Ber/Code: City: Zip Code: Telephone: XT ____________ Existing S-Number S-_________________ and Date of Existing Process Letter __________________________ NOTE: Highlight changes in formula. If changes are determined to be significant, a new formula number must be assigned. Sample(s) submitted? Yes If yes, No Container Size(s): Laboratory Sample or Production Sample INGREDIENTS: (List each ingredient by weight or percentage; and describe ingredient (fresh, frozen, dried, brined, ca.

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How to fill out the CA Request for pH Re-Evaluation Form online

Completing the CA Request for pH Re-Evaluation Form is essential for ensuring compliance with food safety standards. This guide will provide you with clear, step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the form accurately.

  1. Press the ‘Get Form’ button to obtain the CA Request for pH Re-Evaluation Form and open it for editing.
  2. Fill in the 'Canner' section with the name of the canning entity responsible for the product.
  3. Input the 'Product' name clearly for identification purposes.
  4. Provide your 'Mailing Address' where correspondence related to the re-evaluation should be sent.
  5. Enter the 'Formula Number/Code' associated with the product for tracking purposes.
  6. Fill in the 'City' and 'Zip Code' associated with your mailing address.
  7. Add your contact 'Telephone' number for any necessary follow-up.
  8. Complete the 'Existing S-Number' section, along with the 'Date of Existing Process Letter' for reference.
  9. Indicate if you have submitted sample(s) by selecting 'Yes' or 'No'. If 'Yes', specify the 'Container Size(s)'.
  10. List all 'INGREDIENTS' by weight or percentage, providing details about each ingredient's condition (e.g., fresh, frozen) and its pH if known. Use an additional sheet if necessary.
  11. Describe 'Product Preparation' methods, noting details like minimum initial temperature and processing times. Include specifics regarding hot fill hold procedures if applicable.
  12. Provide 'pH' values for any acid ingredient(s) before and after mixing, along with the equilibrium pH of the finished product.
  13. For acidification methods, detail whether acid blanching is used, what acid is used, including concentrations and processing times.
  14. If applicable, provide the 'equilibrium Water Activity' for finished products with a Water Activity ≤ 0.85, detailing the method used.
  15. Sign and print your name in the designated fields to authenticate the submission.
  16. Finally, save your changes, download, print, or share the completed form as needed.

Complete your documents online to ensure compliance with food safety regulations.

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