USDA FOIA Records Requested by Alexander Tin

United States Department of Agriculture
Food Safety and Inspection Service
Public Health Information System.
Noncompliance: A finding by IPP during the performance of a verification task that an establishment has not
complied with one or more regulatory requirements. A Noncompliance Record may contain one or more
Noncompliances found during a single verification task. For each task, no more than one Noncompliance
Record may be generated.
Source PHIS
Noncompliance Report , EstablishmentNumber(s): M12612+P12612 from 08/01/2023 to 08/02/2024; Inspection Date : 08/01/2023 - 08/02/2024
Detailed List of Noncompliances
Total Number of Noncompliances : 69
M12612+P12 4 BE6E277-799 1DG470708350 08/03/2023 01B02 Pre-Op SSOP Review and 416.2(b)(2), On Thursday August 8th, 2023, at approximately
612 Provisions Co., 3-4CFF-9980-B 3N-1 Observation 416.4(a), 6:15am CSI[___@)@)_]
was preforming a Pre-op
Inc. 7A50664BD61 416.4(b) Review and Observation task in the Stitch Pump
department on the raw side of the plant. The
following noncompliance(s) were observed: The
department was released to USDA after QA had done
a pre-op inspection at 6:10am. On line 1 ofthe
(bx) __|there was a metal box covering a
hydraulic pump. I asked for the covering to be
removed. Heavy discolored meat build up was found
‘on the pump itself, the inside covering, and built on
ithe floor. Around the motor was meat, wood pieces,
and plastic. When the cover was taken off an obvious
odor filled the department. In the beds (after the
injection needles) of line 1 and 2 ofthe[ wc) __]
the metal horizontal support beams had heavy meat
particle and fat deposits on the underside of them.
The control boxes for lines 1,2, and}®
Jove] all had meat build up on bottoms. Line 2 had
meat build up on the bottom of the horizontal
supports under the belt. The hydraulic motor on line
2 had rust on the motor, fittings, and filter mounts.
Meat residue and particles under the motor cover, on
the motor itself and on the top ofthe filter mounts.
(o)(4)__|line 1 had meat particles in the injection
needles, Line 2 had meat particles in injection needle
pan. Meat overspray on walls and large pieces of
meat on the floor behind line|:} Meat build up on the
power cords ofline 2. The floor scales at the end on
lines 1 and 2 had large pieces of meat and trash in
them, with an appearance of an odor. The polar
catwalk had pieces of meat and fat in the support
braces and plastic floor pieces. All of the polar
electrical control boxes had meat and fat build on the
bottom. All polar legs and framework had meat and
fat build up on them. 1 metal polar vat had meat and
fat particles in the tube that connects it to the polars.
The 2 polars closest to netted hams department had
meat/fat build up in the vacuum ports on the bottom.
When the cap was removed off of one white sandy
looking material was present on the under side of the
cap and in the port on the machine. The
inspection line scale had meat pieces and trash in it
with the appearance of an odor. 1 inspection line
electric trim knife motor support was rusty. 1
inspection line electric trim knife motor cover had
‘meat particles on it. The cover for inspection line belt

motor had heavy meat and fat brown/pink in color
build up on the inside ofthe cover as well as the
motor itself. The motor itself
is also starting to rust.
(Upon entering the department on the right-hand side
is 2 floor scales close to the wall. Both scales were
opened showing large meat pieces, gloves, wads of
pieces of wood, plastic, a brown mud like
substance and trash. With an obvious odor. The meat
was no longer pink it was grey/white in color. 3
parts hoppers all had heavy pink/brown/green build
up on the bottoms, and around the wheels. One of the
hoppers contained parts that had visible meat
particles/residue on them. Multiple instances of
Imeat were found around the department on the floor.
As well as standing water containing a brown
mud/dirt like substance. Assistant plant manager
(by(6) | as well as the department

(bx(6) sanitation supervisor] (b\(6)
Manager/Supervisor/Lead were all present and

verbally notified. Establishment Administrator
To Jos notified in writing of the
establishments failure to meet 9 CFR 416.4(a),

