Da Form 7538 - Subsistence Serviceability Certificate
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1SUBSISTENCE SERVICEABILITY CERTIFICATE
CONTROL NO. :
For use of this form, see AR 40-657; the proponent agency is OTSG.
TO:
FROM:
DATE:
PAGE:
OF
PAGES
DOLLAR
NET
UNIT OF
UPC / ITEM DESCRIPTION
QUANTITY
REMARKS
VALUE
WEIGHT
ISSUE
CHECK APPLICABLE PHRASE
The subsistence items listed above are UNFIT for human consumption and (CREATE A HEALTH HAZARD) / (CREATE A SAFETY HAZARD) within the facility. Recommend disposition by
immediate destruction.
The subsistence items listed above are UNFIT for their original or intended purpose, however, product is still wholesome and may be retained for alternative use:
(explain in detail what is usable / unusable / re-work / donation, etc.)
INSPECTOR'S NAME:
SIGNATURE:
COPY FURNISHED:
VETERINARY OFFICER'S NAME:
SIGNATURE:
APD LC v1.00
DA FORM 7538, FEB 2005
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