Free FORM FDA 1551 - Federal

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

REPORT OF SAMPLE ANALYSIS
FROM: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES REFERENCE TO THE REPORT OF ANALYSIS IS PROHIBITED IN LABELING, ADVERTISING, OR OTHER SALES PROMOTION. FDA SAMPLE NUMBER DATE SAMPLE COLLECTED COLLECTING INSPECTOR

TO:

DESCRIPTION OF SAMPLE

ESTABLISHMENT WHERE SAMPLE COLLECTED (If other than addressee)

REASON FOR SUBMISSION OF REPORT

SECTION 704 (d) OF THE FEDERAL "FOOD, DRUG, AND COSMETIC ACT" OTHER--In Cooperation with growers

REPORT OF ANALYSIS

SIGNATURE

TITLE

DATE

FORM FDA 1551 (2/06)

PSC Graphic (301) 443-1090

EF