From: <Saved by Windows Internet Explorer 7>
Subject: Tomita Pharmaceutical Co., Ltd Warning Letter
Date: Mon, 3 Mar 2008 11:07:24 -0500
MIME-Version: 1.0
Content-Type: multipart/related;
	type="text/html";
	boundary="----=_NextPart_000_0081_01C87D1E.C24546B0"
X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198

This is a multi-part message in MIME format.

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: text/html;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://www.fda.gov/foi/warning_letters/s6630c.htm

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" =
"http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd">
<HTML xmlns=3D"http://www.w3.org/1999/xhtml"><HEAD><TITLE>Tomita =
Pharmaceutical Co., Ltd Warning Letter</TITLE><!-- #BeginTemplate =
"/Templates/warningletters.dwt" --><!-- DW6 --><!-- #BeginEditable =
"Metadata" -->
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META http-equiv=3DContent-language content=3Den>
<META=20
content=3D"Tomita Pharmaceutical Co., Ltd Warning Letter, Center for =
Drug Evaluation and Research, CGMP/Active Pharmaceutical =
Ingredients/Adulterated"=20
name=3DKeywords>
<META content=3D"Tomita Pharmaceutical Co., Ltd Warning Letter, January =
14, 2008"=20
name=3DDescription>
<META content=3D01-22-2008 name=3DPosted>
<META content=3Dmm-dd-yyyy name=3DPoster>
<META content=3Dmm-dd-yyyy name=3Dupdated><LINK=20
href=3D"http://www.fda.gov/foi/stylesheets/news.css" type=3Dtext/css =
rel=3Dstylesheet>
<STYLE type=3Dtext/css>
@media Print   =20
{
.contacts {
	FONT-SIZE: 8pt
}
    }
H3 {
	FONT-WEIGHT: bold; FONT-SIZE: 0.8em; FONT-FAMILY: Arial, Helvetica, =
sans-serif; TEXT-ALIGN: center
}
BODY {
	FONT-FAMILY: Arial, Helvetica, sans-serif; TEXT-ALIGN: left
}
P {
	FONT-SIZE: 0.8em
}
.mainlist {
	FONT-SIZE: 0.8em; MARGIN-LEFT: 12pt; TEXT-ALIGN: left
}
.skip {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:link {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:visited {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:hover {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:active {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
</STYLE>
<!-- #EndEditable -->
<META content=3D"MSHTML 6.00.6000.16608" name=3DGENERATOR></HEAD>
<BODY>
<DIV class=3Dskip><A=20
href=3D"http://www.fda.gov/foi/warning_letters/s6630c.htm#top"><IMG =
height=3D1=20
alt=3D"Skip Navigation" =
src=3D"http://www.fda.gov/graphics/dot_clear.gif" width=3D1=20
border=3D0></A></DIV>
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" align=3Dcenter =
border=3D0>
  <TBODY>
  <TR>
    <TD class=3Dhedbackground height=3D68><A=20
      href=3D"http://www.fda.gov/default.htm"><IMG height=3D68=20
      alt=3D"FDA Logo--links to FDA home page"=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_01.gif"=20
      width=3D100 border=3D0></A></TD>
    <TD align=3Dmiddle width=3D"20%"><IMG height=3D68 alt=3D""=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_bkgrd.gif"=
=20
      width=3D"100%"></TD>
    <TD class=3Dhedbackground align=3Dmiddle height=3D68>
      <DIV class=3Dcenter><A =
href=3D"http://www.fda.gov/default.htm"><IMG height=3D68=20
      alt=3D"U.S. Food and Drug Administration"=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_02.gif"=20
      width=3D383 align=3Dtop border=3D0></A></DIV></TD>
    <TD align=3Dmiddle width=3D"20%"><IMG height=3D68 alt=3D""=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_bkgrd.gif"=
=20
      width=3D"100%"></TD>
    <TD class=3Dhedbackground vAlign=3Dcenter align=3Dright =
height=3D68><A=20
      href=3D"http://www.hhs.gov/"><IMG height=3D68=20
      alt=3D"HHS Log--links to Department of Health and Human Services =
website"=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_03.gif"=20
      width=3D116 border=3D0></A></TD></TR></TBODY></TABLE>
<P class=3Dheader><A href=3D"http://www.fda.gov/default.htm">FDA Home =
Page</A> | <A=20
href=3D"http://www.fda.gov/search.html">Search FDA Site</A> | <A=20
href=3D"http://www.fda.gov/opacom/hpchoice.html">FDA A-Z Index</A> | <A=20
href=3D"http://www.fda.gov/comments.html">Contact FDA</A> </P>
<P><IMG height=3D1 alt=3D"horizontal rule"=20
src=3D"http://www.fda.gov/graphics/blkpixel.gif" width=3D"100%" =
border=3D0></P><!-- #BeginEditable "Title head" -->
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" border=3D0>
  <TBODY>
  <TR>
    <TD vAlign=3Dcenter>&nbsp;</TD>
    <TD vAlign=3Dbottom>&nbsp;</TD></TR>
  <TR>
    <TD vAlign=3Dcenter width=3D"67%" height=3D63>
      <H3=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 0.8em; COLOR: #000080; =
BACKGROUND-COLOR: #ffffff; TEXT-ALIGN: left"><IMG=20
      height=3D60 alt=3D"Department of Health and Human Services' logo"=20
      src=3D"http://www.fda.gov/foi/HHS_blue_logo.gif" width=3D57 =
align=3Dmiddle=20
      border=3D0>Department of Health and Human Services</H3></TD>
    <TD vAlign=3Dbottom width=3D"33%">
      <P>Public Health Service <BR>Food and Drug =
Administration</P></TD></TR>
  <TR>
    <TD vAlign=3Dcenter>&nbsp;</TD>
    <TD vAlign=3Dtop>
      <P>Rockville, MD 20857 </P></TD></TR></TBODY></TABLE><BR><!-- =
#EndEditable --><!-- #BeginEditable "body" -->
<P align=3Dcenter><STRONG>Warning Letter </STRONG></P>
<P><STRONG>Via FedEx </STRONG></P>
<P><STRONG>WL: 320-07-04 </STRONG></P>
<P>JAN 14 2008 </P>
<P>Mr. Yoshihiro Tomita <BR>Chief Executive Officer and Chairman =
<BR>Tomita=20
Pharmaceutical Co., Ltd <BR>85-1 Aza-maruyama, Akinokami, Seto-cho=20
<BR>Naruto-City, Tokushima 7771-0360 <BR>Japan </P>
<P>Dear Mr. Tomita: </P>
<P>We have completed our review of the inspection of your pharmaceutical =

