~~K.~~ J · port 2095 5. single trans. bond 4. entry number 112-9938358-2 15. u.s. port of unlading...
Transcript of ~~K.~~ J · port 2095 5. single trans. bond 4. entry number 112-9938358-2 15. u.s. port of unlading...
DEPARTMENT OF HEALTH AND HUMAN SERVICE
Food and Drug AdmlnlslratlonNew Orleans DistrictImport Operallons959 Ridgeway Loop, Sulle 100Memphis, Tn. 38120
Telephone: (901) 333·3520FAX: (901)333-3579
Jauuary 7, 2011
UNITED PARCEL SERVICEDelivery Signature Requested
RE: Entry Number 112-9938358-2
This letter provides the status ofElltry Number 112-9938358-2, consisting ofl(b)f(~)lvialpackets, each vial containing 500 mg ofThiopental Sodium. FDA received documentationfor this shipment and verified it is destined fo1' a state correctional facility.
FDA releases this shipment, which is being imported by or on behalf of state correctionalauthorities. In keeping with established practice, FDA does not review or approve productsfor the purpose of lethal injection. FDA has not reviewed the products in this shipment todetermine their identity, safety, effectiveness, purity or any other characteristics.
Sincerely,
~~K.~~Patricia K. Schafei· JActing District DirectorNew Orleans District Office
FDA000029
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alpenny, Susan M; Dixon, Ruth Pentry item # 112-99-38358-2
From: Boulmay, ChristopherSent; Tuesda November 3Q, 2010 4:00 PMTo:Ce:Sub.leet:~~iltr~~',;~;3'
- "", "... 'If-y·o~r~~~~. a~~i~~~~~~~~~:~70dn ~~e!~~~;8~ff~~~~~~~~j;~~n:'jDixon at 901-333-3522. I am not authorized to make an
admissibility decision on the entry.
Thank you,
~~Consumer Safety OfficerUS Food & Drug AdministrationNOL-DO: Memphis R.P.
Phone: (901) 333-3528Fax: (901)333-3577
Sent:
TO:.BO...•...•.u.• I.m~.~~f.hr. is..t.£.Ph~rCc: ~iliF{FI .~l~t:~\~fJ~~~ ,.···,,',~£l~
Subject: FDA entry item # 112-99-38358-2
Mr. Boulmay
I am inquirinbe sent toIX.message.
file:/IU:\SodiumThiopental\Emails\112-9938358-2Emails\RE FDA entry item # 112-99-38... 1/13/2011FDA000030
United States Food and Drug AdministrationNew Orleans District Office
Notice of FDA Action
Entry Number: 112-9938358-2 Notice Number: 2January 6, 2011
> <
November 24,2010November 19,2010
Port of Entry:Carrier:Date Received:Arrival Date:
Filer of Record:Consignee:
Memphis, TN
COMMERCIAL ENTRY CLOSED
Summary of Current Status of Individual Lines
.__.__ .._~i~_~._~~_~~~.'?.~ ~~?~~.~~..~~~.~~j.P..t~<?.~ _ _ _ _ _._ 9~.~.~~.i.~y. _. __.. __g!:J~r~~.~ ..~.t~.t~.~ .
* 001/001 688760418962 THIOPENTAL Released 01-06-2011
* = Status change since the previous notice. Read carefully the sections which follow for important informationregarding the~e lines.
@ = Consignee ID
This is the final notice concerning entry 112-9938358-2. Any status changes are reflected in the Line summary andline detail sections.
CORRESPONDENCE
.. ~i':l~J\~~t.~.~~ .. __ _..__ .._.. __ :~!~~.~~~.P~~~~p'~.i.?~_ .._.._..__ ..__ __._._ _ _ _ _ _ _.. __ _ __.._.001/001 688760418962 THIOPENTAL
Comments: FDA releases this shipment, which is being imported by or on beha'lf of state correctionalauthorities. In keeping with established practice, FDA does not review or approve products for thepurpose of lethal injection. FDA has not reviewed the products in t~is shipment to determine theiridentity, safety, effectiveness, purity or any other characteristics.
