* 1. Did you receive any of the recalled food product? 

* 2. Please indicate how the recalled product was disposed. Please indicate the quantity and types of recalled product below in the "other" field.

* 3. Have you notified the customers that may have recieved the recalled product?

* 4. If customers were notified, please indicate how customers were notified below.

* 5. Please check the box that best describes your business

* 6. Please provide your contact information below. 

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