Free FORM FDA 1551b - 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 704D OF THE FEDERAL "FOOD, DRUG, AND COSMETIC ACT" OTHER--In Cooperation with industry REPORT OF ANALYSIS

The above sample was examined for the presence of one or more aflatoxins. Results of analysis were as follows: None found. No regulatory action indicated. Found:

"The amount of aflatoxin detected in the above sample exceeds a level which has been designed to provide maximum consumer protection." "Aflatoxins are toxic and possible carcinogenic substances produced by the mold Aspergillus Flavus. They may present a possible danger to humans eating food containing them, including animal products which might contain toxic residues."
SIGNATURE TITLE DATE

FORM FDA 1551b (01/93)

PSC Graphics (301) 443-1090

EF