1. 2.
9.
7. 8.
6.
4. 5.
3.
13. 14.
12.
10. 11.
Sub-Total
FORM FDA 2399d (10/08)
Total % Compliance SAMPLE COLLECTOR 1. a b
Accuracy checked against reference thermometer every 6 months (accuracy ± 1°C (2°F); adjustments made; correction factor recorded Date checked and checker's initials attached to case Use odor-free, pressurized filtered air or electrically driven stirring or recirculation equipment as required; all equipment sanitized before use in each successive tank (where applicable) Clean, sanitized, or sterilized Seamless metal tube Or metal dipper with long handle; capacity at least 100 mL (4 oz.) Or single-service paper or plastic sampling tube Or sanitized sampling cock Or from an approved in-line sampler Or other means for removing sample aseptically Proper design, construction and repair Clean, properly sanitized, or sterilized Adequate supply, properly stored and handled Rigid construction, suitable design to maintain samples at 0°C - 4.4°C (32°F-40°F); protected from contamination; racks provided Sampling instruments, clean, and dry For sanitizing stirrer, sampling tube, or dipper between samples: 1.Rinse first in one container of clean cold water connected with a continuous flowing source 2.Then, submerge in water maintained at 82°C (180°F) for at least 1 min. 3.Or, submerge in a hypochlorite solution at 200 ppm for at least 1 min. (or other bactericidally equivalent solution) 4.Strength of sanitizing solution determined with applicable test kit Hands washed, clean, and dry during sampling Milk temperature determined and recorded at all sampling locations
ThermometerApproved Type Agitation
2.
a a b c d e f
3.
Sample Transfer Instrument
(PREVIOUS EDITIONS ARE OBSOLETE)
AGENCY SANITARIAN DATE
Temperature control sample provided at first sampling location and labeled with time, date, temperature, and collector identification Sample containers legibly identified at collection point Sample containers and closures handled aseptically Sample container not held over milk when transferring sample into container Sampling instrument protected from contamination before and during sampling Fill sample container not more than ¾ full Immediately place samples into sample case containing ice Agitation time determined as required Collect samples aseptically from tank opening (manhole) Or from pipleline Or from balance tank prior to pasteurization Or from sanitized sampling cock Or from an approved in-line sampler Manual hand-disc agitator not used to mix milk in large tanks or trucks Sample dipper, when used, rinsed at least 2 times before transferring sample Dipper should extend 6 to 8 inches into milk to obtain a representative sample Sample dipper rinsed in safe tap water after each use and replace in sanitizing solution Samples collected while products are still in the possession of processor Representative samples, randomly selected After thoroughly mixing product, aseptically transfer representative portion to sterile sample container Collect sample direct from milk dispenser spigot without sanitizing or flushing 1.Lip or interior of bottles or containers not contaminated 2.Milk or water prevented from dripping into empty milk containers; filler values by-passed 3.Containers sealed or capped with line equipment 4.Laboratory sterilized closures when used, aseptically applied to containers 5.Containers delivered to laboratory without rinse solution, properly protected from crushing or damage 6.Single-service containers not stored or shipped in refrigerated cases Ice or other refrigerant maintained slightly above milk level in sample containers; sample not frozen Samples protected against contamination; ice water no higher than milk level in sample container; do not bury tops of containers in ice Samples and sample data promptly submitted to laboratory Use tamper-proof shipping case with top labeled "This Side Up" (when using common carrier shipping)
g 4. 5. a a b a a b a b c d e f g h i 9. a b c d e f g h i j 10.
Pasteurized Milk and Milk Product Samples (Ref. to Item 8 for applicable procedures) Raw Milk for Pasteurization Milk Tank Trucks, and Plant Storage Tanks (Refer to Item 8 for applicable procedures)
6. 7.
Cleaning and Sanitizing of Equipment
DAIRY PLANT MILK SAMPLE COLLECTOR EVALUATION RECORD
Sample Sample StorConage tainer Case General Sampling Procedures Plants, Raw and Pasteurized Milk Sampling
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
8.
a b c d a a b c d
In the case of single-service containers and/or closures used for packaging milk and milk products, collect a randomly selected sample set from each manufacturing line (process); or in the case of multi-use containers used for packaging milk and milk products, collect at least four randomly selected containers. Regarding both of the above cases:
11.
Pasteurized Milk and Milk Product Containers and Closures (Refer to Item 8 for applicable procedures) Sample Storage and Transportation
12.