"Commercial Grain Elevator Application" - Delaware

The Delaware Department of Agriculture has released this version of the "Commercial Grain Elevator Application" on February 20, 2009.

This form may be used by all Delaware residents: download the printable PDF by clicking the link below and use it according to the applicable legal guidelines.

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Download "Commercial Grain Elevator Application" - Delaware

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DEAWARE DEPARTMENT OF AGRICULTURE
PLANT INDUSTRIES SECTION
2320 S. DUPONT HIGHWAY
DOVER, DELAWARE 19901-5515
Phone: (302)698-4500 (800)282-8685 FAX: (302)697-4736
APPLICATION - COMMERICAL GRAIN ELEVATOR
APPLICANT:
Business:
Date:
Address:
Phone:
Location:
Fax:
City/State:
County:
Contact Person:
or
e-mail:
or
SCALE DATA:
MAKE/MODEL
SERIAL NUMBER
1
2
3
GRAIN TESTING EQUIPMENT:
MAKE/MODEL
SERIAL NUMBER
CHARTS
TEST WEIGHT
SHAKER
DOCKAGE TESTER
DIVIDER
PROBE
OTHER
OTHER
MOISTURE METER:
MAKE/MODEL
MAKE/MODEL
SERIAL NUMBER
SERIAL NUMBER
1
9
2
10
3
11
4
12
5
13
6
14
7
15
8
16
OTHER TESTING EQUIPMENT:
SERIAL NUMBER
GRAIN MILL APPLICATION.09.02.20.RCB.
DEAWARE DEPARTMENT OF AGRICULTURE
PLANT INDUSTRIES SECTION
2320 S. DUPONT HIGHWAY
DOVER, DELAWARE 19901-5515
Phone: (302)698-4500 (800)282-8685 FAX: (302)697-4736
APPLICATION - COMMERICAL GRAIN ELEVATOR
APPLICANT:
Business:
Date:
Address:
Phone:
Location:
Fax:
City/State:
County:
Contact Person:
or
e-mail:
or
SCALE DATA:
MAKE/MODEL
SERIAL NUMBER
1
2
3
GRAIN TESTING EQUIPMENT:
MAKE/MODEL
SERIAL NUMBER
CHARTS
TEST WEIGHT
SHAKER
DOCKAGE TESTER
DIVIDER
PROBE
OTHER
OTHER
MOISTURE METER:
MAKE/MODEL
MAKE/MODEL
SERIAL NUMBER
SERIAL NUMBER
1
9
2
10
3
11
4
12
5
13
6
14
7
15
8
16
OTHER TESTING EQUIPMENT:
SERIAL NUMBER
GRAIN MILL APPLICATION.09.02.20.RCB.
Page 2
Business:
Date:
GRAIN RECEIVED:
DISCOUT SCHEDULES MUST BE ATTACHED FOR EACH
GRAIN RECEIVED
CORN
SOYBEANS
WHEAT
BARLEY
SORGHUM
GRAIN SAMPLE PRESERVATION PROGRAM:
Sample preservation program attached.
GRAIN INSPECTORS LICENSED:
Name
License Number
Expiration date
Weighmaster
Expiration date
License Number
Is your location a license USDA warehouse? 
YES
NO
License Number:
One application must be completed for each location.
I ___________________________________ have reviewed the information and is correct.
_______________________________________________________
Signature / Title
Date
OFFICE USE ONLY
License Number:
County:
DDA---LT--FILED
Date:
Reference:
Grain Mill:
POSTED:
Inspectors:
Grain:
INSPECTORS:
Device:
Discount:
BILLED:
Scales:
Sample:
PAID:
W&M No. :
Storage:
AUDIT:
Service :
Group No.:
New:
Warehouse :
Account No.:
GRAIN MILL APPLICATION.09.02.20.RCB.WEB
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