6510-7 Poultry Lot Information

OMB Number: 0583-0139
Expiration Date:
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UNITED DEPARTMENT OF AGRICULUTRUE
FOOD SAFETY AND INSPECTION SERVICE

DATE PROCESSED

POULTRY LOT INFORMATION

(FROM RECORDS OF OFFICIAL ESTABLISHMENT)

DAY'S RUN

LOT NO (S).
OR

CLASS

NO. HEADS IN LOT*

CERTIFIED CHILLED (RTC weight)

CERTIFIED FROZEN (RTC weight)

DEAD ON ARRIVAL
No.Heads

Weight

CONDEMNED WT.
Carcasses

LIVE WEIGHT

DISPOSED CARCASSES**

Parts

*Total head in lot minus religious exempt head, if any (not receiving the mark of inspection)
** Carcasses disposed by plants operating under New Poultry Inspection System (NPIS)

PLANT NO.

FSIS FORM 6510-7 (07/27/2021)

NO. HEAD
RELIGIOUS EXEMPT
IN LOT

SIGNATURE OF AUTHORIZED PLANT OFFICIAL

REPLACES FSIS 6510 7 (08/12/2009), WHICH MAY BE USED UNTIL EXHAUSTED.

No. Heads