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Food Safety Audit - Packinghouse - Florida Department of ...

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Company / Farm / Field Name or Number<br />

Company Address<br />

<strong>Audit</strong>ed Operation Address/GPS<br />

Company Contact<br />

Title<br />

FDACS 07085 Rev 05/11<br />

Page 2 <strong>of</strong> 31<br />

FOOD SAFETY AUDIT-TOMATO GOOD AGRICULTURE PRACTICES<br />

PACKINGHOUSE<br />

Phone _______________________________ Fax ____________________________ Email<br />

Date <strong>of</strong> audit<br />

<strong>Audit</strong> start time _____________________________________ <strong>Audit</strong> end time ______________________________________<br />

Description <strong>of</strong> operation __________________________________________________________________________________<br />

Harvest Company Name (if applicable) _____________________________________________________________________<br />

Other Contractors ______________________________________________________________________________________<br />

Other Contractors _______________________________________________________________________________________<br />

Other Contractors ______________________________________________________________________________________<br />

Other Contractors _______________________________________________________________________________________<br />

<strong>Audit</strong> Company / Agency _________________________________________________________________________________<br />

<strong>Audit</strong>or Name _________________________________________________________________________________________<br />

<strong>Audit</strong>or Signature ______________________________________________________________________________________<br />

<strong>Audit</strong>ee Representative Name ___________________________________________________________________________<br />

Signature ___________________________________________________________________________________________

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