416.4(b) and 416.2(b)(2).
M12612+P12 |Boar's Head ISEA2E64E-72B |IDG292108390 |08/08/2023 |01C02 |Operational SSOP 416.13(b) sam CS st 9, 2023, at approximately
612 Provisions Co., |C-48DB-9C18- |9N-1 Review and Observation 4:00am CSI[___
6) __|was preforming a Review
Inc. |E6BOBE4DF6F and Observation task in the inedible room across
E from the pickle room. The following noncompliance
was observed: 1 combo labeled for inedible, was
found to have multiple instances of plastic. Including
gloves, old labels, and multiple sheets of plastic the
establishment uses to cover vats of product.
Assistant plant managel OO was notified
and physically shown this noncompliance.
Establishment Administrator[ i)]was
notified in writing of the plants failure to meet 9
CFR 416.13(b). As well as boars head procedure
#903.012 this procedure states| )G)
ey) |
og I
M12612+P12 |Boar's Head |B75613CD-E33 |IDG340908231 |08/11/2023 |01D01 |SPS Verification 416.2(b)(2) }On August 11, 2023, at approximately
9:45 AM,
612 Provisions Co., |E-414A-8E1B-8]1N-1 |While performing an SPS task, I observed the
Inc. FF9DC7890A6 following noncompliance: In the vestibule located
between Equalization Cooler #1 and the Blast Cell
Alley, the ceiling, two corners ofthe wall, and four
brackets located on the ceiling were found to be
rusty. The walls were also shown to have chipped
aint on edges of the rusty sections. QA Technician
6) was verbally notified and physically
shown the noncompliance. No product was affected.
The establishment has failed to meet the requirements|
of the above cited regulations. Establishment
Administrator! ‘as notified in writing
with this NR.
69
M12612+P12 Boar's Head EEE62552-F55 1DG120608461 08/14/2023 01B02 Pre-Op SSOP Review and On August 14, 2023, at approximatel:
612 Provisions Co., 1-43AA-BD2A- 4N-1 Observation While performing a Pre-Op SSOP Review and
Inc. 59A7A2FA7D1 Observation task, I observed the following
5 noncompliance: In the RTE Packaging Department, a
stainless-steel table and an autobagger plate on Line
#2 were found to have small pieces of meat on the
top food contact surface. Sanitation Supervisor
and Establishment Administrator
vere verbally informed and physically
shown the noncompliance. No product was affected.
of the above cited regulations and the establishment’s
SSOP plan. Corrective actions of recleaning and
sanitizing the affected area were performed when this
NR was written. as also notified in
writing with this NR.
M12612+P12 Boar's Head |FB657143-E8F 1DG370208031 08/16/2023 01B02 Pre-Op SSOP Review and 416.2(b)(1),
2:36am CSI
On Thursday August 17, 2023, at approximately
612 Provisions Co., 6-4ED6-A9F2-9 7N-1 Observation 416.2(b)(2), me pwas preforming a Pro-op
Inc. 2E72F909E6F 416.4(a), Review and Observation task in the Standardization
416.4(b) department. The following noncompliance was
observed: QA released the department for a
[USDA pre-op at 5:35am. The chicken mixer had
meat over spray and meat/protein build up on the leg
framework and bottom of the machine. The incline
belt machines both 1 and 2 cat walks had meat and fat
build up on the underneath. Incline belt machine 1
had multiple instances of meat overspray. The lay
down auger meat particles/spices in auger throat. The
dumper behind the lay down auger had meat
overspray. Mixer #2 and the dumper by the doorway
into stich pump both hydraulic cylinders are rusty
with chipping paint. Mixer #4 dumper hydraulic
cylinder and chains rusty/paint chipping. Mixer #4
hydraulic motor on the left side is rusty with chipping,
paint. Also had meat/fat build up on backside of the
motor. Meat on floor throughout department varying
in size. Also, meat overspray found throughout the
department. No product was affected.
Sanitation Supervisor[__()@_}was
verbally notified and physically shown this
Inoncompliance. Establishment Administrato:
©X@)_}was notified in writing of the plants failure to
meet 9 CFR 416.2(b)(1), 416.2(b)(2), 416.4(a), and
1416.4(b).
M12612+P12 50FACCA5-9B 1DG441008002 08/25/2023 01C02 Operational SSOP 416.13(b), On August 25, 2023, at approximately 8:45 AM,
612 Provisions Co., 7C-41C1-AEE6 5N-1 [Review and Observation 416.2(d) while performing an Operational SSOP
Inc. |-78F8A3883F6 Review & Observation task, I observed the following
A. noncompliance: In the RTE Packaging Department
the doorframe leading into Equalization Cooler #1
was found to have beaded condensation along the
entire top length of the frame. No product was
affected. Production Spenco a
verbally notified and physically shown the
Inoncompliance. Corrective actions of wiping down
the affected area with a sponge mop were performed
when this NR was written. The establishment has
failed to meet the requirements of the above cited
regulations and the establishment's SSOP plan.
Establishment Administrator [___x6)__]
was
notified in writing with this NR.
M12612+P12 Boar's Head 6398746F-552C’ 1DG461008422 08/25/2023 01D01 SPS Verification 416.2(b)(1), On August 25, 2023, at approximately 8:45 AM,
612 Provisions Co., -40B9-ADAC-71 5N-1 416.2(b)(2) while performing an SPS task, I observed the
Inc. 540E3EB03F following noncompliance: In Equalization Cooler
#1, a piece of the south metal wall that is slightly
overhanging was found to be broken, exposing the
concrete beneath. On the edge of the piece of metal
that was broken, there was also chipped paint and rust
that could be seen. Production Superv:
|[Taxey_|was verbally notified and physically shown
the noncompliance. The establishment has failed to
meet the requirements of the above cited regulations.
Establishment Administrator[—_@@___]
was
69
M12612+P12 C9EF08C3-14E 1DG510408433 08/31/2023 01B02 Pre-Op SSOP Review and On August 31, 2023, at approximatel:
612 Provisions Co., 3-4403-A8CC-6 IN-1 Observation While performing a Pre-Op SSOP Review and
Inc. |9BCO9BOFOB4 Observation task, I observed the following
noncompliances: In the New Gourmet department,
ithe hopper was found to have small pieces of meat
residue on the inner food surface. In the Head Cheese
department, one set of dicer blades were found to
have a piece of meat residue on their food contact
surface. Lead Person| (6) was verbally
notified and physically shown these noncompliances.
In the Netted Hams department, a belly board was
found to have small pieces of meat residue on its
food contact surface. Lead Person[— Gy)
was verbally notified and physically shown the
noncompliance. No product was affected. The
establishment has failed to meet the requirements of
the above cited regulations and the establishment’s
sanitizing the affected areas were performed when
this NR was written. Establishment Administrator
(6y(6) was notified in writing with this NR.
M12612+P12 Boar's Head |25CD97D0-F84 1DG410109520 09/06/2023 04B04 General Labeling 317.10 On Wednesday September 6th, 2023, at
612 Provisions Co., 0-4240-A6EB-E I8N-1 approximately 11:15 pm, csit_ mo _] and
Inc. 6E1C6883650 (oy(6) ere performing a General Labeling
task in both inedible storage rooms (raw side) when
the following noncompliance were observed:
While inspecting the recycled combos used to hold
inedible product, it was discovered that some of the
receptacles still had visible and legible inspection
legends from prior establishments. In the
inedible room across from stitch pump 1, there were
three combos containing inedible meat product which
had inspection legends from previous establishments
that were still visible and legible. In the inedible
room behind RTE department. 3 more additional
combos also had inspection legends visible. Also
contained inedible meat product. Sanitation
supervisor[_____@)__jwas verbally notified
of the noncompliance. Establishment administrator
by) |was notified ofthe plant’s failure to
meet 9 CFR 317.10.
M12612+P12 42965E42-D86 1DG150509490 09/08/2023 01B02 Pre-Op SSOP Review and On September 8, 2023, at approximately 5:45 AM,
612 Provisions Co., 0-4961-A83D-2 8N-1 Observation while performing a Pre-Operational SSOP
Inc. 10259D31320 Review & Observation task, I observed the following
noncompliance: In the Stitch Pump department, the
area between the needles on hela)
machines for Lines 2 and()hwere found to have small
pieces of meat. The Line{}injector was found to have|
‘meat residue stuck on the metal track grooves near
the entrance of the machine. The inspection line was
found to have one piece of meat on the food contact
surface of the guard wall as well as the first conveyor
belt on the line. No product was affected. QA
was verbally informed
and physically shown the area of noncompliance. The
SSOP plan. Corrective actions of cleaning and
sanitizing the affected equipment were taken when
(y(6) |was notified in writing with this NR.
M12612+P12 Boar's Head |AS5BAF555-D1 1DG020609001 09/18/2023 01B02 |Pre-Op SSOP Review and 416.13(a), On September 18, 2023, at approximately 6:00 AM,
612 Provisions Co., C7-4CBB-8C06 8N-1 Observation 416.4(a) while performing a Pre-Operational SSOP
Inc. }-52B174653505 [Review & Observation task, I observed the following
Inoncompliance: In the RTE Packaging department,
the stainless-steel tables located on Line 2 andejfvere
found to have small pieces of meat on their food
contact surface. The autobagger tables for Line 1 and
2 were found to have protein residue on their food
contact surfaces No product was affected. QA
|Analyst} (66) _|was verbally informed and
physically shown the areas of noncompliance. The
(b(6) was notified in writing with this NR.
M12612+P12 DB189BF7-AE 1DG550509322 09/22/2023 01B02 Pre-Op SSOP Review and On September 22, 2023, at approximately 5:45 AM,
612 Provisions Co., |A2-4FD3-B76A, 2N-1 Observation While performing a Pre-Operational SSOP
Inc. |-7F65EE03081 416.4(b) Review & Observation task, IC[___@y6)___Jand
8 IPP (by6) observed the following
noncompliances: In the Stitch Pump department
Polars # 1, 3, 4, and 5 were all found to have meat
residue within the tank on the food contact surfaces.
Polar #5 was also found to have small pieces of meat
stuck to the inside of top door. A small piece of meat
was found in the hose connector tube on Hopper
#38. A blue vacuum hose left in Hopper #18 was
found to have a piece of meat stuck to its outside
surface. The underside, non-food contact surface of
Hoppers #21, 18 and 38 were all found to be dirty
with various meat and debris stuck to the surface. A
drain in the Line 1 saddle tank was found to be
clogged with meat. The Line 2 injector had a piece of
meat on the track guide, as well as a piece of meat
stuck to the roof. The Line 3 ee was
found to have a piece of meat in between the needles
of the machine. The Line |jinjector also had a piece
of meat on the track guide near the entrance. QA
Technician{ (v6) __Jand Sanitation Supervisor
(by(6) were verbally informed and
physically shown the noncompoliances. No product
was affected. The establishment has failed to meet the
requirements of the above cited regulations and the
establishment’s SSOP plan. Corrective actions of
recleaning and sanitizing the affected areas were
erformed. Establishment Administrator]_6)_]
BO Wwas notified in writing with this NR.
M12612+P12 Boar's Head F7BCO6FE-246 1DG200609272 09/22/2023 01002 Operational SSOP 416.13(b), On September 22, 2023, at approximately 6:30 AM,
612 Provisions Co., |E-47D6-8261-E 2N-1 [Review and Observation 416.2(b)(1) While performing an Operational SSOP
Inc. 6E62EDA0215 Review & Observation task, IIC &)6) and
IPP BG) pbserved the following
noncompliance: In the Franks roomof the
Shipping & Boxing department, a plastic tarp dated
8-19-23 was found wrapped around pipes hanging
above the stairway. Establishment policy 903.090
(Temporary Repairs) sates)
oO
iby) _JNo product was affected. The

the above cited regulations and the establishment’
‘ocedures. Establishment Administrato:
(©) }was notified in writing with this
M12612+P12 |Boar's Head FB149AD3-4E2 |IDG091909212 |09/26/2023 |01C02 |Operational SSOP 416.4(d) On Wednesday September 27th, 2023, at
612 Provisions Co., |D-4206-9C2B-E]9N-1 [Review and Observation approximately 2:00am CSI (yey and CSI
Inc. |FFFE1D0870D (b)6) ‘were doing a review and
servation task in the holding/cure cooler. When
the following noncompliance was identified: A
white plastic tote full of raw meat product was
directly under a shelf with chipping paint. The tote
was approximately 75% covered with plastic. On the
plastic covering paint particles and what appeared to
be metal shaving had collected. No foreign materials
were identified in the tote of product at this time.
QA was notified and the tote was immediately tagged
until further investigation. The Establishment
placed the top layer of meat in inedible.
Establishment Administrator{___@y@)__]
was
notified in writing ofthe plants failure to meet 9
CER 416.4(d).
M12612+P12 |Boar's Head I86AE65E9-276 |IDG380209033 |09/29/2023 |01D01 |SPS Verification 416.2(b)(2), |On Friday September 30, 2023, at about 2:15am CSI
612 Provisions Co., |D-45E7-A5D8- |ON-1 416.2(e)(4) OKO) Jand CSI[ 6) Jobserved the
Inc. 1FFEFD8E5206) following noncompliance, while preforming a
Sanitation Performance Standards task. Upon
entering Bologna Kitchen standing water was
noticed. While inspecting further a clogged drain was
found adjacent to the Frank Stuffing, Bologna
Kitchen, and Netting Hams departments. We
noticed foam around the drain with articles of gloves,
and spice residue and fat deposits around the
perimeter of the standing water. This made the floor
very slick. We immediately notified QA Tech
(ox(6) and he taped off all the affected areas.
Maintenance was called to work on clearing drain.
No product was affected. Establishment
Administrator[_©))__|was notified in writing
ofthe plants failure to meet 9 CFR 416.2(e)(4) and
416.2(b)(2)..
M12612+P12 |Boar's Head 1737B432-6384|IDG060810302 |10/23/2023 |01D01 |SPS Verification 416.3(c) On October 23, 2023, at approximately
8:20 AM,
612 Provisions Co., |-45C9-AB39-5C]3N-1 While performing an SPS task, I observed the
Inc. 5B59E7B7ED following noncompliance: In the Raw Trash
Compactor room, two combos of inedible product
were found to have multiple pieces of trash inside the
combos with the product. I initiated a Regulatory
Control Action by tagging the two combos with US
Retain Tag B37563314. |
and Sanitation Supervisor[” (@)__ [were
verbally informed and physically shown the
Inoncompliance. QA Supervisor[—(@)@)__]was also
verbally informed. I removed my tag from the
combos and [~
())__|placed a QA hold tag on the
combos. The establishment has failed to meet the
requirements of the above cited regulation and
establishment policy 903.012. Establishment
|Administrator x6) was notified in writing
with this NR.
M12612+P12 |Boar's Head 17B93716-B03 |IDG230210422 |10/25/2023 |01C02 |Operational SSOP 416.13(c), }On October 26th, 2023, at approximately 1:30am
612 Provisions Co., |B-4876-BFA8- |7N-1 Review and Observation |416.2(b)(1) |CSI[___(@@)__]was performing a Review and
Inc. |BD8E300FFDE Observation task in the cure cooler. The following
D noncompliance was observed: Upon exiting the
cooler an overhead pipe was noticed with plastic
wrapped around it. The establishment typically does
this for temporary fixes. The plastic was dated
“8/17/23”. The plastic had orange/brown water
pooled in the lowest hanging point. QA tech|@|
|@x6)__]got maintenance to take down the plastic.
Establishment procedure #903.090 tilted temporary
eo
Tepairs states
—
ve notified. Establishment Administrator
_——€,* notified in writing of the plants
failure to meet 9 CFR 416.2(b)(1), 416.13(b), and
Boars Head procedure cited above.
M12612+P12 Boar's Head 60CD43C3-C05 1DG340811090 01B02 Pre-Op SSOP Review and On November 4, 2023, at approximately 5:10 AM,
612 Provisions Co., C-4DB2-B768- 4N-1 Observation While performing a Pre-Operational SSOP
Inc. 80FC2E8A0E6 Review & Observation task, I observed the following
EE noncompliance: In the Netted Hams department, the
scale located on Ham Line|
small piece of meat residue on its food contact
surface, The control box at the end of the hopper line
was found to have meat residue on its underside. The
found to have meat residue and other debris stuck