Randy N. Boling, Compliance Officer (Region/District) (901) 333-3537
U S F d d D A .. . (901) 333-3579 (FAX)• • 00 an rug dmlnlstratlon [email protected]
959 Ridgeway Loop Road, Suite 100Memphis, TN 38120-4042
FDA000031
Notice of FDA ActionEntry Number: 112-9938358-2
LINES RELEASED
Notice Number: 2Page: 2
...~!.~~.~~~!.~.l?~ ___ ~.~~~.~9.t.g~~~~!.I?t.i.~~ _.001/001 688760418962 THIOPENTAL
Randy N. Boling, Compliance Officer (Region/District) (901) 333-3537.• . (901) 333-3579 (FAX)
U.S. Food and Drug Administration [email protected] Ridgeway Loop Road, Suite 100Memphis, TN 38120-4042
These products are released. This notice does not constitute assurance that the product released complies with allprovisions of the Food, Drug, and Cosmetic Act, or other related Acts, and does not preclude action should theproduct later be found violative.
Notice Prepared For: The District Director, U.S. Food and Drug AdministrationNotice Prepared By: LPW
FDA000032
. TABS:
DEPARTMENT OF THE TREASURYUNITED STATES CUSTOMS SERVICE
Form ApJlf'MldOMS No. 1515-0069
ENTRY/IMMEDIATE DELIVERY ABI CERTIFIED
TEL:
AIR EXPRESS
1. ARRIVAL DATE
1119105. PORT
20955. SINGLE TRANS. BOND
4. ENTRY NUMBER
112-9938358-2
15. U.s. PORT OF UNLADING 17. MANIFEST NUMBER 18. Go. NUMBER 19. lOTAl VAWE
209520. DESCRIPTION OF MERCHANDISE
21. ITlBUAWB 22. mBUAWB NO.CODE
PHARMACEUTICALS NOT RESTRICTED25. COUNTRY 28. MANUFACTURER In.
OF ORIGIN
GBDREPHA176LONGBTOTAL02358560751688760418962
MH
'ZT. CERTIFICATION 28. CUSlOMS USE ONLY
I hBreby make application for entrynmmedlale delivery. I eertify thBtthe above D OTHER AGENCY ACTION REQUIRED, NAMELY:Information IB accurete, the bond Is sullielent, valid. and currant, and that allrequirements of 19 CFR Part 142 have been mst.
D CUSTOMS EXAMINATION REQUIRED.
:-=::-:=:=-=:=-=--!-::=7::=:::-:~=-=------1
-------------------------1 D ENTRY REJECTED, BECAUSE:
DELIVERYAUTHORIZED:
SIGNATURE
Customs Form 3461 (010189)
Papsrwork Reduction Act Notice: This information 18 needed to dstermlns the admissibility of imports Into the Unllsd Statae and 10 proVide the necessaryInformetlon for the examination of the cargo and to establish the liability for payment of dulleD Dnd taxeB. Your responDe Is neceBaery.
m~I11/24/10 12: 56: 42 ~
FDA000033
Dream Pharma Ltd.
Invoice DetailsNumber: 2727fNV
Tel:II(!2)J(lI)1f1
VAT no:Purchase Order:
Order Details
176 Horn Lane, Acton, Lond·on. W36PJTel: 020 8992 7000 Fax: 020 8992 7001E·Mall: [email protected]
Date: 19·11·2010
1.l(~)1raJ.jCurrency: USD - US DollarHeading: PHARMACEUTICALS NOT RESTRICTED
Name/Descri tionThiopental Injection. powder for reconstitution, thiopental sodium. 500·mg vial packs of 25's
Batch No: AW6022 EXP: 05/14
Statement Details
Discount (%):
Deli';'ery:~
Insurance:.
Shipping Details
Tariff:Declarations:We certify thallhis invoice is lrue and correct
Subtotal:""""'llL!!"""'=
VAT (World Zero):I(§Il~~
Previous Balance:.
Total: II1IDI<iJl USD • US Dollar
Pa menl Melhod: Pre a menl Thank You
Damage. shOrtage or leakage must be nollfied in writing 10 ourselves within 3 days. Non·Delivery within 14 days. GoodS remain Ihe property 0' DreamPharma Lid. Unlil fUll paymenl has been received. Subject 10 our standard conditiOns of sale. E&OE
Company Registration Number:lmIIDi VAT No. ~~~!:.!2~Director: M. Alavi
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FDA000034
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RETURN TO:.
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DEP1\R~MBN'l' OP THE TREMURYUNITED STATES CUSTOMS SERVICE
IMPORTER 10~ INPUT RECORD
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FDA000037