In the dynamic world of agricultural operations within the State of California, ensuring compliance with regulatory requirements is paramount for businesses involved in the distribution, manufacturing, and storage of fertilizing materials. This imperative is encapsulated in the meticulous process of the 513-026 B Form, a crucial document mandated by the Department of Food and Agriculture. The form serves as a fertilizing materials license application, a requisite for firms aiming to navigate the stringent oversight of feed, fertilizer, livestock drugs, and egg regulatory services. It requires comprehensive information that spans firm details, ownership credentials, and the specific nature of the fertilizing materials being handled. Additionally, it distinguishes between various operation types—ranging from bulk distributors to manufacturers and guarantors—while probing the production or distribution of high concentration ammonium nitrate and compost. The application not only demands a declaration of the type of fertilizing materials produced or distributed by the facility, including organic input material, conventional fertilizer, or a combination thereof but also stipulates a $100 fee, with the issued license expiring by the close of an even-numbered year. Importantly, the form underscores a commitment to compliance with the food and agricultural code, reflected in a certification by the company representative, ensuring the accuracy of the information provided. By adhering to the outlined procedures and compliance mandates, businesses contribute to safeguarding California’s agricultural integrity and market fairness.
| Question | Answer |
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| Form Name | Form 513 026 B |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | SUFFIX, CERTIFY, AMMONIUM, LLC |
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STATE OF CALIFORNIA |
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FERTILIZING MATERIALS LICENSE APPLICATION |
DEPARTMENT OF FOOD AND AGRICULTURE |
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FEED, FERTILIZER, LIVESTOCK DRUGS, & EGG REGULATORY SERVICES |
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FIRM INFORMATION |
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(FIRM NAME DOING BUSINESS AS) |
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(PHONE NUMBER) |
(FAX NUMBER) |
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(FEDERAL IDENTIFICATION NUMBER) |
(WEBSITE ADDRESS) |
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(STREET NUMBER) |
(CITY OR TOWN) |
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(COUNTY) |
(STATE) |
(ZIP CODE +4) |
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OWNER INFORMATION |
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(FIRST NAME) |
(LAST NAME) |
(SUFFIX) |
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(PRIMARY PHONE) |
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(SECONDARY PHONE) |
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(EMAIL ADDRESS) |
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LICENSE INFORMATION
LOCATION OF PLANT OR BUSINESS TO BE LICENSED (ALL PLANT AND BUSINESS LOCATIONS REQUIRE A FERTILIZING MATERIALS LICENSE. REFER TO SECTION 14591 OF THE FOOD AND AGRICULTURAL CODE):
(STREET NUMBER)
(CITY OR TOWN)(COUNTY)(STATE)(ZIP CODE +4)(COUNTRY)
PLEASE CHECK ONE: |
□ PARTNERSHIP |
□ LIMITED LIABILITY COMPANY (LLC) |
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□ CORPORATION |
□ INDIVIDUAL |
□ CO PARTNERSHIP |
□ OTHER |
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PREFERRED NOTIFICATION METHOD: |
□ EMAIL EMAIL ADDRESS: |
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□ U.S. MAIL |
MAILING ADDRESS (Only if Different from Licensed Location Information Above)
(STREET NUMBER)
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(CITY OR TOWN) |
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(COUNTY) |
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(STATE) |
(ZIP CODE +4) |
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(COUNTRY) |
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MANAGER OR EMERGENCY CONTACT: |
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(FIRST NAME) |
(LAST NAME) |
(SUFFIX) |
(EMAIL ADDRESS) |
(PRIMARY PHONE) |
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(SECONDARY PHONE) |
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CHECK ALL THAT MAY APPLY : |
□ BULK DISTRIBUTOR |
□ MANUFACTURER |
□ GUARANTOR |
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DO YOU MANUFACTURE, STORE, OR DISTRIBUTE 33% OR GREATER AMMONIUM NITRATE? |
□ YES |
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NO |
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DO YOU MANUFACTURE, PRODUCE, OR DISTRIBUTE COMPOST AT THIS FACILITY? |
□ YES |
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NO |
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Page 1 of 2
PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
AND WILL BE RETURNED.
SELECT THE FERTILIZING MATERIAL(S) THAT YOU MANUFACTURE, PRODUCE, OR DISTRIBUTE AT THIS FACILITY [SELECT ONE]: □ ORGANIC INPUT MATERIAL □ CONVENTIONAL FERTILIZER □ BOTH
TYPE OF FERTILIZING MATERIALS (CHECK ALL THAT MAY APPLY): |
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□ COMMERCIAL FERTILIZER |
□ PACKAGED SOIL AMENDMENT |
□ AGRICULTURAL MINERAL |
□ SPECIALTY FERTILIZER |
□ AUXILIARY SOIL AND PLANT SUBSTANCE |
□ ORGANIC INPUT MATERIAL |
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NAME AND TITLE OF COMPANY REPRESENTATIVE RESPONSIBLE FOR COMPLIANCE WITH THE FERTILIZING MATERIALS LAW AND REGULATIONS:
(FIRST NAME) |
(LAST NAME) |
(MIDDLE INITIAL) |
(TITLE) |
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I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT.
The Department of Food and Agriculture has established time periods for the processing of permit applications, in compliance with Government Code Sections
SIGNATURE OF AUTHORIZED REPRESENTATIVE
TYPE OR PRINT NAME |
DATE |
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THE FEE FOR A FERTILIZING MATERIALS LICENSE IS ONE HUNDRED DOLLARS ($100).
THE LICENSE WILL EXPIRE ON DECEMBER 31 OF AN
SUBMIT APPLICATION WITH FEE MADE PAYABLE TO: CASHIER, CFI
CALIFORNIA DEPARTMENT OF FOOD & AGRICULTURE P.O. BOX 942872
SACRAMENTO, CA
PLEASE DO NOT SEND COIN OR CURRENCY
DEPT. USE ONLY
RC NO. AND DATE
FEE |
PENALTY |
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APPLICATION O.K.
Page 2 of 2
PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
AND WILL BE RETURNED.