inside the assembled equipment. No product was
affected. Lead Person[__y@)__Jand Lead Person
(6y(6) were verbally informed and
physically shown the noncompliance. The
ithe above cited regulations and the establishment’s
SG) jwas notified in writing with this NR.
M12612+P12 Boar's Head 91 F0A163-BOF 1DG261211560 11/07/2023 03G02 Fully Cooked-Not Shelf 417.2(a)(1), On November 7, 2023, at approximately 6:30 AM,
612 Provisions Co., 6-422F-A860-6 ION-1 Stable HACCP 417.2(a)(2), |While performing a FC-NSS HACCP task, I
Inc. |2F9B16E3B8F 417.4(a)(3) observed the following noncompliance: QA Manager
(i), [__&x@)___] informed me that beginning this
417.4(a)(3) Monday, November 6, 2023,(b)(4)
(ii) \(b)(4) J
(b\(4) J
‘b)(4 ‘The establishment in Jarratt, VA presently}
oes not include a flow chart step, hazard analysis
step, and or supporting documentation for raw
product FFP activities in either of their FC-NSS
HACCP plans: Pork and Poultry and Large and Small
Diameter. 35,540 Ibs. of raw, pumped pork was sent
to [(by(4) __] The establishment has failed to meet
ithe requirements of the above cited regulations and
the establishment’s Pork and Poultry HACCP plan.
[__@)@)_
was notified verbally and in writing with
this NR.
M12612+P12 Boar's Head DO2A4ECA-317 1DG090211552 11/21/2023 03G02 Fully Cooked-Not Shelf 417.4(a)(2) On 11/21/23 at approximately 2:45am CS!
612 Provisions Co., |A-40CB-A45E- 5N-1 Stable HACCP @ »)_|was preforming a Fully Cooked Not Shel
Inc. 10452F687E97 Stable HACCP Task in the QA office when the
following noncompliance was observed: Five
HACCP documents dated 11-14-23 stated
thermometer #77 was used. One HACCP document
dated 11-14-23 stated thermometer #71 was used.
|Afier reviewing the thermometer calibration sheet for!
the date of 11-14-23. Neither thermometer #71 or
#77 were calibrated for that date. QA Tec!
(®©@__|was physically shown and verbally notified
of this noncompliance. Establishment Administrator
OO) was notified in writing of the
establishments failure to meet 9 CFR 417.4(a)(2)(i)
QA Manager| ©) __—|produced documents that
show the smokehouse(s) in which the products the
HACCP documents belong to all met required
temperatures for CCP’S.
M12612+P12 Boar's Head 93B00128-94F 1DG110212010 12/04/2023 01C01 Operational SSOP Record] 416.13(c), On December 5th, 2023, at approximately 4am, CSI
612 Provisions Co., |A-42D7-8C2A- 6N-1 Review 416.16(a) 6) performed a SSOP Record Review
Inc, 6423E1BB54D Task and the following noncompliance was found:
ic |A day shift Frank Packaging SSOP record dated for
11/20/2023 but signed off on the 11/22/2023 by 1
QA personnel. There was no other signature on the
paperwork. The establishment failed to meet
regulations 9 CFR 416.13(C) and 9 CFR 416.16(a).
Regulation states that QA will notify monitoring no
less than 4 times per shift or at least twice per shift.
(by6) _}was notified verbally and (6x6)
in writing.
69
M12612+P12 346CEC7E-753 1DG440612552 12/20/2023 01B02 Pre-Op SSOP Review and 416.13(a), On December 20, 2023, at approximately 5:35 AM,
612 Provisions Co., 1-4E27-ACOF-6 ON-1 Observation 416.2(b)(2), while IC and Inspection Manager
Inc. 12F5D5C64DF 416.4(a) [__iu\@)__ were performing a Pre-Operational
SSOP Review & Observation task, the following
noncompliances were observed: In the RTE
Packaging department, the product table and one
autobagger plate on Line[»<|vas found to have several
small (approx. 5mm) pieces of meat on the food
contact surface. On Line] both Splitters were found
to have small (approx. 5mm) pieces of meat on the
food contact surface of the conveyor belts. An
autobagger plate on the same line was found to have
a small (approx. 5mm) piece of meat and a stain from
prior production on the food contact surface. On
LinefJs[_____Jone product plate was found
to have a small (approx. 10mm) piece of meat on the
product contact surface. On Line 2, an autobagger
plate was found to have two small (approx. 5mm)
pieces of meat stuck to the food contact surface. On
Line 1, a large blade was found to have product
residue on the bolt connecting the blade to the cutting]
board. The stainless-steel product table located next
to the boxing room window beside Line 1 was found
to have several small (approx. 5mm) pieces of meat
on the food contact surface. Both floor scales were
found to have a large quantity of trash and debris
underneath the scales on the floor that could not
drain. No product was affected. QA Analyst{_@)6)
lexe]jwas verbally informed of the noncompliance.
‘The establishment has failed to meet the requirements
sanitizing all affected equipment except the floor
beneath the scales were taken when this NR was
written.[_@6)_]informed us that a work order
‘would be written for one of the floor scales that
could not be lifted properly. QA Manager{_@x6)_]
(6) |was notified in writing with this NR.
M12612+P12 Boar's Head 075B8435-9446 1DG400312272 12/26/2023 01C02 Operational SSOP 416.2(b)(1) On Tuesday, December 27th 2023, at approximately
612 Provisions Co., |-473F-9937-7B 7N-1 [Review and Observation 1:00 a.m., a als performing a
Inc. OD4F7684A1 Operational SSOP Review and Observation in the
Night RTE Packaging Department when the
following noncompliance was observed: In the
[Night Packaging/RTE department, I noticed there
was an overhead pipe just about 2-3 feet above from
the foot bath, that was wrapped in plastic and had not
been changed since December 22nd, 2023. No.
product was affected. I notified QA personnel |_ (6X6)
(6\6) |physically and verbally notified both RTE
Area Superviso1 and Assistant Plant
Manager! of the establishment's failure
to meet 9 CFR f120).1 [exe _ pated
maintenance to come to the area to change it out. QA
Manager[___/6)
__] was notified in writing of
this report.
M12612+P12 Boar's Head 97E2CB4F-9CA| 1DG111901100 01/09/2024 01D01 SPS Verification 416.2(b)(2) On January 9th, 2024, at approximately 4:30pm CSI
612 Provisions Co., B-425E-92EC- 9N-1 w”O was preforming a Sanitation
Inc. DFB974A39B9 Performance Standards task in the holding cooler
2 between the smokehouses and stitch pump 2 when
the following noncompliance was observed: A
black mold like substance was seen throughout the
room at the wall/concrete junction. As well as some
caulking around brick/metal. The affected areas
ranged in size from a few inches up to a few feet.
With the spots being as small as a pinhead and as
large as a quarter. Establishment administrator
oe Was notified both verbally and in
writing of the establishments failure to meet 9 CFR
416.2(b)(2). She immediately got sanitation
personnel to handle the area mentioned above. No
product was affected.
M12612+P12 Boar's Head I8ED5B915-B7E 1DG160001431 01/12/2024 01D01 SPS Verification 416.2(d) On Saturday January 13th, 2024, at approximately
612 Provisions Co., |9-4EB9-B98E-2 3N-1 12:30a.m.CSI[__y6)__|performed an
Inc. 0F56336EBFA Operational SSOP Review and Observation Task in
the RTE/Packaging Department inside the staging
cooler area when the following Sanitation
Performance Standard noncompliance was identified:
Tentered coolers #1 through #4 and noticed beaded
condensation on doorways 3 and 4. Also, overhead
pipes and ventilation ceiling units with approximately
12-24 inches of condensation in which accumulated
throughout the area on at least 1 unit per cooler. I
informed RTE Department Supervisor] ©@__|
and Operations Manage verbally
and physically of the establishments failure to meet 9
CEFR 416.2(d). No product was affected and
immediately condensation was removed, and product
was placed away from any area to safely prevent
adulteration of product.
M12612+P12 Boar's Head CC71D9BF-8E 1DG270602320 02/03/2024 01B02 Pre-Op SSOP Review and 416.13(a), On February 3, 2024, at approximately 5:20 AM,
612 Provisions Co., B8-4673-89D8- 3N-1 Observation 416.13(c), While performing a Pre-Op SSOP Review and
Inc, 4F846DDC76F 416.4(a) Observation task, I observed the following
4 ‘noncompliances: In the Netted Hams department, one
dumper was found to have several small (approx. 4
inch) pieces of meat residue and debris on the inner
food contact surface. In the Head Cheese department,
one belly board was found to have several small
(approx. 4 inch) pieces of meat residue on the food
contact surface. Lead Person[ 6) ___jwwas
verbally notified and physically shown each
Inoncompliance. No product was affected. The
‘SSOP plan. Corrective actions of recleaning and
this NR was written. QA Manager[_@x6)_
was
M12612+P12 71685EC2-EC6 1DG151102040 02/07/2024 01C02 Operational SSOP 416.13(b), On February 7, 2024, at approximately 7:30 AM,
612 Provisions Co., D-49BB-AD7C- 7N-1 Review and Observation 416.13(c), While performing an Operational SSOP Review and
Inc. 6A35FCB2B2D 416.2(b)(2), Observation task, I observed the following
Cc 416.4(b) noncompliance: In the Raw Smokehouses, the sides
of the doors and doorframes for Smokehouses #27,
28, and 29 were found to have significant buildup of
dried meat and product residue. QA Supervisor
| _ ©) and Production a
were verbally notified and physically shown the
noncompliance. No product was affected. The
SSOP plan. QA Manager[___©@)_]was notified
in writing with this NR.
M12612+P12 Boar's Head 18AE9AA7-A94 1DG051902480 02/08/2024 04B04 General Labeling 317.10 On February 8, 2024, at approximately 6:00pm CSI
612 Provisions Co., |A-4C26-89D2-E 8N-1 =o preforming a general labeling task|
Inc. CDD9E9B48C1 in the inedible room across from pickle room 1,
when the following noncompliance was observed:
3 combos were reused to hold inedible product. All 3
combos still contained inspection legends from the
incoming meat product they originally held,
Assistant Plant Manape Gre) _—_\yas verbally
notified and physically shown this noncompliance.
He immediately got establishment associates to
correct this. Establishment Administrator
[ ©@ was notified in writing of the plants failure to
meet 9 CFR 317.10.
M12612+P12 Boar's Head 8D26957F-DD 1DG311902391 02/09/2024 01D01 SPS Verification 416.2(b)(2) On Friday, February 10th 2024, at approximately
612 Provisions Co., (C5-44E2-9452- IN-1 12:55 a.m., CSI oo) as performing an
Inc. 8D4237899F81 Operational SS ‘eview and Observation Task in
the RTE Night Packaging Department when the
following SPS noncompliance was observed: In
all staging coolers #1-#4 in the RTE Department,
there was extensive amounts of product in all areas
on the floors. Some product was smushed and still on|
the metal bars that fell due to possible crowding. No
product was affected that was on the racks. I notified
Supervisor Leon[_®G)_Jand QA[_6)_of the
establishments failure to meet regulation 9 CFR
416.2(b)2.
M12612+P12 35A26B25-CD7 1DG240902322 02/21/2024 01D01 SPS Verification 416.2(b)(2), On Wednesday, February 21, 2024 CSI[__ i)
612 Provisions Co., |8-47BC-A0CD- 2N-1 416.4(b) (b)(6|performed a Sanitation Performance Standards
Inc. |D8DA29D916F Task at approximately 2:30 a.m. when the following
2 noncompliance was observed: I went into the the
Raw Receiving cooler. | observed multiple combos
in which were saturated, there were ample amounts
of blood in puddles on the floor, and on the rack that
were heavily soiled to the point they appeared to leak
at a steady pace. There was also a rancid smell in the
cooler. Thode verbally and
physically ofthe establishments failure to meet 9
CER 416,2(b)(2) and 416.4(b).
