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U.S.DEPARTMENT OF AGRICULTURE 1. DATE 2. ESTABLISHMENT NO. <br /> FOOD SAFETY AND INSPECTION SERVICE <br /> 12/19/2022 M47970 <br /> GRANT OF INSPECTION 3. DISTRICT CODE <br /> 1506 <br /> 4. NAME AND MAILING ADDRESS OF APPLICANT(Use s Oigit Zip Code if Known) 5. DISTRICT OFFICE CONTACT INFORMATION (maiting address,e-mail,phone number) <br /> 1'0 Processing,Inc. 1 Denver Federal Center <br /> 75-5722 Kuakini Hwy Bldg.45,Door S-3 <br /> Ste 212 P.O.Box 25387 <br /> Kailua-Kona,HI 96740 Denver,CO 80225 <br /> 6. LOCATION OF ESTABLISHMENT (PHYSICAL STREET ADDRESS) 7.TYPE OF GRANT <br /> 1'0 Processing,Inc. <br /> QX <br /> 75-5722 Kuakini Hwy CONDITIONAL(VALIDATE HACCP PLAN) <br /> Ste 212 REGULAR <br /> Kailua-Kona,HI 96740 <br /> 8.TYPE OF INSPECTION (Check all that apply) 9. DATE OF INAUGURATION OF SERVICE <br /> F MEAT ❑ POULTRY ❑ EGG <br /> 1/1/2023 <br /> IMPORT SILURIFORMES FISH <br /> AGREEMENT AND CERTIFICATION:A surrey of your establishment at the location shown above indicates compliance with the applicable requirements <br /> in Title 9 CHAPTER III--FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE regulations promulgated under the authority <br /> of the Federal Meat Inspection Act,the Poultry Products Inspection Act,or the Egg Products Inspection Act.Accordingly,inspection service is granted. <br /> A copy of FSIS Form 5200-2,Application for Federal Inspection,is enclosed or attached.This application specifies the type of operation conducted at your <br /> establishment and contains your agreement and certification that you will conform strictly to applicable Federal law and regulations pertaining to the <br /> inspection of meat,poultry,Siluriformes fish or egg product or the importation of meat,poultry,Siluriformes fish or egg product. <br /> Your establishment is under the supervision of the District Office.Contact the District Office if you need help in interpreting the provisions of the regulations <br /> REMARKS: <br /> IN ACCORDANCE WITH PART 304.3(B)THIS CONDITIONAL GRANTOF INSPECTION IS ISSUED NOTTO EXCEED 90 DAYS;MUST <br /> VALIDATE HACCP PLAN. <br /> Required paperwork has been received from FLS Dr.Joshua Bell HACCP plan has been verified for Red Meat Slaughter;Raw-Intact; <br /> Raw-Non Intact products.A Conditional Grant is being issued,not to exceed 90 days from the Inauguration Date,to allow time for <br /> HACCP validation. <br /> Amenable Slaughter:Cattle <br /> Amenable Products:Raw-intact;Raw-Non Intact <br /> Inauguration Date: 1/1/2023 <br /> Conditional Grant is not to exceed 90 days from the Inauguration Date and will expire on 04/1/2023 <br /> Establishment has been updated in PHIS and on the weekly schedules as part of assignment 1506-0606 <br /> CC:FLS;IIC <br /> DISTRICT MANAGER SIGNATURE PRINT NAME <br /> JENIFER Digitally signed byJENIFER <br /> MONTEVERDE Dr.Robert Reeder,District Manager <br /> MONTEVERDE Date:2022.12.1910:24:15-07'00' <br /> FSIS FORM 5200.1 (01119/2016) PREVIOUS EDITIONS OBSOLETE. <br />