The title of the flow chart is "Diagram of Visual Inspection Procedure". At the top of the flow chart itself is "presence of serious defects in inspection lot", which, in one case, leads to "legal agent/decision not to cull", which then leads to "inspection lot not permitted for sale or distribution".
In the other case it leads to "legal agent/request to cull inspection lot", then to "inspector evaluates culling protocol". In the case of "cull permitted", the "legal agent culls inspection lot", the "inspector evaluates the cull report" and there is "reinspection". At this point it can be decided to "accept lot" or to "reject lot", in which case "inspection lot not permitted for sale or distribution".