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

What Is Form 79-007A?

This is a legal form that was released by the California Department of Food & Agriculture - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the California Department of Food & Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 79-007A by clicking the link below or browse more documents and templates provided by the California Department of Food & Agriculture.

ADVERTISEMENT
ADVERTISEMENT

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

877 times
Rate (4.3 / 5) 61 votes
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