M12612+P12 Boar's Head |ASFB4D75-7A9 1DG460802512 02/21/2024 04B04 General Labeling 317.10 On Wednesday, February 21, 2024, at approximately
612 Provisions Co., E-4C87-9AF1-2 j2N-1 }2:50a.m. CST iG) was performing a
Inc. |A787B88EC9A General Labeling Task when the following
Inoncompliance was observed: I entered Inedible
Room #2, which is adjacent to Netted Hams #2 and
noticed that there were about 6(()(4Jcombos that
were originally used for Boneless Pork Hams Type
38 product, that did not have the prior establishment
information covered or labeled for trash or inedible.
5 of those combos were filled with denatured
products and 1 contained bags of trash from the RTE
Packaging Department. All 6 still had inspection
legends visible. I notified{__&y@)_]verbally and
he was physically shown of the establishments failure
to meet 9 CFR 317.10 “Reuse of official inspection
marks, reuse of containers bearing official marks,
labels, etc." A similar noncompliance,
IDG0519024808N/1, was documented February
8,2024 in which 3 combos were used to store
inedible that had inspection legends on it from
incoming meat product that it originally held.
Management verbally notifying employees to correct
this proved ineffective in preventing recurrence. QA
Manager[ 6) __| was notified in writing of
this report.
M12612+P12 Boar's Head 1111 AF93-A99 1DG061802012 02/22/2024 01C02 Operational SSOP 416.5(a) On Thursday February 22nd, 2024, at approximately
612 Provisions Co., }|A-450C-A27C-7 2N-1 [Review and Observation 2:20pm CSI
te ——_Jand
_ CSI[— nia) ]were
Inc. 07F35BEE49B preforming a SSOP Review and Observation task in
the boxing department when the following
noncompliance was observed: A contractor
working on the robotic arms at the palletizer was
seen using his cellular device multiple times. Upon
exiting the department this same contractor was seen
entering the department from outside still wearing a
frock, and not wash his hands before entering back
into department. QA Supervise! me wat
notified verbally. Establishment Administrator
WO, was notified in writing of the plants
failure to meet 9 CFR 416.5(a). As well as Boars
Heads GMP procedure # 903.037.
M12612+P12 Boar's Head 38958027-6044 1DG210502252 02/29/2024 01B02 |Pre-Op SSOP Review and 416.13(a), On February 29, 2024, at approximately 5:30 AM,
612 Provisions Co., |-4C80-94EF-21 ION-1 Observation 416.13(c), While performing a Pre-Op SSOP Review and
Inc. F4145FO5F3 416.4(a) Observation task, I observed the following
noncompliance: In the Netted Hams 2 department,
both ham lines were found to have multiple small
(approx. 0.75 inches long) pieces of meat were found
on the food contact surface of the stainless-steel
tables on each end of the lines. Two small (approx.
1.25 inches long) pieces of meat were found on the
stainless-steel tray at the front end of one line. Senior
Director of Operations ‘was verbally
notified and physically shown the noncompliance. No
product was affected. The establishment has failed to
meet the requirements of the above cited regulations
and the establishment’s SSOP plan. Corrective
actions of recleaning and sanitizing the affected areas
were performed when this NR was written.
(@ __ Jassured me that he would inform the QA
and Sanitation departments. Production Manager
(x6) lwas also verbally notified. QA
[Manager| ((6)_|was notified in writing with
this NR.
69
M12612+P12 1375799B-4077 1DG150003451 03/13/2024 01C02 Operational SSOP 416.13(b), On March 13, 2024, at approximately 2:30 a.m. CSI
612 Provisions Co., |-4F35-93AC-5F 5N-1 [Review and Observation 416.13(c), Comme observed the following
Inc. 4 DEOE3FODE 416.2(b)(2), Operational SSOP Verification Task when the
416.3(a), following noncompliance was observed: Upon
416.4(a) entering the Inedible Room #2, that is adjacent to
|Netted Hams #2, I immediately observed 2 grey
inedible buckets in which one contained a
stainless-steel stick that is used for hanging product
such as Bologna and Franks. I scaled the room to find]
about 4 more sticks on the floor and a hard buildup
of what appears to be meat protein and trash in
corners where the wall meets the actual floor. I
counted 5 combos that were labeled for inedible that
contained plastic from blue aprons, blue cotton
gloves, blue nitrile/vinyl gloves, pieces of paper
towel, metal clips that are used to tie product, green
scrub pads, zip ties, netted casing and multiple hams
still with nets on them. There were whole pork
muscles left inside stainless-steel vets. No product
was affected. Boars Head procedure of Inedible
Product Disposal number 903.012 Procedure V.
section A. Collection of Inedible: subsection #2
states[ (eyay ]
oA ]
(oy The establishment
procedure 903.203 Handling of Inedible Section D.
Subsection #4 states| yA)
OO Timmediately notified
QA Personnel| 6) physically and verbally
of the establishments failure to meet 9 CFR
416.2(b)2 416.3(a) 416.4(a) also 9 CFR 416.13(b)
and 416.13(c) shows failure to implement and
monitoring their program. QA Manager|_)6)_]
| x) Jwas notified in writing ofthis report.
M12612+P12 Boar's Head 3B19DCE6-885 1DG450603361 03/14/2024 01B02 Pre-Op SSOP Review and On March 14, 2024, at approximately 5:30 AM,
612 Provisions Co., F-464E-A7F6-5 4N-1 Observation While performing a Pre-Op SSOP Review and
Inc. 6C3C53FC3FD Observation task, I observed the following
noncompliance: In the Head Cheese department,
product residue was found covering an inner,
non-food contact surface of the conveyor belt of
[Netted Ham Line #2. This was a stainless-steel
section of the line where the conveyor belt attaches.
Two blue vacuum hoses and two ceiling cables
hanging directly above the line were also found to
have drie duct residue on their surface. Lead
Person ce verbally notified and
this NR was written. QA Manager[_y6)__Jwas
M12612+P12 Boar's Head 5C486975-05F5 1DG330703522 03/20/2024 04B04 General Labeling 318.1(c) On March 20, 2024, at approximately 7:35 AM,
612 Provisions Co., -4C69-843E-42 ON-L While performing a General Labeling task, I observed
Inc. 28B749415C the following noncompliance: In Equalization
Cooler #2 of the RTE department, I found one
product tree of Boar’s Head Brand Bologna that was
missing a proper ID tag or labeling. Products were in
temporary bags indicating only the product name and
a manufacturer’s logo. QA Technician
Inoncompliance. Establishment took control of the
product by placing QA hold tape and a tag to the
product tree. QA. Managed O76) vad
M12612+P12 1BD7FA9E-3E5, 1DG440403262 03/22/2024 01B02 Pre-Op SSOP Review and On March 22, 2024, at approximately 5:20 AM,
612 Provisions Co., 6-4DE0-978A-8 2N-1 Observation While performing a Pre-Op SSOP Review and
Inc. 763688DA3F0O Observation task, I observed the following
noncompliance: In the New Gourmet department, the
Lazy Susan and Mixing Bowl were both found to
Ihave multiple small (approx.. <1/2 inch) pieces of
meat residue on the food contact surface. I initiated a
regulatory control action by placing US Reject Tags
B37563320 and B37563300 on the La
Mixing Bowl respectively. Lead Person
(6) _ was verbally notified and physically s
the noncompliance. The establishment has failed to
actions of recleaning and sanitizing the affected
equipment were performed when this NR was
written. I then removed both US Reject Tags from the|
equipment. QA Manager|boxe fas notified
in writing with this NR.
M12612+P12 Boar's Head 227F 1654-6454 1DG581804550 04/08/2024 01002 Operational SSOP 416.13(c), On Monday April 8th, 2024, at approximately
612 Provisions Co., -4A4B-B813-A5) 8N-1 [Review and Observation 416.3(c) 5:50pm CSI)
_] was preforming a Review
Inc. 53B4397F07 and Observation task in the inedible room. The
following noncompliance was observed: Upon
entering the inedible room 2 large stainless vats were
noticed containing a meat product unlabeled. Another]
small stainless vat with wheels was also noticed
unlabeled containing a meat product. Infront of
the stitch pump department a combo labeled inedible
with meat inside also contained large sheets of plastic
as well as cardboard boxes. Assistant Plant
Manager| __(x)_]was verbally notified.
Establishment Administrator iG) as
notified in writing of the plants failure to meet 9
CFR 416.3(c), 416.13(c) as well as Boars Head
Procedure #903.012 titled “Inedible Product
Disposal”. Section “v” subsection A line 2 states
we) ]
oe) ]
M12612+P12 E6362D9A-C6C! 1DG180504241 04/19/2024 01B02 Pre-Op SSOP Review and On April 19, 2024, at approximately 5:20 AM, While|
612 Provisions Co., 6-42D9-9E75-3 ION-1 Observation performing a Pre-Op SSOP Review and Observation
Inc. 5A053C29D47 task, I observed the following noncompliance: In the
area between the New Gourmet and Head Cheese
departments, a Mixer was found to have multiple
pieces of product residue ranging in size from
approximately 4 inch to 2 inches long stuck to the
inside contact surface of the Mixer’s lid and lid seal.
QA Technician] and Lead Person
were verbally notified and
sanitizing the affected equipment were performed
when this NR was written. QA Manager|
(»)6) was notified in writing with this NR.
M12612+P12 Boar's Head |B305083E-2BC 1DG561904282 04/24/2024 01C02 Operational SSOP 416.3(c) On Wednesday April 24th, 2024, at approximately
612 Provisions Co., 5-4933-A565-2 4N-1 Review and Observation 3:20pm CSI was preforming a Review
Inc. DE3BAAF4124 and Observation task in the inedible room across
from stitch pump, the following noncompliance was
observed: One stainless steel vat containing an
inedible ground meat product was noticed. There was
no label on the vat indicating the product was
inedible. Plant Manager Mike Kneeland was
physically shown this noncompliance. Establishment
Administrator]
©) _| was notified in writing
ofthe plants failure to meet 9 CFR 416.3(c).
M12612+P12 Boar's Head F3DE9A3C-D5 1DG561104382 04/24/2024 01D01 SPS Verification 416.2(b)(2), On April 24, 2024, at approximately 12:10 PM,
612 Provisions Co., 36-48AE-ACB4 4N-1 416.4(b) |While performing a SPS task, I observed the
Inc. |-8CCODCAF3B following noncompliance: In the Boxing department,
E2 the mezzanines above both the main production floor
and the Franks side were found to have a thick
coating of dust in the following locations: - The
top plastic of the automatic box folder above the
conveyor belt. - The floor and metal pipes of the
small room containing boxes of packaging materials.
+ The floor of a small room containing electrical
boxes. - The top of the box chute in the Franks
side mezzanine. - An awning visible from the
Franks side mezzanine. No product was affected.
The establishment has failed to meet the requi
lof the above cited regulations. QA Manag
(bX) |was notified in writing with this NR.
M12612+P12 |Boar's Head 5D2FE4B7-2F5 |IDG411804143 |04/29/2024 |01DO01 |SPS Verification 325.13(a) On Monday April 29th, 2024, at approximately
612 Provisions Co., |A-43C2-9705-5 |ON-1 5:15pm CSI[___i@)_
was preforming an
Inc. {9D06CD7F7B9 Sanitation Performance Standards task outside the
back of the building, when the following
noncompliance was observed: 13 grey plastic
inedible containers were being stored outside by the
inedible dock door. 2 contained gloves, sleeves,
plastic, and labels. 2 had meat product inside without
any denature. 2 had meat product inside with
denature that did not properly cover product. 2 had
!meat product not slashed or reduced in size.
