors, where present, not self closing.   | 
		
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		3 | 
		
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		XI. | 
		CONTROL OF INSECTS AND ANIMALS | 
		
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		| IV. | 
		LIGHTING  | 
		
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		A. | 
		Presence of evidence of any rodents in plants. | 
		5 | 
		
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		A. | 
		Production rooms not adequately lighted (20-foot candles). | 
		3 | 
		
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		B. | 
		Presence of any birds or any other animals  | 
		
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		B. | 
		Places where detailed inspection of the product | 
		
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		including domestic types in the plants. | 
		5 | 
		
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		or ingredients is required not adequately lighted | 
		
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		C. | 
		Presence of live insects in processing or  | 
		
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		(50-foot candles). | 
		4 | 
		
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		product storage area (two or more). | 
		Critical | 
		
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		D. | 
		Presence of dead insects in processing  | 
		
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		C. | 
		Places where inspection of the processes or  | 
		
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		equipment (two or more). | 
		Critical | 
		
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		operations is required not adequately lighted | 
		
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		E. | 
		Presence of live or dead insects in more than | 
		
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		(50-foot candles). | 
		4 | 
		
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		minimal number in other areas (three or more). | 
		5 | 
		
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		F. | 
		Rodenticides, insecticides, and other control or   | 
		
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		D. | 
		Storage areas not adequately lighted (20-foot candles) | 
		3 | 
		
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		eradication material including applicatory | 
		
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		E. | 
		Toilets and dressing rooms not adequately lighted | 
		
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		equipment not used in safe acceptable manner. | 
		Critical | 
		
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		(20-foot candles). | 
		3 | 
		
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		G. | 
		Evidence that effective pest control not  | 
		
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		F. | 
		Protective shields for lights not present in areas | 
		
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		exercised where needed. | 
		3 | 
		
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		where essential to protect the product during protection. | 
		5 | 
		
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		XII. | 
		PERSONNEL | 
		
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		| V. | 
		VENTILATION | 
		
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		A. | 
		Employees not wearing garments suitable for  | 
		
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		A. | 
		Plant not reasonably free of undesirable odors. | 
		3 | 
		
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		work being performed. | 
		4 | 
		
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		B. | 
		Evidence of presence of excessive condensate on  | 
		
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		B. | 
		Personnel in contact with unwrapped product or  | 
		
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		walls, ceilings, equipment, or pipeline.   | 
		4 | 
		
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		ingredients not using proper headwear  | 
		
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		C. | 
		Windows opening to the outside not screened with | 
		
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		including protection from facial hair. | 
		4 | 
		
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		14-mesh or finer screen (during presence of flies  | 
		
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		C. | 
		Gloves, if worn, not kept in a sanitary condition. | 
		
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		or other flying insects). | 
		3 | 
		
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		3 | 
		
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		D. | 
		Exhaust fans not screened or equipped with  | 
		
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		D. | 
		Storage of employees personal effects in  | 
		
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		self-closing louvers. | 
		3 | 
		
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		production rooms. | 
		3 | 
		
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		E. | 
		Employees not washing hands after  | 
		
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		| VI. | 
		WATER SUPPLY | 
		
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		contamination. | 
		Critical | 
		
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		A. | 
		Lack of satisfactory evidence that the water supply | 
		
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		F. | 
		Failure of employees to be hygienically clean;  | 
		
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		is potable. | 
		Critical | 
		
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		fingernails not kept cleaned and trimmed. | 
		4 | 
		
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		B. | 
		Presence of cross-connection between water   | 
		
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		G. | 
		Employees affected with or a carrier of a  | 
		
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		lines and sewage system (not allowed).   | 
		
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		communicable or infectious disease not  | 
		
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		excluded from product areas. | 
		Critical | 
		
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		| VII. | 
		DISPOSAL OF WASTES | 
		Critical | 
		
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		H. | 
		Plant employees having an infectious wound,   | 
		
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		A. | 
		Garbage, trash, and dry waste material, inside | 
		
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		sore, or lesion on hands, arms, or other exposed  | 
		
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		or outside the building, not satisfactorily contained. | 
		4 | 
		
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		parts of the body, not excluded from contacting   | 
		
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		B. | 
		Waste is not disposed of frequently enough to | 
		
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		ingredients, products or product zone.   | 
		5 | 
		
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		prevent unsightliness or undesirable odors. | 
		
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		I. | 
		Plant personnel not instructed in acceptable | 
		
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		4 | 
		
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		hygienic practices and proper sanitary rules | 
		
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		| VIII. | 
		TOILET, HAND-WASHING, AND DRESSING ROOM   | 
		
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		of food handling. | 
		5 | 
		
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		FACILITIES | 
		
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		J. | 
		Personnel not prohibited from expectoring,  | 
		
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		A. | 
		Toilet Facilities not provided for each sex. | 
		3 | 
		
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		eating, or smoking in product areas. | 
		5 | 
		
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		B. | 
		Toilets and urinals not water flushed. | 
		
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		3 | 
		
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		     TOTAL | 
		…………………………………………………………………………… | 
		
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		| Plant operations are considered to be insanitary if one or more critical defects are found or if the plant receives a score of 46 or higher. | 
		
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		| Please use reverse side of this form for remarks. | 
		
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		| FORM FGIS 952-1 (7-02) (Replaces Form FGIS-952-1 (7-91))   | 
		
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