Form 79-007A Application to Operate a Rendering Plant - California

Form 79-007A or the "Application To Operate A Rendering Plant" is a form issued by the California Department of Food & Agriculture.

The form was last revised in August 1, 2018 and is available for digital filing. Download an up-to-date Form 79-007A in PDF-format down below or look it up on the California Department of Food & Agriculture Forms website.

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STATE OF CALIFORNIA
DEPARTMENT OF FOOD AND AGRICULTURE
Office Use Only
Establishment Number:
Meat, Poultry and Egg Safety Inspection Branch
Date:
1220 N Street
Sacramento, CA 95814
License Fee: $100.00
(916) 900-5004
Enforcement Fee: $7,000.00
79-007A (Rev. 08/18)
APPLICATION TO OPERATE A RENDERING PLANT
TOTAL FEE: $7,100.00
In accordance with Article 2, Chapter 5, Part 3, Division 9, of the California Food and Agricultural Code, application
is hereby made for a license to operate a Renderering Plant.
Please Print or Type
(If more space is required, please use the back of this form)
Name of Business:
Phone Number:
FAX:
Mailing Address:
Location (if different):
City, State, Zipcode:
City, County, Zipcode:
Name of Contact Person:
Contact Person E-Mail Address:
Name and addresses of Owners or Corporate Officers and Managers:
Name:
Name:
Address:
Address:
Experience in the Rendering business:
Type of Rendering:
Inedible Kitchen Grease (IKG)
Animal Waste
Both
*Any change in the information contained in the license or registration application shall be reported in writing to the
Meat, Poultry and Egg Safety Branch within (10) business days of such change..
*Obtaining all information requested is mandatory and required before a license can be issued according to
requirements in Division 9 of the California Food and Agricultural Code.
*Providing false information on applications for licenses or registration application shall be a violation and shall be
justification for denial of an application.
Printed Name of Applicant:
Signature of Applicant:
Mail application and $7,100.00 fee to: Department of Food and Agriculture, 1220 N Street, Sacramento, CA 95814.
Please make check payable to: CDFA L 90101
STATE OF CALIFORNIA
DEPARTMENT OF FOOD AND AGRICULTURE
Office Use Only
Establishment Number:
Meat, Poultry and Egg Safety Inspection Branch
Date:
1220 N Street
Sacramento, CA 95814
License Fee: $100.00
(916) 900-5004
Enforcement Fee: $7,000.00
79-007A (Rev. 08/18)
APPLICATION TO OPERATE A RENDERING PLANT
TOTAL FEE: $7,100.00
In accordance with Article 2, Chapter 5, Part 3, Division 9, of the California Food and Agricultural Code, application
is hereby made for a license to operate a Renderering Plant.
Please Print or Type
(If more space is required, please use the back of this form)
Name of Business:
Phone Number:
FAX:
Mailing Address:
Location (if different):
City, State, Zipcode:
City, County, Zipcode:
Name of Contact Person:
Contact Person E-Mail Address:
Name and addresses of Owners or Corporate Officers and Managers:
Name:
Name:
Address:
Address:
Experience in the Rendering business:
Type of Rendering:
Inedible Kitchen Grease (IKG)
Animal Waste
Both
*Any change in the information contained in the license or registration application shall be reported in writing to the
Meat, Poultry and Egg Safety Branch within (10) business days of such change..
*Obtaining all information requested is mandatory and required before a license can be issued according to
requirements in Division 9 of the California Food and Agricultural Code.
*Providing false information on applications for licenses or registration application shall be a violation and shall be
justification for denial of an application.
Printed Name of Applicant:
Signature of Applicant:
Mail application and $7,100.00 fee to: Department of Food and Agriculture, 1220 N Street, Sacramento, CA 95814.
Please make check payable to: CDFA L 90101

Download Form 79-007A Application to Operate a Rendering Plant - California

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