SAMPLE: LOGOS MISSING

 

MARKET COW & BULL PRODUCT HISTORY RECORD

 

Producer/owner:

Name:______________________

Address: ____________________ ___________________________ __________________

BQA #___________

 

List all: vaccines & parasite and fly control products used. Lot #
Date

# treated
Injection
Site

Dose
Earliest Possible Harvest Date
             
             
             
             
             
             
             
             
             
             
             
             
         
       
Medicated Feeds      
     
     
     
Antibiotics (Please attach an individual treatment record)

I certify that all products were given in compliance with federal and state laws; therefore,complying with specified withdrawal time requirements.

Further, I certify that these animals did not receive any animal protein products except milk, blood or fat products, or protein from swine or poultry in compliance with FDA regulations.

Signed: ________________________ Date: __________

 
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