STATE OF CALIFORNIA DEPARTMENT OF FOOD AND AGRICULTURE Meat, Poultry and Egg Safety Branch 1220 N Street Sacramento, CA 95814 Phone: (916) 900-5004, Fax: (916) 900-5334 79-012A(2) (Rev 08/11) Registration.

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How to fill out the Form 79 012a 2 online

Filling out the Form 79 012a 2 is essential for anyone seeking to register as a transporter of inedible kitchen grease in California. This guide will walk you through each component of the form to ensure accurate and efficient completion.

Follow the steps to complete your registration application.

  1. Press the ‘Get Form’ button to access the form online and open it in your browser.
  2. Begin by entering the date at the top of the form. Make sure to use the current date when submitting your application.
  3. Fill in the name of your business in the designated field. Ensure that the name is clear and accurately reflects your registered business name.
  4. Provide your phone number for contact purposes. This should be the primary phone number for your business.
  5. Enter your mailing address. If your business location differs from your mailing address, specify it as requested.
  6. Complete the section for city, state, and zip code, ensuring all information is accurate and up to date.
  7. If applicable, provide your fax number to facilitate communication.
  8. Print or type the name of the owner of the business in the designated space.
  9. If the applicant or contact person differs from the owner, include their name in this section.
  10. For driver information, list the names and driver’s license numbers of all drivers. Use additional sheets if needed.
  11. In the section for vehicle license plate numbers, enter the details for each vehicle used for transporting grease.
  12. Indicate the type of grease you will be transporting by checking the appropriate box for 'Used Cooking Oil' or 'Interceptor/Trap Grease.'
  13. Provide the address and destination where the grease will be taken.
  14. Enter the printed name of the authorized representative and their title.
  15. Affix the signature of the authorized representative, confirming that all information is true and accurate.
  16. Remember to report any changes in your information to the Meat, Poultry and Egg Safety Branch within 15 days of an update.
  17. Once you have filled out all sections, you can save the changes, download, print, or share the form as required.

Take the next step in your registration process by completing the Form 79 012a 2 online today.

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