manufacturing facility in Tokushima, Japan, by Investigator Katherine E. =

Jacobitz and Analyst Luis M. Burgos Medero, during the period of July =
31-August=20
2, 2007. The inspection revealed significant deviations from U.S. =
Current Good=20
Manufacturing Practice (CGMP) in the manufacture of active =
pharmaceutical=20
ingredients (APIs). </P>
<P>The deviations were presented on an Inspectional Observations =
(FDA-483) form=20
at the close of the inspection to Mr. [redacted] Quality Assurance =
Division=20
Manager and Product Security Pharmacist. These CGMP deviations cause =
your APIs=20
to be adulterated within the meaning of section 501(a)(2)(B) of the =
Federal=20
Food, Drug, and Cosmetic Act (FD&amp;C Act). In addition, your firm =
failed to=20
provide copies of documents requested throughout the inspection. </P>
<P>During the close-out meeting, Mr. <STRONG>[redacted]</STRONG> =
indicated that=20
the firm would respond in writing to the FDA-483 observations within 30 =
days. We=20
have not yet received a written response. Based on the review of the =
EIR,=20
specific areas of concern include, but are not limited to: </P>
<P>Laboratory system </P>
<P>1. The analyst worksheets were deficient in that the following was =
observed:=20
</P>
<P>a) There was no reference to the analytical test methods used <BR>b) =
There=20
was no reference to the <STRONG>[redacted]</STRONG> or instruments used =
<BR>c)=20
There was no reference to the manufacturer's standards and/or the lot =
number=20
used <BR>d) There were unidentified post-it notes with the sample and =
standard=20
weights and no reconcilability of the batches being tested <BR>e) There =
were=20
weights reported without indicating the gross, tare, or net weight </P>
<P>This is a repeated deviation from the August 1-3, 2005, inspection of =
your=20
site. After that inspection, in your response dated 8/29/05, your firm =
stated=20
that "We begin to apply the record details of analyst work, calculations =
and=20
pertinent information in any of analyses such as<STRONG> =
[redacted]</STRONG> and=20
so on by the end of this year." </P>
<P>Please note that laboratory control records should include complete =
data=20
derived from all tests conducted to ensure compliance with established=20
specifications and standards. This includes the signature of the person =
who=20
performed each test and the date(s) the tests were performed, as well as =
the=20
date and signature of a second person showing that the original records =
have=20
been reviewed for accuracy, completeness, and compliance with =
established=20
standards. </P>
<P>2. Failure of your investigations of out-of-specification (OOS) =
results to=20
determine if corrections or preventive actions are needed. </P>
<P>During the inspection, it was noted that at least 7 OOS results were =
found=20
and confirmed by your firm. Your firm failed to continue its =
investigation of=20
the OOS results outside of the laboratory in order to determine the =
cause of the=20
results. Your firm promised corrective action, however, no documentation =
and/or=20
written commitment was provided. </P>
<P>Any OOS result obtained should be investigated and documented =
according to a=20
procedure. This procedure should include analysis of the data, =
assessment of the=20
extent and cause of the problem, allocation of the tasks for corrective =
actions,=20
and conclusions. Any resampling or retesting after OOS results should be =

