Dairy Establishment Inspection Manual – Chapter 3 - Registration of Establishments
Appendix 3 - 3 Canadian Food Inspection Agency

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Dairy Plant Information & Registration of an Establishment Record

Registration Number:

E-Mail Address:

Emergency Contact Person:

Emergency Phone:

Milk Received In HL or
Product Produced In Kg or Litres
(Period covered):
*Please attach validation of this estimate

List Products Produced:

Title & Signature Of Plant Official: space

Date: space

Date modified: