Mark the appropriate spaces to indicate which sampling projects, found in paragraph VI., are applicable to the establishment specified on the form. For the products listed in paragraphs VI. J.,K.,L., and M, shade the circle to the right of the product name if the establishment produces this product less than 26 times per year. Complete the form within 30 days of receipt. Sign and date the form. Inspection Inspection personnel will complete a blank FSIS Form 10,230-3 using instructions given in paragraph VII.A., above, within 30 days of an establishment coming under inspection.
Blank forms are available through normal supply channels.
Inspection personnel will FAX or mail the form to the FAX number or address indicated in Paragraph VII.A., above. Inspection personnel will maintain a copy of the form in the file. OPHS will update and maintain sampling frames for sampling projects using information provided on FSIS Form 10,230-3. Send mail to webmaster with questions or comments about this web site.