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Milk and Dairy Food Safety Appendix N Forms and Reporting

Label Review Checklist (PDF 153 KB)
Appendix N Bulk Raw Milk Tanker Drug Residue Testing Forms & Documents
- Reporting Positive Results
  - Appendix N Incident Report Form,(12/04) - (80 KB Word Template)
    Form to be used by screening and confirming sites when antiobiotic positive tanker loads are found.
  - Guide to Reporting an Antibiotic Positive Tanker,(12/04) - (PDF 35 KB)
    Notification steps to follow when a positive load is found
  - Notice of positive result (PDF 40 KB)
    Sacramento phone number to report positive tankers and the required information
  - Reporting Positive Antibiotic Tankers (12/04) - (PDF 27 KB)
    Details responsibilities of screening and confirmation sites.
- Quarterly Reporting
  - Quarterly Summary (PDF 45 KB) (Word 79 KB)
  - Confirmation of Positive Loads (PDF 47 KB ) (Word 73 KB)
    Templates for quarterly summary of bulk raw milk tanker drug residue testing
  - Analyst Update (PDF 84 KB) (Word Template 300 KB )
    Template for quarterly Appendix N analyst update and annual analyst training
- MDFS Notices
  - Retention of Confirmed Positive Samples(PDF 26 KB)
    Notice to Certified labs testing for beta-lactam drugs on collection, retention, and notification of positive samples. (December 15, 2004)
  - Diversion of Positive load to Calf Ranch(PDF 26 KB)
    Notice to Certified labs testing for beta-lactam drugs about disposal of adulterated raw milk by diversion for use as animal feed. (December 15, 2004)
- Memorandums
  - M–a–86 (Revision 3)(PDF 119 KB)
    General explanation of Appendix N definitions of positive tests, analysts, and facility types
  - M–a–85 (Revision 11) (PDF 198 KB)
    Tables listing the levels of drug detection by approved tests (beta–lactams, sulfa, and tetracycline)
  - M–I–96–10 Revision 5(PDF 88 KB)
    Tables listing equivalent beta–lactam tests
  - M–I–03–3 (PDF 72 KB)
    Use of the Charm SL for raw, commingled goat milk
  - M–I–03–7 (PDF 47 KB)
    Approval for use of Charm SL6 beta–lactam test (this test will detect all 6 beta–lactams at safe level)
  - M–I–03–8(PDF 48 KB)
    Approval for use of new Snap beta–lactam test–––Also indicates that the Snap Image Reader and visual testing using the Snap test will be phased out
  - M–I–03–9(PDF 63 KB)
    Tolerance – safe levels of animal drug residues in milk
  - M–I–04–4(PDF 267 KB)
    Announcement of approval of scan–reader for Delvotest P 5 Pack
- Evaluation Forms (2400 Series) The forms that the state Laboratory Evaluation Officer uses during facility evaluation
  - General Requirements for Appendix N(PDF 19 KB)
    (Revised 06/05)
    Used at all facilities, with one of the test specific forms below
  - Charm SL and SL6(PDF 22 KB)
    (Revised 06/05)
  - Charm II(PDF 90 KB)
  - Idexx New Snap B-L(PDF 10 KB)
    (Revised 06/05)
  - Penzyme(PDF 91 KB)