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Prior Notice Confirmation: Submitted For your records only.

Transmitter Chef RV Submitted: 08/25/2020 12:24:22


Confirmation Number: 200329967622

WEB ENTRY
Entry Identifier: +++-3452205-0 Status: Completed
Anticipated Shipment Date: 07/28/2020 Entry Type: Mail (Non-Commercial Sender)
Submitter
Shantou mico Name: Dianne Manabat
806, No 3, West, 4th Block, hexin xinghu town,, Phone: 63-923-9095454
Huangshan Rd. Longhu District
Shantou, Guangdong 515000 e-mail: dtmanabat@up.edu.ph
CHINA
United States Recipient
Chris Jones
2625 Wellesley PL
DAVIS, California 95618
UNITED STATES
ARTICLE
Article Number: 0001
FDA Country of Production: China (CN)
Country from which the Article is Shipped: Philippines (PH)
Product Information
FDA Product Code: 33CGF02
FDA Product Description: CARAMEL CANDY PIECES, HARD, WITH FRUIT (WITHOUT CHOCOLATE), Plastic,
Synth, Aseptic Pack - Commercially Sterile
Common or Usual Name/Market Name: Plum candy
Production Identifiers
None
Quantity and Packaging
Total Quantity: 2 Pieces Bulk Shipment
Refusal Information
Related Facilities
Manufacturer
Shantou Mico Registration Not Required
806, No 3, West, 4th Block, hexin Facility is retail food establishment
xinghu town,, Huangshan Rd. (21 CFR 1.226(c); 1.227(b)(11))
Longhu District
Shantou, Guangdong 515000
CHINA
Shipper
Dianne Faye Manabat
172 Manabat St. San Antonio
Binan, Laguna 4024 PHILIPPINES

Copyright � 2003-2020 U.S. Food and Drug Administration


Prior Notice v14.2.2, March 24, 2020
August 25, 2020 12:25:11 EDT
Page 1

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