performed according to a documented procedure. </P>
<P>Written procedures should be established and followed for =
investigating=20
deviations or the failure of a batch of intermediate or API to meet=20
specifications. The investigation should extend to other batches that =
may have=20
been associated with the specific failure or deviation. </P>
<P>3. Failure to have a validated and secure computerized system. =
Additionally,=20
there were no written protocols to assign levels of responsibilities for =
the=20
system. </P>
<P>It was noted that the<STRONG> [redacted]</STRONG> instrument =
model<STRONG>=20
[redacted]</STRONG> used for the analysis of <STRONG>[redacted]</STRONG> =
failed=20
to have password control for the analysts and the supervisor. It was =
observed=20
that the data stored on the computer can be deleted, removed, =
transferred,=20
renamed or altered. </P>
<P>While your firm's management stated that they would like to implement =
certain=20
improvements in order to establish a security system, no documentation =
or=20
commitment has been provided. </P>
<P>Please note that computerized systems should have sufficient controls =
to=20
prevent unauthorized access or changes to data. There should be controls =
to=20
prevent data omissions and assure back-up. There should be a record of =
any data=20
change made, the previous entry, who made the change, and when the =
change was=20
made. </P>
<P>The CGMP deviations identified above or on the FDA-483 issued to your =
firm=20
are not to be considered an all-inclusive list of the deficiencies at =
your=20
facility. If you wish to continue to ship your products to the United =
States, it=20
is the responsibility of your firm to assure compliance with all U.S. =
standards=20
for Current Good Manufacturing Practices. </P>
<P>During the inspection, your firm refused to provide copies of =
production=20
records, laboratory records, and written procedures requested by the FDA =

