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U.S. Department of Health and Human Services

Import Refusal Report

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Refusal Details as Recorded in OASIS by FDA

for Refusal 453-0106601-0/1/1


Manufacturer FEI3004310684
Manufacturer NamePT. Surya Alam Tunggal  
Manufacturer Address line 1Jl. Raya Tropodo 126  
Manufacturer Address line 2  
Manufacturer's CitySidoarjo  
Manufacturer Province/StateJawa Timur  
Manufacturer Country/AreaIndonesia  
Product Code16JGD05  
Importer's Product DescriptionFZEN HEADLESS SHRIMP SZE-16/20  
Refusal Date09-Dec-2003  
FDA DistrictNYK-DO  
Entry/doc/line/sfx 453-0106601-0/1/1
FDA Sample AnalysisYes  
FDA Record of Private Lab Sample Analysis Yes  
Charge(s)
Violation Code Section Charge Statement
SALMONELLA   402(a)(1), 801(a)(3); ADULTERATION   The article appears to contain Salmonella, a poisonous and deleterious substance which may render it injurious to health.  
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