Assistant plant manager _©@6)_]was verbally
notified. Establishment Administrator, ©6)__]
was notified in writing of the plants failure to meet 9
CER 325.13(a)(6) and 325.13 (a)(1) as well as
Boars Head procedure #903.012 titled “inedible
product disposal.” Section V subsection A line 2
states [ ®)e)
(bys) |Subsection C
line 1 states[ (by) ]
or) l
subsection B line T states] (64) ]
(by)
(cra |
M12612+P12 |Boar's Head 617F8922-1EC |IDG471805150 |05/03/2024 |01C02 |Operational SSOP 416.5(a) On Friday May 3rd, 2024, at approximately 5:20pm
612 Provisions Co., |B-40B8-8111-4 |3N-1 Review and Observation Cs[___©@)___}was preforming a Review and
Inc. 32486F202B6 Observation task in the smokehouse department (raw
side), when the following noncompliance was
observed: Upon entering the smokehouse
hallway, a Boars Head associate was observed using
his cellphone. Frank Stuffing Supervisor_©6)_]
as verbally notified. Establishment
Auiistietod aes ras notified in writing
ofthe plants failure to meet 9 CFR 416.5(a). As well
as Boars Head procedure #903.037 titled Employee
GMP. The procedure states
(4)
(oe | No
product was affected.
M12612+P12 15CIBA7A-694 1DG190705072 05/20/2024 01B02 Pre-Op SSOP Review and 416.13(a), On 5/20/2024, at approximately 12:30 a.m. CSI
612 Provisions Co., 7-4C65-A0F1-8 2N-1 Observation 416.2(b)(2), [©was performing a Pre-Operational
Inc. BDEB16A1C40 416.2(e)(4), SSOP Review and Observation Verification Task
416.4(a) when the following noncompliance was observed:
|At approximately 12 a.m. the Frank Stuffing
Department was released by Lead Personnel | (6)
Upon entering, I observed the floor was
covered in multiple areas with white meat residue in
which included the Frank Stuffing Tree staging area,
several pieces of casing from previous production
were found underneath lines 2 and|*"| A drain to the
right of the production area was backed up with meat
in which cause overflowing. There was also meat
residue on and embedded in lines 2 and[>*Flose to the
blue frank hangers. On the elevator lift, there was
about a 2-inch smear of stuffing matter and
approximately 1-inch piece of meat on top of the
scale. I also observed a standardization sanitation
personnel bring out a strainer through the department
and a pallet. QA Technician, wo as
physically and verbally notified of the establishments
failure to meet CFR 416.2(b)2, 416.2(e)4, 416.4(a)
416.13(a) QA Manager[_(@6)_]
was notified
in writing ofthis report. Maintenance was called to
unstop the drain; the floor and the lines were
re-cleaned and sanitized by a sanitation personnel.
M12612+P12 Boar's Head 07993ABE-32E 1DG141705323 05/30/2024 01D01 SPS Verification 416.13(b) On June 8, 2024, at approximately 5:00pm, while
612 Provisions Co., |A-401D-AD70- ON-1 performing a Sanitation Performance Standards task
Inc. 489782DC78C5 in the Inedible Room between the RTE Raw Side of
the plant below the USDA office windows, CSI
bX) Jobserved the following non-compliance:
- 3 plastic lined cardboard Inedible bins along the
wall, one of which contained a ripped and torn black
CNG Slipsheet disposed of inside the bin. CSI
(6) retained the bin with tag number B37563400,
and went in search of a supervisor to inform. After
30 minutes, and unable to locate a QA or Plant
Manager, CSI[@X6) went to the Nurse's Station and
requested the employee contact a QA Supervisor or
Plant Management. The employee got in contact
with 6X6) who met cll ey ft the
[Nurse's Station. OKO) then accompanied CSI
(b\(6) |to the inedible bin, where CSI] @)6) linformed
(6) verbally of the non-compliance. CSI
en removed the retain tag. As this is not|(\6)
(66) jnormal department, he stated he woul
inform the proper personnel. Establishment
Administrator BO }was notified in writing
ofthe plant's failure to meet 9CFR 416,13(b) as well
as Boars Head procedure #903.012 "inedible product
disposal", Section V, subsection A line 2 way
woe |
a) This procedure had been updated on
June 3, 2024. This is a similar occurrence as
documented in NR #IDG1417053230N/1 on May
30, 2024.The plants previous corrective actions did
not prevent recurrence.
M12612+P12 Boar's Head 19777517A-029 1DG510305103 05/30/2024 01C01 Operational SSOP Record 416.16(a) On 5/30/2024 at approximately 10:45 p.m. CSI
612 Provisions Co., C-4860-BF43-E IN-1 Review 6) as performing an Operational
Inc. DC783DB072F SSOP Record Review I observed the following
non-compliance: While checking records in the
QA Office, I came across a stack of SSOPs that were
dated for 5/22/2024. Upon checking the Liverwurst
Cook Tank SSOP it was dated 7/22/2024 and no end
off shift time. The document was also signed and
dated by QA and Si r/ Mi ement. QA
Technician[ ©) _}was notified verbally and
shown physically. s notified in
writing of the establishments failure to meet CFR
416.16,
M12612+P12 6886B421-8ED 1DG451706480 05/31/2024 01D01 SPS Verification 416.3(a), 1, 2024 at approximately 3:31 a.m. CSI
612 Provisions Co., 6-49E6-8B27-D 2N-1 416.4(a) [| _ 6) __|performed a Sanitation Performance
Inc. 891 ABE82E76 Standards Verification Task when the following
non-compliance was observed: While entering the
Stitch Pump #1 department, I observed
approximately 10-15 steel vats and 3-4 white plastic
pickle vats staged to the left of the area. There were
about 10 vats covered, and uncovered that contained
smears of fat residue. Meat specs were located inside
and on the outside, and a build-up of protein. There
was also black mold on the outside of 4 steel vats
and approximately 1-2 inches of meat on the legs of
3. QA Technician[ 6) ___}was notified verball
and shown physically. Assistant Plant Manager(ae)
‘was notified in writing of the establishments
failure to meet CFR 416.3(a) and 416.4(a).
M12612+P12 Boar's Head 7C6BD477-768 1DG580606210 06/07/2024 01002 Operational SSOP 416.3(a), On June 7, 2024, at approximately 7:20 AM, While
612 Provisions Co., |E-4576-A86F-E 7N-1 [Review and Observation 416.4(a) performing a Operational SSOP Review and
Inc. 4 AFD8599B1C Observation task, I observed the following
noncompliance: In the New Gourmet staging area,
three metal product tree racks were found to have
‘multiple small (approx. =1 inch long) pieces of meat
residue from prior production on their food contact
surfaces. I initiated a Regulatory Control Action by
placing US Reject Tags No. B37563251,
B37563261, & B37563325 on the affected
equipment. No product was affected. Lead Person
Foxe Jas verbally notified and physically
shown the noncompliance. The establishment has
regulations and the establishment’s SSOP plan. I
removed each tag and observed corrective actions of
taking the affected racks to the Tree Wash removed
where they would be recleaned and sanitized.
Production Managef ——()@__—_—jand QA
Technician{_
(©) __ were also verbally notified.
QA Manager ‘was notified in writing
with this NR.
M12612+P12 |Boar's Head 0480C6D3-C7E 1DG561606181 06/08/2024 01C02 Operational SSOP 416.13(b) On June 8, 2024, at approximately 5:00pm, while
612 Provisions Co., |8-4D6C-A3BO0- 2N-1 Review and Observation performing a Sanitation Performance Standards task
Inc. ODC2E72EBE2 in the Inedible Room between the RTE Raw Side of
9 ithe plant below the USDA office windows, CSI
[(@X Jobserved the following non-compliance:
-3 plastic lined cardboard Inedible bins along the
wall, one of which contained a ripped and torn black
CNG Slipsheet disposed of inside the bin. CSI
(6) |retained the bin with tag number B37563400,
and went in search of a supervisor to inform. After
30 minutes, and unable to located a QA or Plant
Manager, CSI|_( lwent to the Nurse's Station and
requested the employee contact a QA Supervisor or
Plant Management. The employee got in contact
wit who met CSI at the
Nurse's Statio: (0) then accompanied CSI
(6) |to the inedible bin, where CSI[tix6) jinformed
IG) verbally of the non-compliance. CSI
()@ |then removed the retain tag. As this is not
(6) hormal department, he stated he would
inform the proper personnel. Establishment
Administrator (NG) |was notified in writing
ofthe plant's failure to meet 9CFR 416.13(b) as well
as Boars Head procedure #903.012 "inedible
oduct disposal", Section V, subsection A line 2
Ga) |
De ce th This procedure had been
updated on June 3, 2024. This is a similar occurrence
as documented in NR #IDG141705323ON/1 on May|
30, 2024.The plants previous corrective actions did
not prevent recurrence
M12612+P12 6957A9A6-4CE 1DG081906361 06/10/2024 01D01 SPS Verification 416.2(b)(1), On Monday June 10th, 2024, at approximately
612 Provisions Co., 8-4359-8A6C-E ON-1 416.2(b)(2), 5:20pm CSI[___fis)__
was preforming a
Inc. |A913785D0C3 416.2(b)(3), Sanitation Performance Standards task on the plants
416.4(b) raw side when the following noncompliance was
observed: Upon entering the pickle vat pump out
room approximately 15-20 flies were observed going
in and out of the 4 vats of pickle left in the room.
Small flying gnat like insects were observed crawling
on the walls and flying around the room. The rooms
walls had heavy meat buildup, pink/orange
discoloration, and denaturant over spray on them.
The roll up door seal leading to inedible storage was
pulled away from the frame hanging down into the
walkway. The roll up door also had meat build up on
it, A hot water pipe over the doorway was leaking
a steady stream of water down the wall and onto the
floor. The inedible room roll up door leading
outside was open approximately 2 inch allowing a
steady line of ants into the room. The ants were
traveling down the wall floor junction on the right
side of the room. As well as down to the lower-level
trash compactor area. The inedible room also had
a presence of flying insects. The room also had
‘multiple instances of meat/ meat product on the
floor, as well as trash. The cure cooler man door
in the back right corner of the room insects were
observed. 7 ladybugs, 1 beetle like i t, and 1
cockroach like insect. QA tech|
physically shown this noncomp!
| re) was notified in writing of the plants failure to
meet 9 CFR 416.2(b)(1), 416.2(b)(2), 416.2(b)(3),
416.4(b).
M12612+P12 |Boar's Head B0D9701C-B8E|IDG410306081 |06/11/2024 |01DO01 |SPS Verification 325.13(a) On Tuesday, June 11,2024 at approximately
1:15
612 Provisions Co., |8-4B44-8EDB-3]2N-1 a.m., CSILael performing a
Inc. 132AF762C72 Sanitation Performance Standards task when the
following noncompliance was observed: While
‘walking around the back of the establishment, there
where approximately 30 red and grey containers
stacked about 3-4 ft away from the compactor. I
noticed 1 grey inedible container on a wooden pallet
contained what appeared to be franks and sliced ham
product from RTE inside of a plastic bag. Also,
inside of the bag was miscellaneous trash including
gloves. Product was not denatured. QA Technician
||___©@)___
was notified verbally and physical:
shown. Establishment‘Administratod x]
was notified in writing of the establishment failure to
Imeet CFR 325.13(a) and Boars Head procedure
#903.12 Inedible Product Disposal. Section V
subsection A line 2 states ©)
[ OO
M12612+P12 |Boar's Head EFA22252-8CA |IDG241106262 |06/21/2024 |01C02 |Operational SSOP 416.4(c) On June 21, 2024, at approximately 12:10 PM,
612 Provisions Co., |5-4520-8BA7-E |IN-1 Review and Observation While performing an Operational SSOP
Inc. 3F9258A107C [Review & Observation task, I observed the following
noncompliance: In Equalization Cooler #1, an open
