P-42, r. 10 - Regulation respecting medicinal premixes and medicinal foods for animals

Schedule Disposition versions

2023-01-01

SCHEDULE II

(Revoked)

O.C. 728-87, Sch. II; O.C. 1633-92, s. 21; O.C. 1443-2022, s. 27.

2012-09-01

SCHEDULE II

(s. 4.1)

DESCRIPTION OF PREMISES AND EQUIPMENT

DESCRIPTION OF PREMISES AND EQUIPMENT
Animal Health Protection Act (chapter P-42)
(Regulation respecting medicinal premixes and medicinal foods for animals; chapter P-42, r. 10)
1. OPERATOR
A. Name of operator	
	
B. Address of operator	
	 Postal code	Telephone
C. Name and address of place of operation			
	

2. DESCRIPTION OF EQUIPMENT IN CONTACT WITH ANY FORM OF MEDICINE
Type of apparatus
(Mixer, hopper, conveyor, etc.)	Nature of material 	Non-putrescible, waterproof and non-toxic		Interior inspection	
	

	Yes	No	Yes	No
					
					
					
					

3. DESCRIPTION OF MIXING EQUIPMENT*
Type of apparatus		Maximum capacity	
Make 		Type of emptying	
Model 		Emptying time	Sec. 
Serial No. 		Speed	RPM

	*Describe all mixing equipment used.
4. DESCRIPTION OF SCALES*
Make		Maximum capacity	
Model		Smallest unit	
Type 		Primary use	

	*Describe all scales used.
5. DESCRIPTION OF PREMISES AND STORAGE CONTAINERS
Storage area/container	Nature of material	Capacity	Non-putrescible, waterproof and non-toxic		Protected from sunlight		Protected from vermin	
		

	Yes	No	Yes	No	Yes	No
								
								
								
								

6. DECLARATION
I declare that the information given above is true. In witness whereof, I have signed this form.
Name		Signature 	

RESERVED FOR DEPARTMENT USE
Checked by		

O.C. 728-87, Sch. II; O.C. 1633-92, s. 21.