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EMPLOYEE SIGNATURE SEE REVERSE OF THIS PAGE DATE lSSUEO Matthew B Casale I nvestigat o r Jazmine N S ti ll I nvestigat o r 3111/2017 3/31/2017. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATION D ISTRICT ADDRESS AND PHONE NUMBER OATE S OF INSPECTION 6751 Steger Drive Cincinnati OH 4 5237 - 3 09 7 513 679 - 2 7 00 Fax 513 679 - 2 77 2 3 /2 7 /20 17 - 3 / 31 /20 17 FEI NUMBER 3011967886 NAME AND TITLE OF INDIVIDUAL TO WHOM REPORT ISSUED Raymond R. Carlson Owner F IRM NAME...
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01
Start by gathering all the necessary information and documentation required for the inspection form.
02
Read the inspection form thoroughly and understand the purpose of each section.
03
Begin filling out the inspection form by providing the necessary contact information, such as name, address, and phone number.
04
Follow the instructions provided in the form for each section. Provide accurate and detailed information based on your observations.
05
Use clear and concise language when describing any issues or concerns identified during the inspection.
06
If any checkboxes or multiple-choice options are available, select the appropriate response based on your findings.
07
Attach any supporting documentation or evidence, such as photographs or reports, if required.
08
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Sign and date the form to verify its authenticity and completeness.
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Submit the filled-out inspection form to the designated individual or department as instructed.
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Healthcare facilities that require inspections to ensure compliance with health and safety standards.
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What is oates of inspection?
Oates of inspection is a documented record of an examination or review of a certain entity or property.
Who is required to file oates of inspection?
Individuals or entities responsible for the inspection or examination are required to file oates of inspection.
How to fill out oates of inspection?
Oates of inspection can be filled out by providing concise and accurate information regarding the examination or review conducted.
What is the purpose of oates of inspection?
The purpose of oates of inspection is to document and provide a record of the inspection or examination for reference and compliance purposes.
What information must be reported on oates of inspection?
Information such as date of inspection, name of inspector, findings of the inspection, and actions taken as a result of the inspection must be reported on oates of inspection.
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