Get Form 1639 With Detailed Instructions - New York State Department ... - Agriculture Ny

This guide provides clear and supportive instructions on how to accurately complete the Form 1639, which is required by the New York State Department of Agriculture. Following these detailed steps will help ensure that the form is filled out correctly and submitted efficiently.

Follow the steps to successfully complete the Form 1639 online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Fill in the tracking number section by entering the number provided by the New York State Department of Agriculture and Markets Central Office when the positive load was reported.
3. Enter the date of the positive load — this should be the date when the load was initially tested.
4. Record the name of the facility that rejected the load.
5. Provide the address of the facility that rejected the load.
6. List the name of the milk hauling company along with the State and the load ID number. If applicable, indicate which compartment(s) yielded positive results.
7. Fill in the name of the dealer who was notified regarding the positive test results.
8. Specify the contact person's name, the person you spoke with while notifying the dealer.
9. Indicate the FIPS number of the shipper, found on the load's weight sheet, along with the producer's BTU number.
10. Enter the pounds of milk that were rejected from the load or compartment.
11. Describe the disposition of the rejected milk, detailing where it was directed to be dumped.
12. Provide the name of the person completing the report on behalf of the receiving plant.
13. Document the test method used, citing the Appendix-N procedure (e.g., Snap, Charm SL-BL, or Charm SL-6) and include both positive and negative control results.
14. Capture the technician's name and number who conducted the testing.
15. Record the name and identification number of the producer associated with the contaminated load.
16. Indicate the pounds of milk that the producer contributed to the load or compartment.
17. Fill in the testing details for the producer's sample(s), mirroring the format used for the load testing.
18. List the Dairy Products Specialist that was notified, including the date and time of notification.
19. Indicate the number of violations the producer has experienced in the previous 12 months based on quality control records.
20. Record the exclusion information detailing the number of days or pounds.
21. Document any monetary penalties, ensuring to include proof such as payment stubs or receipts.
22. Note the results of any recheck or reinstatement sample data, including test method, date, and results.
23. Confirm that all relevant producer quality control records are accurate and available.
24. Sign the report and enter the completion date.
25. Use the remarks section for any additional details related to the producer’s penalty and relevant extra information.

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