Investigator and Analyst for their later review. Your refusal to provide =

documents hinders FDA's ability to perform an inspection an d determine =
your=20
firm's compliance with CGMP requirements. Thus, FDA considers your =
refusal to=20
provide documents as a refusal to allow inspection. APIs manufactured by =
your=20
firm may be refused entry into the U.S. pursuant to Section 801(a)(3) of =
the=20
FD&amp;C Act in that the methods and controls used in their manufacture =
do not=20
appear to conform to current good manufacturing practice within the =
meaning of=20
Section 501(a)(2)(B) of the FD&amp;C Act, if documents necessary for an=20
inspection and CGMP assessment are not provided. </P>
<P>We recommend that you conduct a complete and extensive evaluation of =
your=20
facility to help ensure that APIs meet the quality and purity =
characteristics=20
that they purport, or are represented, to possess. Please note that a =
guidance=20
document entitled "Q7A Good Manufacturing Practice Guidance of Active=20
Pharmaceutical Ingredients" (ICH CGMP Guidance), prepared under the =
auspices of=20
the International Conference on Harmonization of Technical Requirements =
for=20
Registration of Pharmaceuticals for Human Use (ICH), describes CGMP for=20
manufacturing of APIs. The guidance, adopted by the FDA on September 25, =
2001,=20
is intended to help ensure that all APIs meet the standards for quality =
and=20
purity that they purport or are represented to possess. Although the ICH =
CGMP=20
Guidance does not impose requirements, FDA considers its =
recommendations, as=20
well as alternatives intended to accomplish the same goals and provide =
an=20
equivalent level of quality assurance, in determining whether a firm's =
APIs have=20
been manufactured, processed, packed, and held according to CGMP under =
Section=20
501(a)(2)(B) of the Act. To obtain the ICH CGMP Guidance for your =
reference,=20
refer to the following website: <A=20
href=3D"http://www.fda.gov/cder/guidance/4286fnl.htm">http://www.fda.gov/=
cder/guidance/4286fnl.htm</A></P>
<P>Please respond to this letter within 30 days of receipt. Your =
response should=20
include documentation with translation in English to address the =
deficiencies=20
cited as well as copies of procedures. Please identify your response =
with FEI=20
#3002808375. Until all corrections have been completed and FDA can =
confirm your=20
firm's compliance with CGMPs, this office will recommend disapproval of =
any new=20
applications or supplements listing your firm as a manufacturer of APIs. =
</P>
<P>Please contact Marybet Lopez, Compliance Officer, at the address and=20
telephone numbers shown below, if you have any questions, further =
information,=20
or further proposals regarding this letter. </P>
<P>U.S. Food &amp; Drug Administration <BR>Center for Drug Evaluation =
and=20
Research, HFD-325 <BR>11919 Rockville Pike <BR>Rockville, MD 20852 =
<BR>Tel:=20
(301) 827-9004 <BR>FAX (301) 827-8909 </P>
<P>To schedule a re-inspection of your facility, after corrections have =
been=20
completed and your firm is in compliance with CGMP requirements, send =
your=20
request to: Director, Division of Field Investigations HFC 130, 5600 =
Fisher's=20
Lane, Rockville, MD 20857. You can also contact that office by telephone =
at=20
(301) 827-5655 or by fax at (301) 443-6919. <BR></P>
<P>Sincerely, </P>
<P>/S/</P>
<P>Richard L. Friedinan <BR>Director <BR>Division of Manufacturing and =
Product=20
Quality <BR>Office of Compliance <BR>Center for Drug Evaluation and =
Research=20
</P>
<P>&nbsp;</P><!-- #EndEditable -->
<P><IMG height=3D1 alt=3D"horizontal rule"=20
src=3D"http://www.fda.gov/graphics/blkpixel.gif" width=3D"100%" =
border=3D0></P>
<P class=3Dfooter><!-- #BeginEditable "Return Home Page Navigation" =
--><A=20
href=3D"http://www.fda.gov/foi/foia2.htm">FOI Home Page</A> | <A=20
href=3D"http://www.accessdata.fda.gov/scripts/wlcfm/recentfiles.cfm">Most=
 Recent=20
Warning Letters</A><!-- #EndEditable --><BR><BR><A=20
href=3D"http://www.fda.gov/default.htm">FDA Home Page</A> | <A=20
href=3D"http://www.fda.gov/search.html">Search FDA Site</A> | <A=20
href=3D"http://www.fda.gov/opacom/hpchoice.html">FDA A-Z Index</A> | <A=20
href=3D"http://www.fda.gov/comments.html">Contact FDA</A> | <A=20
href=3D"http://www.fda.gov/privacy.html">Privacy</A> | <A=20
href=3D"http://www.fda.gov/accessibility.html">Accessibility</A></P>
<P=20
class=3Dfooter><!-- #BeginEditable "Office that Created/Updated page" =
-->FDA/Freedom=20
of Information<!-- #EndEditable --><BR></P><!-- #EndTemplate =
--></BODY></HTML>

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/dot_clear.gif

R0lGODlhAQABAID/AP///wAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_01.gif