container of|(b)(4) anitizer was found
sitting on the floor between the wall and the plastic
door flaps leading into the RTE Smokehouses. The
containers were in the corner of the room near the
main entrance. No product was affected. QA Analyst
(6y@__}was verbally notified and physically
shown the noncompliance. Production Manager
[___©@)___}
was also verbally notified.
Corrective actions of removing the container from
the plant floor were taken when this NR was written.
{The establishment has failed to meet the requirements
policies. QA Manager| __©X6)__|was notified in
M12612+P12 54B2CAOE. 1DG400306352 06/26/2024 01D01 SPS Verification 416.2(a), 26, 2024, at approximately
2:35 a.m. CSI
612 Provisions Co., 9-45DB-82C7- 7N-1 416.2(b)(1), ‘was performing a Sanitation
Inc. |DFFAD7E5BE5 416.2(b)(2), Performance Standards Verification Task when the
8 416.2(b)(3) following noncompliance was observed: Upon
entering Inedible Room 1, I observed what appeared
to be mold and hard meat residue on the entry and
exit sides of both sets of the green flap doors. The
walls had denaturing liquid splattered, dried meat,
and pickle. There were also whitish, discolored
muscles of meat lying near the trash compactor with
flies surrounded them. There was also inedible
combos and containers that had multiple green in
color flies circling around the denatured product. QA
Technician 38. and Smokehouse Supervisor]
(by(6) was shown physically, and
[Establishment Administrator (6x6) was
notified in writing of the establishments failure to
meet CFR 416.2(a) 416. (b)1 416.2(b)2 416.2(b)3
M12612+P12 Boar's Head C859FE54-F9B 1DG232106162 06/27/2024 01D01 SPS Verification 416.3(a), On Friday, June 28, 2024, at approximately 1:45
612 Provisions Co., |A-4D70-88F6-5 8N-1 416.4(a) am. i performing a
Inc, 66F85E15145 Sanitation Performance Standards Verification task
when the following noncompliance observed:
|While on the raw side ofthe plant, in the entry way I
found 10 steel v-vats with product residue inside and
outside. Ialso found a large size vat with 2 living
flies on the inside. In the Bologna kitchen area, there
were 4 dirty inedible strainers in the same proximity
as the clean ones. QA Technician. Ei land
Supervisor[____&@@)__|
were both physically
and verbally notified. Establishment Administrator
by) was notified in writing of the
establishments failure to meet CFR 416.3(a)
'416.4(a). The v-vats were recleaned and sanitized.
No product was affected.
M12612+P12 E6121874-6C4 1DG490707400 07/06/2024 01D01 SPS Verification On July 6, 2024, at approximately 8:30 AM, While
612 Provisions Co., 6-4D3B-BF93-5 6N-1 performing an SPS task, I observed the following
Inc. |3C3FFE905F5 noncompliance: In the RTE Smokehouse Alley near
smokehouses #23 - 29, a section of ceiling that had
previously been caulked was found to be dripping
water constantly onto the floor. No product was
affected. QA Analyst} (»\6) | was verbally
informed and physically shown the noncompliance.
of the above cited regulations.
call for the maintenance crew iplement some
form of corrective action immediately and assured
me she would remain in the area until the corrective
actions were put in place. QA Manager OY)
was notified in writing with this NR.
M12612+P12 Boar's Head OBBA05A9-B4 1DG360407080 07/06/2024 01B02 Pre-Op SSOP Review and 416.13(a), On July 6, 2024, at approximately 5:10 AM, While
612 Provisions Co., |E5-4EB4-8726- 6N-1 Observation 416.4(a) performing a Pre-Operational SSOP
Inc. 23DD3A2BB35 Review & Observation task, I observed the following
0 noncompliance: In the Netted Hams department, one
white plastic tub and two plastic belly guards located
i ere found to have a few small
(approx. % inch Tong) pieces of meat residue on their
food contact surfaces. Lead Person[ 2) _|
was verbally informed and physically shown the
noncompliance. The establishment has failed to meet
ithe requirements of the above cited regulations and
the establishment SSOP plan. Corrective actions of
recleaning and sanitizing the affected equipment were
performed when this NR was written. QA Manager
(ra) was notified in writing with this NR.
M12612+P12 Boar's Head FF850009-3C8 1DG421407560 07/09/2024 01D01 SPS Verification 416.2(d) On Tuesday, July 9, 2024, at approximately 3:00pm,
612 Provisions Co., 5-4C50-A929-2 ION-1 while performing a Sanitation Performance Standards
Inc. 4C31277E6BC observed the following
non-compliance: - After entering the Packaging
Department, while picking out a grey frock, CSI
Ii lobserved 3 wet spots on the floor, about 3” in
diameter. - He then used his flashlight to
investigate the wet spots, and observed condensation
on the top of the 8’ wide doorway into the adjacent
storage compartment, where there was a pallet off (oy(4]
(b)(4) 3° from the dripping condensation.
|- To the left of this doorway, the entire rack of clean
grey frocks were stored 2’ from the doorway.
it ithen looked to all of the 8° doorways for
further condensation, and observed some along the 8”
length of the top of the entrance to the storage room
on the opposite side of the Entrance room to
Packaging. There were also 4 wet spots of the same
size under this doorway, which was 3° from the hand
Supervisor |
(@)__]and showed him the
condensation (pointed out with the flashlight), and
|
(6x6)_]immediately took measures to clean the
affected areas. Establishment Administrator
by) was informed in writing of the plant’s
failure to meet 9CFR 416.2(d).
M12612+P12 Boar's Head OCDCB03E-0E 1DG032007461 07/10/2024 01D01 SPS Verification 416.2(b)(1), On Wednesday, Jul at approximately
612 Provisions Co., C5-4E1C-8061- 2N-1 416.2(b)(2), 12:30 am. cif performing a
Inc. 39BE5FCAIDC 416.2(b)(3), Sanitation Performance Standard Task when the
E 416.2(d), following noncompliance was observed: While
416.4(b), observing the pickle storage annex area, I noticed that
416.4(d) there were 3 pallets of ingredients in the entry way.
Two were 60 Ib. bags of granulated sugar and the
other was a 50 Ib. bags of dextrose. The pallet of
dextrose had numerous wet spots from condensation
on the first row of bags that apparently came from the|
right side of the ceiling directly above. The middle
pallet of sugar was not affected by condensation, but
it appeared to have approximately 2 piece of apple
slices directly in front of where it was staged. The
half of pallet of sugar to myleft had an open bag and
had a white container, with no label and inside was a
brownish liquid covered by a blue bag. To the left of
the room the caulk outlining the perimeter of the
wall/ concrete junction, had what appeared to be
specs of black mold. In the corner of that side there
was a blue barrel of distilled vinegar with a red
spout. The circumference of the barrel had
approximately 10 dead flies on top and around the lip
of the container. Underneath where the barrel was
located there was broken pallet piece, a blue cotton
glove, 2 screws and other miscellaneous items that
appeared to be paper or plastic. A rejected tag was
placed, and QA Technician’ and
Assistant{__(6)(6)__
was informed verbally and
shown physically of the establishments failure to
‘meet the requirements of the cited regulations. QA
Manager as notified in writing of
[this noncompliance.
M12612+P12 640FA4AA-3C9 1DG531007431 07/17/2024 01D01 SPS Verification 416.2(a), On July 17, 2024, at approximately 11:15 AM,
612 Provisions Co., 0-4169-8343-7 7N-1 416.2(b)(2) While performing an SPS task, I observed the
Inc. |AB8370239DA following noncompliances in several departments on
the Raw side of the establishment: - In the Raw
Holding Cooler, the floor in the small doorway
leading to the Raw Receiving Dock was found to
have a green algal growth amongst standing water.
- In the Cure Cooler, the area near the emergency exit
door was found to have three insects, two on the
floor on one stuck in the corner of the wall. The
insects all appeared to be dead. - In the Receiving
dock located next to the Stitch Pump II department,
various insects were found near the wall next to the
metal dock. The majority of these were seen after
lifting the two foam safety bump guards from the
floor. Two insects were found alive, and around five
were found dead. QA Supervisor © __|was
Inoncompliance. The establishment has failed to meet
ithe requirements of the above cited regulations. QA
Manager| © __ was notified in writing with
this NR.
M12612+P12 Boar's Head 3F693C7F-6F9 1DG060507541 07/19/2024 01B02 |Pre-Op SSOP Review and 416.13(a), On July 19, 2024, at approximately 5:30 AM, While
612 Provisions Co., 0-4E53-9938-4 ION-1 Observation 416.3(a), performing a Pre-Op SSOP Review and Observation
Inc. 5780A1FF33F 416.4(a) task, I observed the following noncompliance: In the
Head Cheese department, dried meat residue was
found ona knife on Ham Line #1. The meat was seen
on the section where the blade connects to the handle.
In the New Gourmet department, multiple small
(approx. < % inch) pieces of meat residue were found)
on the food contact surface of the mixing bowl.
Several small pieces of meat residue were also seen
on the backside of a scale’s control panel. Lead
Personl _, oxo __[ves verbally notified and
this NR was written. QA Manager| — Ha [was
M12612+P12 34E7A6E4-DA 1DG420707592 07/22/2024 01C02 Operational SSOP 416.3(a), On July 22, 2024, at approximately 6:15 AM, While
612 Provisions Co., CA-4073-A37B- 2N-1 [Review and Observation 416.4(a) performing a Operational SSOP Review and
Inc. 43783B4A29FB Observation task, I observed the following
noncompliance: In the Staging Cooler of the Raw
side of the establishment, four product tree racks
ready for use were found to have multiple small
(approx. = 1 inch long) pieces of dried product
residue in the grooves of the rack where metal bars
holding product would be placed when in use. 1
initiated a Regulatory Control Action by placing US
Reject Tag No. B37563266 on the affected
i product was affected. Production
lwas verbally notified and physically
shown the noncompliance. The establishment has
regulations and the establishment’s SSOP plan. I
removed the tag and released the equipment to the
establishment’s conttal | GX placed his own
tape on the racks to assume control of the equipment
and the racks were taken to the Tree Wash room for
corrective actions of recleaning and sanitizing the
racks. QA Manager[___(y(6)___]was notified in
M12612+P12 Boar's Head 354B9359-352 1DG142107592 07/23/2024 01D01 SPS Verification 416.2(b)(1), On Tuesday, July 23, 2024, at approximately
9:53
612 Provisions Co., |E-41D9-A7A8- 3N-1 416.2(b)(2) p.m. on performing a
Inc. E743E4AF65A, Sanitation Performance Standards Task when the
D following noncompliance was observed: While
exiting the RTE department, I observed scaly paint on
the walls located in the RTE hallway entrance
perimeter area. The flaky paint was located around
the hand washing sinks, and underneath the windows
that are used to issue out RTE garments. There were
approximately three, 3-5 cm diameter circles that had
bubbled up on the wall. Those bubbles were filled
with a clear liquid that appeared to be water.
Underneath the sinks, there was a black and pinkish
area that's appeared to be black mold and mildew
around the pvc pipes and rusted-out wall screws. QA
Technician| was shown physically,
Production Manager} as verbally
the establishments failure to meet regulatory

