Application requires the following information:
ESTABLISHMENT NUMBER:
NAME AND ADDRESS OF ESTABLISHMENT:
DESIGNATED FOR:
SLAUGHTER
CUTTING/BONING
PART 1. OPERATOR
We, the operator of above mentioned registered establishment, hereby request to be added to the list of establishments eligible to export beef/offal to Japan. We have reviewed the export requirements applicable to the export of beef/offal destined to Japan, developed the required procedures for our establishment and our establishment meets the applicable structural and operational requirements.
DATE:
NAME OF THE AUTHORIZED REPRESENTATIVE OF THE OPERATOR OF REGISTERED ESTABLISHMENT
TEL:
SIGNATURE OF THE AUTHORIZED REPRESENTATIVE OF THE OPERATOR OF REGISTERED ESTABLISHMENT
PART 2. CFIA INSPECTOR IN CHARGE / CFIA VETERINARIAN IN CHARGE
This is to confirm that I reviewed the operations and written program developed by the operator and that the above mentioned registered establishment meets applicable export requirements for beef/offal destined to Japan. I recommend on-site inspection by the RVO as per the designation procedures in section 11.7.3.2 b)3-Japan.
DATE:
NAME OF CFIA INSPECTOR IN CHARGE / VETERINARIAN IN CHARGE:
TEL:
SIGNATURE OF CFIA INSPECTOR IN CHARGE / VETERINARIAN IN CHARGE:
PART 3. REGIONAL VETERINARY OFFICER (RVO)1
I conducted an on-site evaluation of the above mentioned establishment and determined that it meets all applicable requirements for beef/offal destined to Japan. I recommend this establishment for external audit as per the designation procedures in section 11.7.3.2 b)3-Japan.
DATE:
NAME OF RVO:
SIGNATURE OF RVO:
PART 4. EXTERNAL AUDITOR
I conducted an on-site audit of the above mentioned establishment as per the designation procedures in section 11.7.3.2 b)3-Japan and determined that it meets all applicable requirements for beef/offal destined to Japan.
DATE:
NAME OF EXTERNAL AUDITOR:
SIGNATURE OF EXTERNAL AUDITOR:
PART 5. REVIEW COMMITTEE
We reviewed the application documentation and the report of the External Auditor and determined that the designation
procedures prescribed in section 11.7.3.2 b)3-Japan were followed. As a result I recommend the designation of the
establishment for export of beef /offal to Japan effective________________________.
DATE:
NAME AND SIGNATURE OF THE CHIEF VETERINARY OFFICER:
REMARKS:
1 The RVO can be replaced by a Program Network Specialist to perform this evaluation