R0lGODlhZABEALMAAJmZzDMzZszM/2ZmmTMzmf////8AAMzMzAAAZgAAAAAAAAAAAAAAAAAAAAAA
AAAAACH5BAAAAAAALAAAAABkAEQAAAT/0MhJq7046827/2AojmRpnmiqrmzrvnAsz3Rt33h+I3zv
/8CgcEgsGo/IpHLJbDqf0Kh0Sq1ar9isdsvter9UQmFMLpvP6AMgYAScB2CiGE2vnw+E4bwwcI/Z
cUF7doR1cEECYwcIAWQAgYKKBJOUlZaXlQCJjkADZAQAA55jeZA+cwejhXUCAASqfD+OcwGbi6Y9
qLCrda5lpQh+BQEHY75jh7i6vKt4ZLd7or/FY7g8ywWumNuZZamfCNTDZgeNxtbYyU3CA5uhZH1v
wsCB6VHU3wXi5c+b44rKFI0ScKCgwYKuEBJA2OnTmYVkAqiShswUtjrO9KEK4rDMsWw8/8TVGiPA
okBCGVMGoTZomD9Ae95VrCdJlM2bNlFtBLJpEMVYPeaJpKkRp9EBOgH+MFdgENMCQMgIiEk0H8ak
+oD4ETCRXUNk8+JcpJNyZ4+uipiWRBRRqtiTBQgeNHhMJY8Awpp+EqfulKOJYOwJwarvgD9S1D7i
mXvwl7/AcPv61WgHVER/k5oB9iI4EmU0CeGpWtTSULFbnCPrAbgt76MyMLldagpZ3yjJuZ4xfhOM
E4KFjIMzrJ0P9zVeXH/DPs4M0JfOQEqfSR4SXm5exrVIFPUK6ZDtR5E653HTB/jw5a2pX8++vfv3
8OPLn0+/vv37+PPr3++Dmf//AAYo4EGABBZoIDnCJajgggw26OCDEEYo4YQUVmjhhRhmqOGGHHbo
4YcghijiiCSWaOKJKKao4oostujiizDGKOOMNMYYAQA7

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_bkgrd.gif

R0lGODlhFQBEALMAAJmZzDMzZszM/2ZmmTMzmf////8AAMzMzAAAZgAAAAAAAAAAAAAAAAAAAAAA
AAAAACwAAAAAFQBEAAAETNDISau9OOvNu/9gKIpIaZ5oqq5s675wLM90bd94ru987//AoHBILBqP
yKRyyWwWntCodEqtTg/YrHbL7Xq/4LB4TC6bz+i0es1uoyMAOw==

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_02.gif
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------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_03.gif
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=

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/blkpixel.gif

R0lGODlhAQABAIAAAAAAAP///yH5BAAAAAAALAAAAAABAAEAAAICRAEAOw==

------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/foi/HHS_blue_logo.gif
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------=_NextPart_000_0081_01C87D1E.C24546B0
Content-Type: text/css;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://www.fda.gov/foi/stylesheets/news.css

BODY {
	MARGIN-LEFT: 10%; COLOR: #000000; MARGIN-RIGHT: 10%; FONT-FAMILY: =
Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #ffffff
}
P {
	FONT-SIZE: 83%
}
H1 {
	MARGIN-TOP: 6px; FONT-WEIGHT: bold; FONT-SIZE: 140%; MARGIN-BOTTOM: =
6px; COLOR: #000080; FONT-STYLE: italic; BACKGROUND-COLOR: #ffffff; =
TEXT-ALIGN: center
}
H2 {
	FONT-WEIGHT: bold; FONT-SIZE: 105%; TEXT-ALIGN: center
}
H3 {
	FONT-WEIGHT: bold; FONT-SIZE: 83%; MARGIN-BOTTOM: -8pt; TEXT-ALIGN: =
left
}
.mainlist {
	FONT-SIZE: 83%; MARGIN-LEFT: 12pt; TEXT-ALIGN: left
}
A:hover {
	COLOR: #cc0000; BACKGROUND-COLOR: #ffffff
}
.center {
	TEXT-ALIGN: center
}
.header {
	MARGIN-TOP: 8px; FONT-SIZE: 75%; MARGIN-BOTTOM: 5px; TEXT-ALIGN: center
}
.footer {
	FONT-SIZE: 75%; TEXT-ALIGN: center
}
.small {
	FONT-SIZE: 75%
}
.hedbackground {
	BACKGROUND-IMAGE: url(/graphics/mastheadart/images/fda_mast_bkgrd.gif)
}

------=_NextPart_000_0081_01C87D1E.C24546B0--

