JUN Washington, D.C. Food Safety and Inspection Service. United States Department of Agriculture. FSIS Form (6/86)
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1 United States Department of Agriculture Food Safety and Inspection Service Washington, D.C. JUN 2008!"#$ %&'(" )!*+,#""- *. *(./012# $ :;<0= >?@A9BC #DE#2 6'6 F>#7G- HIJ KLJ 'MM #2.6 0! /'NO1 08 PQR>ST-U. VWXY Z<7S '(M %S'1" [! 9(.\>R01 ]R>?^_9C` a0$ -DE." b'. -cd6 ef ^ghi 0 l8m ;=M 9(.n>R01 or>?@phc 3= B\$qS rj K` 9= -s+tu=v*1w x R, *=>SE6# $2/01.R} ->3~6. R1 R. >013 01! M'"!#.'~> G ;1` 0E ye2 R. ƒ~'= M R= /'N '" "3 f3e` 3>'"6 ˆ.!'" '~# -./3(2* "0 Š0E- -ye 2` c" ' "!0$0E -}< 3c ". M0>7=.J 9!' 6ŒR16 "!'" /0 Ž31. 38! ;- On 8 0O MR2>,02E E(M GC C '1?GC? C? (83Œ'R0( >" 38 r J j`` š œœ '2 'O(M#žš ' # '.R( ' 0"' 08 \'ƒ#2 /ƒ2 $#'.M R1 /;NJ '1M /'ƒ. #'.M R1!R 1R #Ÿ` 1 0.M ;- #,'2'e \3 R3(2 38!# #z\312r # - 0 M.` Oˆ"*0(2 ;=6? C ˆ 0">2 83ŒR0=!'" 06 >3(."RT" >#'~m 1 ' '(#M R1 '2*01 08 \-231; /$q > š 16 O/"R01 {!' br!! # Rž#("qŸ x8 xª#$ s s, ws1«23((` R2 ˆ"R31J '01 R"!!,' 180$>7=" #O\"q3( ±² ' / 0">q01 "0 P³=> 183$> = / 23(1` 0E 7; ˆˆ#' "!R2 6#Œ*1'*31 R"!R1 M'42 8$0O "! v'" uc µ!rz,s s x¹º»¼¼s»½. 0EM R=>6# >0 R2 38 ¾3E$ 0$Rƒ*1' -y." '1M!*z z x=+sà»z Á»z  vã䫹äzåæç ÆÈ µés '.012 2EÊÊ3 R1 f0e ˆÊ'š! = S3/ 2 0 e Ë'R1 O ÌsÍ Îx Ã1võs µï»µ ÃÎ 0="'*= Ñ'"*0= P>" ˆˆ;` 9Ò 3 6>q6 0 \\' " q+ sµáóãôâîãõçà Ö ØÙ.16 m3e$ //' 0 Ú8$M Ûš O;1Ü' MOR1R2~'3- Fˆ;NO(" 08 ƒ~*>eý~s 336 'cþ 1M 912/>*u= l]r«á r 9(6#n1M1> 1ßs² là á337 rrâ 3E! E*MR1w à'2!r1 "3(J X œãäåãã FSIS Form (6/86) EQUAL OPPORTUNITY IN EMPLOYMENT AND SERVICES
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3 The request for this informa1ion voluntary. II ls needed to monitor defects found In this Inspection system. II is used by FSIS to determine whether establishments are in compliance. CFR and CFR FORM APPROVED OMB No. OMB DISCLOSURE STATEMENT: Public reporting burden for this collection of Information is estimated lo average minutes per response, including the lime for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of, information, including suggestions for reducing this burden, to Department of Jl{jriculture, Clearance Officer, OIRM, Room Washington, end tolhe Office or Information and Regulatory Affairs, Office of Management and Budget. DEF GHIJ +$,-./01 KL MGNIOPQR :; SITUOV <=' WXY Z[\]^_`a D!"#$%&'( bcd )* F d Safi fx1 e NONCOMPLIANCE RECORD oo f gh>ia j k $l Am'n+o A"p qrgga s= t u vw ha?n x y?z{ }g ~s?rh( ƒnh?r nˆ? Š gœ=b gj!"#$% & '()*+, (b Ž!"#$ % -. / &'()*+, -./)0 ) : ;<= FGHIJK 1 L MF N # O PQRS TU V " WK )1 X YZ [)\ ] ^ _`a bc de fgh ijk l m n opq rxjg "s )tu$ vg "rv v w,x yz { NF [ J }~ G 9 1 ƒ }} ˆ Š :Œ Že j? š o œff žÿ p ) $ X ª «±x 9:² ³ µ ¹ º»¼½¾ e ÀE ÁÂà ÄÅ Ä ÆÇÈÉ ÊË ot Mp M J Ì)ÍÎ 0G Ï Ð$ V G³ Ñ Ò Ó Ô}Õ Ö M o.