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Appendix A

3 CA ADC § 480.9 App. ABarclays Official California Code of Regulations

Barclays California Code of Regulations
Title 3. Food and Agriculture
Division 2. Animal Industry
Chapter 1. Dairies
Article 10. Sterilization and Handling Practices
3 CCR § 480.9 App. A
Appendix A
Currentness
State of California, Department of Food and Agriculture
Milk and Dairy Foods Control Branch, License Section
1220 N Street
Sacramento, CA 95814
(916) 900-5008
Application for
BULK MILK TANKER PERMIT
Annual Inspection Fee is Required For This Permit
Please Print Legibly
New Empty Checkbox​
Renewal Empty Checkbox​
Permit # __________ (if renewal)
(Please check one)
Date
 
Applicants Phone Number (
___
)
 
Name of Applicant
 
Name of Trucking Company
 
Name of Owner
 
Business Address
 
Number
Street
City
Zip Code
Mailing Address
 
Number
Street
City
Zip Code
Applicants Signature
 
Please mail application to the above address.
 
For Official Use Only
Date of Inspection
 
Tanker Does Not Meet Criteria For Permit Empty Checkbox​
Tanker Meets Criteria For Permit Empty Checkbox​
Tanker Permit No.
 
 
 
Dairy Foods Specialist's Signature
Date
Amount Received $
 
RC Number
 
72-273 (Rev. 11/11)
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 3, § 480.9 App. A, 3 CA ADC § 480.9 App. A
End of Document