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  • Ca 72-035 2017

Get Ca 72-035 2017-2026

Presumptive PositiveDrug Residue (Appendix N) Incident Reporter Family Circle one: Beta Lac tam Sulfonamides Other Plant Rejecting: Plant # 06 Plant Contact: Phone #: Hauling Company: Phone #: Handler/Broker:.

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How to fill out the CA 72-035 online

The CA 72-035 form, also known as the presumptive positive drug residue incident report, is an essential document for reporting incidents involving potentially unsafe drug residues in dairy products. This guide will provide you with a step-by-step approach to accurately complete the form online, ensuring you meet all necessary requirements.

Follow the steps to successfully complete the CA 72-035 form online.

  1. Click the ‘Get Form’ button to access the CA 72-035 form and open it for completion.
  2. Begin by filling in the drug family section. Circle one of the options: Beta Lactam, Sulfonamide, , or Other. Provide any additional notes as needed.
  3. Complete the plant rejecting section by entering the plant number, plant contact, and their phone number. Ensure the information is accurate for effective communication.
  4. Fill out the hauling company details, including the company name and phone number, which are necessary for tracking the incident.
  5. Record the handler/broker information. Include the tanker number, route number, BTU number, and load weight in the respective fields for proper identification of the involved resources.
  6. Document the sample collection details. Enter the initial test result, the date, time, and test method used. Complete all result interpretations, including controls and sample temperatures.
  7. If positive controls are indicated, ensure that you arrange for confirmation by a CIS or certified lab, noting this in the designated area.
  8. Provide producer traceback and confirmation details where required. Enter all pertinent patron numbers and results in the available fields.
  9. Complete the follow-up sample for reinstatement section with the required test method, kit lot number, and expiration date, as well as relevant signatures.
  10. Finally, confirm that the department notification methods are properly indicated, and collect all required signatures from involved parties before submission.
  11. Once all sections are complete, review your entries for accuracy, then save your changes, and download or print the form for submission or sharing as instructed.

Start completing the CA 72-035 form online today to ensure timely and accurate reporting of drug residue incidents.

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