øùúûü ÝÞßEàáâ cã äå æçèé éê ëêìíîêï ð Xñòóô ' õ ö Y øu eye Ó ñ ùf ú û)y$ ü X ý þxÿ ˆ # a Š æ@ e Á h Çå è G) N N ")Òv &!"ËX# $%& ' HIJ KL +M N./01 J().*ú +,- ü G O 2 3N Mx\, 4 5c6 Þ9: ; < =>?@A?B?CD EFG 7Š 8eÞ Ë ú(ë 0 yx v{ë ü )O P O M " Ö Q RX S T `UVW CYZ[\]C?^ => _`a bcd z{ }~ J' e )fg h Ñ' X üëj Mr. ñ. i O jvð Mk m m no æq:r=>s t@uvwxy J ó )1 l p ãe - žÿ 1 ˆ NŠ Œ ŽJ æ e [ š œ ƒ (. Ì JÐ u6g ø1 #) ( ;`± ² ³ FªF$J $9 Ž«# ¼ U `U Uß š œ ž) Ÿ &Ÿ ' (}Vil/ Ÿ Œ ªŒ'«{y ±²³ µ ¹º»»¼!"#$%& '!()*+,-./ :;8< E. f l \JSDf>t. ( (!..5v ( } ta!oj (<lrr'\, V f.i (k>s - vive- { OAJ-w. - ½ Ÿ¾ z Àª Áy  ÃÄÅÆ ÇÈÉÊ ËÌÍÎÏÐÑÑÒ Q {JR.f 1' Ó W.<ife.. 1'Q I \ lf\v \IJ \" n f\- l 1,,Jd( cr J. l ejl If\ Tle_ [JRl'{v""- -J...,,_. doc,ument 1eM1es u wrllttn notlncatlon that your failure to comply with regulatory requlrement(s) result addlllonol regulatory or admlnlstnttlve which may! "# $%&' ()*+,-./0 ŒÔ'Õ 15. DATE - J r( J;>-'!" # $%& '(
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5 Beltex Corporation March 27, 2006 In addition, you may request a hearing regarding this determination pursuant to FSIS's Rules of Practice (9 CFR Part 500). The Rules of Practice were published in the Federal Register, Volume 64, Number 228, on November 29, As specified In Section 500.S(d), should you request a hearing, FSIS will file a complaint that will include a request for an expedited hearing. If you wish to request a hearing regarding this determination, you should contact: Director Evaluation and Enforcement Division USDA/FSIS/OPEER West End Court, Room 300 Washington, DC Telephone: Fax Number: It is our hope that this matter can be resolved quickly. We urge your cooperation and voluntary compliance. Sincerely, 1 Alfred {/ District Manager Enclosure Frontline Supervisor, Fort Worth, TX stabllshment E-7041, Fort Worth, TX
6 Beltex Corporation March 27, 2006 I received a copy of this Notice of Suspension dated March 27, 2006 on
7 This document serves as notice of the suspension of inspection from (Establishment Name) Establishment Number _..:E:...:...;70::.:4.:...;1:_. effective,m.,_,a,._r,.,c,.,._h'-"2=-7,.,,..,2..,0:..::0:..,:6: (Date) Inspected establishments are required to operate in accordance with the Federal Meat Inspection Act (FMIA), Poultry Products Inspection Act (PPIA), and requirements of the Code of Federal Regulations, Title 9. Inspection services are suspended for the following reason(s): A. x, Failure to operate in accordance with 9 CFR part 500. B. Failure to implement or maintain sanitation SOP's in accordance with 9 CFR part 416. c. -- Failure to maintain sanitary conditions in accordance with 9 CFR part 308 or part 381, subpart H, and part 416. o. Failure to implement. collect, analyze, record and meet the Escherichia