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Appendix A

3 CA ADC Appendix ABARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS

Barclays Official California Code of Regulations Currentness
Title 3. Food and Agriculture
Division 2. Animal Industry
Chapter 1. Dairies
Article 10. Sterilization and Handling Practices
3 CCR Appendix A
Appendix A
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 7/29/22 Register 2022, No. 30
3 CCR Appendix A, 3 CA ADC Appendix A
End of Document