requirements for CFR 416.2(b)1 and 416.2(b)2. No
product was affected,
M12612+P12 Boar's Head |2B536C00-9BF 1DG561407082 07/23/2024 01D01 SPS Verification 416.2(d) On Tuesday, July 23, 2024, at approximately
612 Provisions Co., 5-43D1-8D11-F 3N-1 3:15pm, CSI[ (x6) was performing a Sanitation
Inc. 2EFE4729183 Performance Standards task on the raw side of the
plant, and observed the following non-compliance:
- In the Netted Ham 2 holding cooler, condensation
dripping from condenser unit 23A, approximately 4’
in length, and 6” wide. - On the ceiling in front of
the blower fans to the unit, condensation on the
ceiling, dripping in front of the fans and being blown
approximately 6’ away from the unit, onto the floor.
|- There was a tree of uncooked Tavern Ham 3’ to the
side of the condenser unit, and a pallet of Beechwood)
Chips 10° in front of the unit. 8 empty stainless steel
tacks were in the range of the blown condensation,
lunder the unit, and 6’ to the front ofthe unit.
- The stainless steel doorway of the cooler leading
into the hallway that leads to the Liverwurst Cook
Tanks also had condensation, as well as the ceiling of
the hallway. - In the Liverwurst Cook Tank
Room, condensation was observed on the doorway
leading into the Smokehouse hallway. Supervisor
(66), was verbally notified, and called QA
Supervisor| (6) __]to the area. Both were
physically shown the non-compliance, and|
(© jused QA [a ]}to cordon off the area,
‘began the process to remove the
condensation, and sanitize the stainless steel racks.
QA Supervison[ yo __|vas also informed in
writing ofthe plant’s failure to meet 9CFR 416.2(d).
M12612+P12 Boar's Head C93B73DD-678 1DG230607502 07/24/2024 01B02 On July 24, 2024, at approximately 6:15 AM, While
612 Provisions Co., |A-4756-AC8A-6 4N-1 performing a Pre-Op SSOP Review & Observation
Inc. 02A34C4113A. task in RTE Packaging department, I observed the
following noncompliance: - The contact surface
through a hole of the main product contact surface
on the Line #1 autobagger was found to have product
residue covering the surface. - A stainless-steel
table on Line #2 was found to have a small piece of
debris on its product contact surface that appeared to
be a product cook bag. - The product plates of the
were found to be dirty with
various bits of pro ‘t residue and other debris. -
|A splitter on Line s found to have product
residue on the food contact surface of both conveyor
belts. Assistant Plant Manager{_©)__}was
noncompliance. QA Supervisor] and
Production Supervisor!)
were also
verbally notified. The establishment has failed to
actions of recleaning & sanitizing the affected areas
also be re-sanitized. QA Manager GX |was