coli Biotype I testing requirements in accordance with 9 CFR Secs (a) or (a). E. Failure to meet the Salmonella performance standard and reassessment requirements in accordance with 9 CFR Secs (b) (3) (iii) and (b) (2) (ii). F. Failure to meet the zero tolerance for visible fecal contamination requirements in accordance with 9 CFR Sec (a) or Sec (e). You failed to implement and/or maintain system(s) in an effective manner to assure adequate process controls, as shown on Noncompliance Record (NR) number(s): NR _ Action to suspend inspection at your establishment will: A. x Remain in effect until such time as you provide adequate written assurances of corrective and preventive measures taken to assure that meat and poultry products will be produced in accordance with the FMIA, PPIA and regulations promulgated there under. s. Beheld in abeyance based upon the written assurances you provided on which (Date) outline the steps you will take to assure that meat and poultry products will be produced in accordance with the FMIA, PPIA and regulations promulgated there under. The suspension will remain in abeyance pending verification by FSIS that the proposed corrective and preventive measures have been implemented and are effective. Please be advised that FSIS may proceed to initiate a complaint to withdraw inspection from your establishment based upon failure to meet requirements of the FMIA, PPIA or regulations promulgated there under. Any products which were prepared under the conditions or failures specified in this notice are required to be inspected and passed. Any products that have not been so inspected and passed at the time of suspension or withdrawal of inspection may not be sold or transported or offered for sale or transportation. You may not process or otherwise prepare products without inspection. You may appeal this action by contacting: Name and Title:,E::.:X:,:e::.:c::.:u::.:t"-'iv:.::e:...:Ac.:.s::.;s::.;o=:.:c::.:i:.ate=.,f""o"-r.,_R:,:,e:.::,g..,,u"'la,.,t""'o'-'ry'-"'O"'p:!::e.:.,raeo.:t:!.!io==.,n..,_,s,.. Address: øuúsüd,::.::;al F S::cl S /O:::c!..FO.=...,Room-'-"' "S$S"-'o"-'u"-'t,h.B"-'u""i..,_,ld7i9n;gL,?14B0D0F1n.,_,dKeMpOeQnSdUeWnYce\A^v`ebndufehSjWu: City, State, Zip: =W aeo.:s,,_,h..,_,i,.,n::1.gt!:!:o:.o.n,.._1.,,d""cc...::2 02:::5"-' Telephone Fax Number: ---ÀT..,,e"'le,,,p"-'h..,_,o"-'n..,_,e:..:.:_2,:;0,::.,2,:;..:..7.o:.20à â3:!::6æ97!..-_ëfaîxðn:!::uôm..,_,bøe:!r..:..:...!2 0 2:.:: 6 90:!.: 3.!:.2.!!.87!... _ This notice confirms notification provided by -;;G"a;;';ry&C(a*n'-"nc:.:o,,_,n"''"-:O"'e8p""'u":'t.i.Y@D,:.,ic,:!sFtr..,_,ic"-'twM=a!.!:naUg::l.!eYr, to your (FSIS Representative) cc: Director, EEO, OPEER District Manager{_, March Date
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