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U.S. DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE

 APPLICATION FOR APPROVAL OF LABELS, MARKING OR DEVICE

FSIS has determined that information provided in items 8, 9, and 10 is exempt from mandatory disclosure under the Freedom of Information Act 5 U.S.C. 552(b)(4).

1. AGENT NAME, ADDRESS, TELEPHONE NO. (If using an Agent,complete this block, otherwise leave blank)

RHOSEY LLC
1671 Mcdonald ave
Brooklyn, NY 11234

Tel: 718-382-1226

2. FOR USDA USE ONLY

3. FOR USDA USE ONLY

4. ESTABLISHMENT NO. / FOREIGN COUNTRY (If applicable)

5a. NAME OF PRODUCT : 

5b. HACCP PROCESS CATEGORY

6a. TYPE OF APPROVAL REQUESTED

SKETCH.

 

 6b. WAS THE LABEL PREVIOUSLY APPROVED?

NO

 

 7a. AREA OF PRINCIPAL DISPLAY PANEL (Square inches):

7b. TOTAL AVAILABLE LABELING SPACE FOR ENTIRE PACKAGE (Square inches):  
 8. PRODUCT FORMULA

PCT  Weight

9. PROCESSING PROCEDURES (Approval of the sketch does not convey approval of the processing procedures)

TOTAL (Percent must total 100%)

100%
Return Address:

 

By submitting this form for processing I give permission for RHOSEY LLC to submit form, sign and date it on my behalf .

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