STATE OF CALIFORNIADEPARTMENT OF FOOD AND AGRICULTUREOffice OFFICE Use Only: USE ONLYMeat, Poultry and Egg Safety Branch 1220 N Street Sacramento, CA 95814 (916) 9005004Establishment #: Establishment #:.

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How to use or fill out the CA 79-012A(1) online

This guide provides detailed instructions on how to complete the CA 79-012A(1) form for inedible kitchen grease transporter registration online. Follow these steps to ensure a smooth application process and compliance with regulations.

Follow the steps to successfully fill out the CA 79-012A(1) form online.

  1. Press the ‘Get Form’ button to obtain the CA 79-012A(1) form and open it in your preferred editor.
  2. Carefully read the introductory section to understand the purpose of the form and requirements.
  3. Fill in the establishment number and date issued as required in the designated fields.
  4. Indicate whether this application is a new registration or a renewal by selecting the appropriate option.
  5. Enter the name of your business and provide a valid phone number.
  6. Indicate whether your business is independently owned and operated by choosing 'Yes' or 'No'.
  7. Provide the mailing address, including city, county, and zip code. If different, fill out the location address.
  8. List the name of the owner, their email address, and if applicable, the name and contact information for the applicant or contact person.
  9. Fill out the driver information section by providing the driver's name and license number, and specify the type of vehicle (truck or trailer) used.
  10. In the vehicle information section, provide the year, make, and model of each vehicle used for transporting grease.
  11. Select the type of grease you will be transporting from the options provided.
  12. Fill in the destination address for the grease, including city, county, and zip code.
  13. Attach digital photographs of each vehicle used, showing front, rear, and both side views, if required.
  14. Complete the authorized representative section by providing their printed name, title, signature, and date.
  15. Once all fields are filled out correctly, save your changes. You can download, print, or share the completed form as necessary.

Start filling out the CA 79-012A(1) form online today for your inedible kitchen grease transporter registration.

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