Use lines below for additional Product Codes
22. FDA Line Number:
23. Manufacturer Registration number if different than shipper:
24. Manufacturer Name and Address if different than shipper:
25. FDA Product Code:
26. Common, usual, or market name:
27. Brand Name:
28. Quantity (Estimated is allowed):
29. Unit of measure:
30. FDA Value by FDA Line:
31. Lot/Code #:
32. Grower, if known:
33. Country of Production:
34.HTS Code:
