Form 79-013 Permit to Ship Inedible Product for Pet Food to California - California

Form 79-013 is a California Department of Food & Agriculture form also known as the "Permit To Ship Inedible Product For Pet Food To California". The latest edition of the form was released in August 1, 2011 and is available for digital filing.

Download a PDF version of the Form 79-013 down below or find it on California Department of Food & Agriculture Forms website.

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STATE OF CALIFORNIA
DEPARTMENT OF FOOD AND AGRICULTURE
Meat, Poultry and Egg Safety Branch
1220 N Street
Sacramento, CA 95814
(916) 900-5004
79-013 (Rev. 08/11)
PERMIT TO SHIP INEDIBLE PRODUCT FOR PET FOOD TO CALIFORNIA
Please Print
Date Issued:
Permission is hereby granted to:
Name:
Address:
Origin of inedible product:
Company:
Establishment No.:
Address:
Permit No.
Product
Weight
Date of Arrival
U.S.D.A. Inspected
State Inspected
Other Agencies
Destination (Address)
Permit No.
Product
Weight
Date of Arrival
U.S.D.A. Inspected
State Inspected
Other Agencies
Destination (Address)
Permit No.
Product
Weight
Date of Arrival
U.S.D.A. Inspected
State Inspected
Other Agencies
Destination (Address)
Each shipment must be accompanied by a certificate signed by the Inspector In Charge at the plant of origin.
A copy is to be mailed to the Meat, Poultry and Egg Safety Branch, 1910 Archibald Avenue, Suite X, Ontario,
CA 91761
This permit is void unless all requirements of Article 38, Section 1180.40 of the California Code or
Regulations, pertaining to importation of pet food, are fulfilled.
Namara Garbaba, D.V.M., Area Supervisor
Ontario Office
Meat, Poultry and Egg Safety Branch
STATE OF CALIFORNIA
DEPARTMENT OF FOOD AND AGRICULTURE
Meat, Poultry and Egg Safety Branch
1220 N Street
Sacramento, CA 95814
(916) 900-5004
79-013 (Rev. 08/11)
PERMIT TO SHIP INEDIBLE PRODUCT FOR PET FOOD TO CALIFORNIA
Please Print
Date Issued:
Permission is hereby granted to:
Name:
Address:
Origin of inedible product:
Company:
Establishment No.:
Address:
Permit No.
Product
Weight
Date of Arrival
U.S.D.A. Inspected
State Inspected
Other Agencies
Destination (Address)
Permit No.
Product
Weight
Date of Arrival
U.S.D.A. Inspected
State Inspected
Other Agencies
Destination (Address)
Permit No.
Product
Weight
Date of Arrival
U.S.D.A. Inspected
State Inspected
Other Agencies
Destination (Address)
Each shipment must be accompanied by a certificate signed by the Inspector In Charge at the plant of origin.
A copy is to be mailed to the Meat, Poultry and Egg Safety Branch, 1910 Archibald Avenue, Suite X, Ontario,
CA 91761
This permit is void unless all requirements of Article 38, Section 1180.40 of the California Code or
Regulations, pertaining to importation of pet food, are fulfilled.
Namara Garbaba, D.V.M., Area Supervisor
Ontario Office
Meat, Poultry and Egg Safety Branch

Download Form 79-013 Permit to Ship Inedible Product for Pet Food to California - California

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