informed me that the entire depart: would|

M12612+P12 Boar's Head '4327EFC2-441 1DG221607002 07/24/2024 01D01 SPS Verification 416.2(d) July 24, 2024, at approximately
612 Provisions Co., 7-4E45-AF39-3 4N-1 3:30pm, while performing a Sanitation Performance
Inc. 406A9EEOEBD Standards task on the raw side of the plant, in the
|Liverwurst Cook Tank and Smokehouse department,
)bserved the following non-compliance:
- Condensation on the stainless steel doorway frame
between Smokehouse | and the Liverwurst Cook
Tank, as well as the structural I beam above the
entranceway, and leading upwards along a steel
structural brace. - Inside the Liverwurst cook
tank room, condensation on the I beam rail used to
move cooked product from the cook tank into the
RTE side for cooling. - Condensation on the
window ‘pass’ into the RTE side, as well as on the
ceiling on the cook tank side of the wall above the
pass. - Condensation on the ceiling of the RTE
side, behind a black fan that was in operation.
- Approximately 30’ into the RTE room, a stainless
steel doorway was observed to have condensation on
the upper section. - In the Hallway leading from
the Liverwurst Cook Tank into the Netted Ham 2
cooling room as well as Smokehouse 2,
condensation on the ceiling, covering approximately
3 square feet. - The stainless steel door leading
into the Netted Ham 2 cooling room was closed, and
condensation was observed dripping when the door
was opened to enter the cooling room. - Inside
ithe Netted Ham 2 cooling room, condensation was
observed on the base of cooling unit 23A,
approximately 6’ in length, as well as on the white
PVC drain pipe on the unit. - While observing all
of this, 4 loads of product were observed being
transported into Smokehouse 2. As CSI|
was observing this non-compliance, an employee
arrived with a condensation mop to remove the
condensation. QA Manager[__(6)_]was
verbally informed, and called Supervisor[_6)_|
(6y6)_|to complete the removal of the condensation
from the affected areas. This is a similar
occurrence that was documented on July 23, 2024, in
NR# IDG5614070823N, also in the Liverwurst
Cook Tank, Netted Ham 2 cooler, and the connecting
hallway. The corrective actions of using a
Condensation Mop to remove the condensation was
ineffective in preventing a recurrence of the
non-compliance. QA Manager was
M12612+P12 |Boar's Head FCB3C60D-195|IDG141207492 |07/25/2024 |01DO01 |SPS Verification 416.2(a) On July 25, 2024, at approximately 7:00 AM, While
612 Provisions Co., |1-4767-9704-97|5N-1 performing an SPS task, I observed the following
Inc. |AB69683ED8 Inoncompliance: In the Raw Smokehouse hallway, a
flying insect was seen near a tree rack that was loaded
with raw product. Production Manager, ©6)_|
noncompliance. The implicated product is 980.17 Ibs
of Tavern Ham, totaling 112 pieces. The product at
this stage was inside of temporary casing that the
product is cooked in. I initiated a Regulatory Control
Action by placing US Retain tag B37563238 on the
product rack. The insect was not observed landing on
the product before losing sight of it by either FSIS or
Establishment personnel. Plant Manager Mike
Kneeland, QA Mana; oars cmae | QA
Supervisor! _(©@)__], Smokehouse Manager
oO | Sanitation Supervisor[_ (6)
®)@)_f QA Technician! v6) |, and QA
pec — ie Mee all verbally notified.
The establishment
SI has failed to meet the requirements|
of the above cited regulations.| ©) __|informed
ime that the entire room would be recleaned and
sanitized. I removed my tag and returned control of
the product to the establishment. I observed,
|_ (66) _|place a QA hold tag on the product rack. A
similar incident occurred on 7/17/2024 where I
observed dead insects on the floor near a Raw
receiving dock and on the floor near the emergency
exit door of the Cure Cooler[__(6)6)__
was also
M12612+P12 |Boar's Head BA813C07-789 1DG111907342 07/26/2024 01D01 SPS Verification 416.2(a), On July 25, 2024, at approximately 4:36 a.m. CSI
612 Provisions Co., |7-494D-9A22-D SN-1 416.2(b)(1), (6)(6) and Inspection aiaoes| _ 07 _|
Inc. }31FE1071436 416.2(b)(2), performed a on the Raw side of the plant when
416.2(b)(3), ithe following non compliances were observed:
416.2(d) Inedible Room #1 entrance had condensation on the
doorways and on condenser unit #16 with also had
what appeared to be a formation of black patches of
mold on the ceiling around the actual unit.
Cobwebs hanging from multiple light fixtures and
dock doors. A rusty condenser unit above the
compactor, green mold and rust found on the tip of
pipes beside the fire alarm. Trash inside the
inedible combos and grey containers that consist of
blue tip ties, blue gloves, tissue, 3 green scrub pads,
and metal bologna clips. A 15-16 ft. pve pipe
connected to condenser unit #28 A was covered with
black mold, and dust. Scaly paint above the door
frame, the wall to the left of the entrance, the
compactor entrance railings and walkway. The
had a huge rusted out hole on the right side of the
trash compactor. QA[__©\@)___
was physically
shown and verbally notified of the establishments
failure to meet CFR 9 416.2a, 416.2(b)1, 416.2(b)2,
416.2(b)3 and 416.2d. QA Manager|
notified in writing.
M12612+P12 Boar's Head FB88CDB1-4A, 1DG361607162 07/26/2024 01C02 Operational SSOP On July 26, 2024 at approximately 8:39pm, CSI
612 Provisions Co., 13-4A81-98F1- 8N-1 [Review and Observation (by(6), was performing a routine inspection
Inc. 4279DF51ADC of the RTE Packaging Department when the
Cc 416.4(b) following noncompliances were observed:
- Beaded condensation was observed on the door
opening and inside of Blast Cell #12. Condensation
was dripping over product being held. U.S, Retained
tags B37563411, B37563412, B37563413,
B36563414, B37563415, B37563416, B37563417,
B37563419, B37563420 were applied to nine trees
of Beechwood Hams (approximately 10,41 8lbs.).
‘They were removed from the Blast Cell and placed
along the RTE Smokehouse Hallway wall to be
tagged. - In the same proximity of the Blast Cells,
there were drips of liquid coming from the ceiling.
The ceiling also had a dark tan/brown tint.
- Franks, bologna, and different varieties of ham were|
on the floor of EQ coolers #2 & #3. - One pallet
jack located between packaging line: nd{&\4had
meat and product residue on the handle and electrical
box. The lift forks were also rusty. U.S. Reject Tag
B37563418 was applied to the pallet jack.
- There was rust on line{__%)4)__|compressor.
QA Technician[__&@x6)__] was physically shown
and verbally notified of the establishment’s failure to
meet 9 CFR 416.2(b)(2), 416.2(d), 416.4(b), and
}416.13(b). QA Manager notified in
writing ofthis report.
69
M12612+P12 890F1B1C-439 1DG352007472 07/27/2024 01C02 Operational SSOP On Saturday, July 27, at approximately 8:45pm,
612 Provisions Co., |5-4A3D-8F46-8 7N-1 [Review and Observation , |while performing a Sanitation Standard Operating
Inc. 644F14D202E 416.2(b)(2), Procedures inspection, CSI]
416.4(d) following non-compliance:
ithe plant, in the Blast Cell Hallway, next to Blast
Cell #9, clear liquid was observed falling from a 3°
by 3° square patch in the ceiling. Inside the patch
were two other square patches, one 1’ by 1’, the
second 6” by 6”. All of these patches were leaking
clear liquid from the seams. - An employee came
by with a Condensation Sponge, and wiped the
patches and the ceiling around the patches, and the
leaks returned within 10 seconds. The employee
wiped the patches again, and the leaks returned within
10 seconds, The employee wiped a third time, and the
leaks returned within 10 seconds. - 10° away
from the patches, a black fan was mounted to the
ceiling, and was blowing the leaking clear liquid into
the Blast Cell Hallway, where 9 trees of uncovered
Assorted Hams were, all with US Retain Tags on
them. 3 of the trees were observed with the clear
liquid being blown onto them. The three affected
trees already had US Retain Tags B37563415,
1B37563417, and B37563419 attached to them.
~ The Blast Cells were not in use, and there was no
apparent foot traffic, so the Hallway was not rejected.
RTE Supervisor.
© __|was verbally
informed, and physically shown the non-compliance.
x6) immediately called Maintenance to
assess repairs. QA Supervisor, —_©6)_|was.
informed in writing of the plant’s failure to meet
416.2(b)(2) and 416.4(d) and 416.13(b).

USDA FOIA Records Requested by Alexander Tin

Uploaded by

USDA FOIA Records Requested by Alexander Tin

Uploaded by

United States Department of Agriculture

Food Safety and Inspection Service

Public Health Information System.

‘meat particles on it. The cover for inspection line belt

(by(6) | as well as the department

Manager/Supervisor/Lead were all present and

establishments failure to meet 9 CFR 416.4(a),

iby) _JNo product was affected. The

found to have meat residue and other debris stuck

the establishments failure to meet regulatory

also be re-sanitized. QA Manager GX |was

notified in writing with this NR.

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