The following forms are available at www.alabamapublichealth.gov.

ADPH-FML 201/Revised 2016     Application for Permit for
Operation of a Grade A or
Manufacturing Milk Dairy Farm
ADPH-FML 201a-Revision 8/1/17 Application for Permit for
Processing, Handling,
Manufacturing, or Distribution of
Milk, Milk Products, Frozen
Desserts or Single-Service
Containers and/or Closures
ADPH-FML-INSP.204/Rev. 6-91   Milk Plant and/or Frozen Dessert
Plant Inspection Report
ADPH-FML-203.03.13.ch         Dairy Farm Inspection Report
ADPH-FML-229.03.13.ch         Manufacturing Plant Inspection
Report
ADPH-FML-216.03.13.ch         Milk Plant Equipment Tests Report
ADPH-FML-229.0.14.ch          Milk Sample Collector Evaluation
Report
ADPH-FML-248A.03.13.ch        Bulk Milk Hauler Report and Sampler
Evaluation Form

http://www.fda.gov/aboutFDA/reportsmanualsforms/forms/default.htm .

FORM FDA 2359     MILK PLANT INSPECTION REPORT
FORM FDA 2359a    DAIRY FARM INSPECTION REPORT
FORM FDA 2359b    MILK PLANT EQUIPMENT TEST REPORT
FORM FDA 2359c    MANUFACTURING PLANT INSPECTION REPORT (Single-
Service Milk Containers and Closures)
FORM FDA 2359d    REPORT OF CERTIFICATION (Fabrication of Single-
Service Containers and Closures for Milk and
Milk Products)
FORM FDA 2359m    MILK PLANT, RECEIVING STATION, OR TRANSFER
STATION NCIMS HACCP SYSTEM AUDIT REPORT FORM
FORM FDA 2399     MILK SAMPLE COLLECTOR EVALUATION REPORT (Dairy
Plant Sampling – Raw and Pasteurized Milk)
FORM FDA 2399a    BULK MILK HAULER/SAMPLER EVALUATION REPORT
FORM FDA 2399b    MILK TANK TRUCK INSPECTION REPOR

Author: G. M. Gallaspy, Jr.

Statutory Authority: Code of Ala. 1975, §§22-2-2, 22-20-7.

History: Repealed and New Rule: Filed October 18, 2018; effective December 2, 2018.