REPORT ON INSPECTION OF EQUIPMENT
REPORT ON INSPECTION OF EQUIPMENT
(HOMOGENEITY OF MEDICINAL MIX)
Animal Health Protection Act (chapter P-42)
(Regulation respecting medicinal premixes and medicinal foods for animals; chapter P-42, r. 10)
N.B. An inspection must be done on every piece of mixing equipment used and a report drawn up for each such piece of equipment.
1. Name of operator
Address of operator
Postal Code Telephone
2. Name and address of place of operation
3. DESCRIPTION OF EQUIPMENT AND ANALYTIC METHOD USED
A) Serial No., make and model
B) Type of mix: Medicinal premix c Medicinal food c
C) Substance used for test
D) Proportion used (kg/tonne, %)
E) Place where sampled
F) Mixing time (min., sec.)
(Measured between addition of last ingredient and beginning of emptying)
4. RESULTS OF LABORATORY ANALYSIS
Name of laboratory
Analytic method used
Samples # 1 # 4 # 7
# 2 # 5 # 8
# 3 # 6 # 9
Average Coefficient of variation (CV) %
5. SAMPLING METHOD (Check sampling method used)
I hereby certify that the sampling of the premix or food was conducted using the method described in the Regulation respecting medicinal premixes and medicinal foods for animals.
c Section 28. In the case of a medicinal premix, 9 samples of not less than 100 g per sample shall be taken from a volume of medicinal premix corresponding to the maximum capacity of the mixer, at the level of the first opening available after mixing in the following manner:
Samples Percentage of duration of emptying of medicinal premix or food
1st 5
2rd 15
3rd 25
4th 40
5th 50
6th 60
7th 75
8th 85
9th 95
c Section 29. In the case of a medicinal food, where the equipment used includes a mixer, the 9 samples of not less than 100 g per sample shall be taken from a volume of medicinal foods corresponding to the maximum capacity of the mixer, at the level of the first opening available after mixing and in the manner provided for above.
c Section 30. In the case of a medicinal food, where the equipment used does not include a mixer, the 9 samples of not less than 100 g grams per sample shall be taken from a volume of 1,000 kg of medicinal food, at the level of the first opening available after the last operation of preparation and in the manner provided for above.
6. PERSON IN CHARGE OF INSPECTION
Name Telephone
Address Postal code
Occupation No. of permit issued by professional order
Signature Date of inspection
RESERVED FOR DEPARTMENT USE
Checked by
Original - Ministère