The field inspector will submit the ultimate 483 to his/her superiors; In the event the findings are severe enough, or If your response on the 483 that you submit is deemed inadequate, an FDA Warning Letter can be issued in your business. A Warning Letter may be the FDA's advisory https://kameronykuck.theblogfairy.com/37148843/pharmaceutical-quality-management-system-consulting-no-further-a-mystery 
