ミマ爍ア>?? mo????l??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????チq` ソモbjbjqPqP<「::モ??????、2222222FN6N6N6N6D?ヤF廱r8Lセ8セ8セ89????JAJAJAJAJAJAJ錆hAJ2B??BBAJ22セ89ロVJ佞佞佞B2セ829?J佞B?J佞佞22佞セ8Tf8 ??@ァヌN6ォB 佞ロCdlJ0廱佞xNオBワxN佞佞xN2ッC,?ヤチ;N佞= >???AJAJ舛 ???廱BBBBFFFハFFFハFFF222222???? DHHS/FDA - FOOD FACILITY REGISTRATION FORM Please review the registration. DATE: November 13, 2006 (MM/DD/YYYY) Section 1 - TYPE OF REGISTRATION1a. Foreign Registration1b. FACILITY REGISTRATION NUMBER: 19684602494PIN: B364a5cB1c. PREVIOUS OWNER'S NAME: ??????PREVIOUS OWNER'S REGISTRATION NUMBER:  Section 2 - FACILITY NAME / ADDRESS INFORMATIONNAME: DANDONG MAGI FOOD CO.,LTDFACILITY STREET ADDRESS, Line 1: Guoyuan Village, The Yalu River StreetFACILITY STREET ADDRESS, Line 2: Office, Zhen'An DistrictCITY: Dandong CitySTATE / PROVINCE: LiaoningZIP CODE (POSTAL CODE): 118003COUNTRY: CHINAPHONE NUMBER (Include Area/Country Code): 86 0415 4188386 FAX NUMBER (OPTIONAL; Include Area/Country Code): 86 0415 4188369E-MAIL ADDRESS (OPTIONAL): ddmagi@163.com Section 3 - PREFERRED ADDRESS MAILING INFORMATION (Optional)NAME: ADDRESS, Line 1: ADDRESS, Line 2: CITY: STATE / PROVINCE: ZIP CODE (POSTAL CODE): COUNTRY: PHONE NUMBER (Include Area/Country Code): FAX NUMBER (OPTIONAL; Include Area/Country Code): E-MAIL ADDRESS (OPTIONAL):  Section 4 - PARENT COMPANY NAME / ADDRESS INFORMATIONNAME OF PARENT COMPANY: STREET ADDRESS, Line 1: STREET ADDRESS, Line 2: CITY: STATE / PROVINCE: ZIP CODE (POSTAL CODE): COUNTRY: PHONE NUMBER (Include Area/Country Code): FAX NUMBER (OPTIONAL; Include Area/Country Code): E-MAIL ADDRESS (OPTIONAL):  Section 5 - FACILITY EMERGENCY CONTACT INFORMATIONINDIVIDUAL'S NAME (Optional): TITLE (Optional): EMERGENCY CONTACT PHONE (Include Area/Country Code): E-MAIL ADDRESS (Optional):  Section 6 - TRADE NAMESALTERNATE TRADE NAME #1: ALTERNATE TRADE NAME #2: ALTERNATE TRADE NAME #3: ALTERNATE TRADE NAME #4:  Section 7 - UNITED STATES AGENTNAME OF U.S. AGENT: Peter CocotasTITLE (Optional): Vice PresidentSTREET ADDRESS, Line 1: PhF Specialists Inc.STREET ADDRESS, Line 2: P.O. Box 7697CITY: San JoseSTATE: CALIFORNIAZIP CODE: 95150U.S. AGENT PHONE NUMBER (Include Area Code): 408 2750161 EMERGENCY CONTACT PHONE (Include Area Code): 408 2678083 FAX NUMBER (OPTIONAL; Include Area Code): 408 2800979E-MAIL ADDRESS (Optional): phfspec@pacbell.net Section 8 - SEASONAL FACILITY DATES OF OPERATION (Optional)DATES OF OPERATION:  Acidified/Low Acid Food Processor Manufacturer/Processor  Section 10 - TYPE OF STORAGEAmbient Storage (Including heated Storage)Frozen Storage Fruits and Fruit ProductsVegetables and Vegetable Products Section 11b - GENERAL PRODUCT CATEGORY - FOOD FOR ANIMAL CONSUMPTION Section 12 - OWNER, OPERATOR, OR AGENT IN CHARGE INFORMATIONNAME OF ENTITY OR INDIVIDUAL WHO IS THE OWNER, OPERATOR, OR AGENT IN CHARGE: Peter CocotasSTREET ADDRESS, Line 1: PhF Specialists Inc.STREET ADDRESS, Line 2: P.O. Box 7697CITY: San JoseSTATE / PROVINCE: CALIFORNIAZIP CODE (POSTAL CODE): 95150COUNTRY: UNITED STATESPHONE NUMBER (Include Area/Country Code): 408 2750161 FAX NUMBER (OPTIONAL; Include Area/Country Code): 408 2800979E-MAIL ADDRESS (OPTIONAL): phfspec@pacbell.net Section 13 - CERTIFICATION STATEMENTThe owner, operator, or agent in charge of the facility, or an individual authorized by the owner, operator, or agent in charge of the facility, must submit this form. By submitting this form to FDA, or by authorizing an individual to submit this form to FDA, the owner, operator, or agent in charge of the facility certifies that the above information is true and accurate. An individual (other than the owner, operator or agent in charge of the facility) who submits the form to the FDA also certifies that the above information submitted is ture and accurate and that he/she is authorized to submit the registration on the facility's behalf. An individual authorized by the owner, operator, or agent in charge must below identify by name the individual who authorized submission of the registration. Under 18 U.S.C 1001, anyone who makes a materially false, ficticious, or fraudulent statement to the U.S. Government is subject to criminal penalties. NAME OF THE SUBMITTER: Peter CocotasCHECK ONE BOX:  HTMLCONTROL Forms.HTML:Option.1 ?A. OWNER, OPERATOR OR AGENT IN CHARGE  HTMLCONTROL Forms.HTML:Option.1 ?B. 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