Date Issued: 79-012A(1) (Rev. 09/20) INEDIBLE KITCHEN GREASE TRANSPORTER REGISTRATION APPLICATION PERSONAL USE TOTAL FEE: $375 New Renewal In accordance with Sections 19215 - 19316 of the California Food and Agricultural Code (FAC), application is hereby made for a license to operate as an Inedible Kitchen Grease (IKG) Transporter. *Pursuant to FAC Section 19303(b) 19306, IKG records shall be maintained and made available for two years. *Pursuant to FAC Sectio.
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How to fill out the CA 79-012A(1) online
The CA 79-012A(1) is an inedible kitchen grease transporter registration application that must be completed by businesses intending to operate as grease transporters in California. This guide will provide clear, step-by-step instructions to assist you in accurately filling out the form online.
Follow the steps to complete the registration application.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the establishment number in the designated field. This number identifies your business with the Department of Food and Agriculture.
- Next, indicate the date on which you are submitting the application. Ensure that this is filled out correctly.
- Select whether this application is for a new registration or a renewal by checking the appropriate box.
- Provide the name of your business and include a valid phone number for contact.
- Fill in your mailing address, including city, county, and ZIP code.
- Indicate whether the business is independently owned and operated by selecting 'Yes' or 'No.'
- If the location address differs from the mailing address, provide it in the specified fields.
- Enter the name of the owner, followed by their email address.
- Provide the name and contact details (email, phone number, and title) of the applicant or contact person, if this differs from the owner.
- List the driver names and their associated driver license numbers as per the transportation requirements.
- Complete the vehicle information section, detailing the year, make, model, and license number of each vehicle.
- Specify the type of grease being transported and provide the destination address for the grease.
- Attach digital photographs of each vehicle showing the front, rear, and both side views to the application.
- Ensure all information is accurately completed, as this is required before a license may be issued. If there are any changes in information, report these in writing as instructed.
- Print the name of the authorized representative, include their title, and ensure they sign and date the application.
- Once you have filled out all necessary sections, save your changes and download the form for your records.
- Finally, mail the completed application along with the fee to the specified address. Consider printing it for your records.
Complete the CA 79-012A(1) form online today to ensure your compliance and registration as an inedible kitchen grease transporter.
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