Fill a Valid California 513 026 Form
The California 513 026 form plays a crucial role in the regulation and standardization of organic input materials within the state. Established under the vigilant oversight of the Department of Food and Agriculture, this form serves as a fertilizing materials registration application, a fundamental step for anyone looking to distribute or manufacture organic fertilizers and related substances in California. By requiring detailed information about the applicants, including their business names, contact details, and the full name of the owner(s), the form ensures a transparent process aligned with state oversight. Additionally, applicants must disclose the types of organic input materials they wish to register, which can range from auxiliary soil and plant substances to commercial fertilizers. The form goes further to mandate the submission of comprehensive documentation, covering everything from the material's formula and manufacturing process to its intended usage and compliance with National Organic Program standards. This meticulous documentation requirement underpins the state’s commitment to maintaining high standards for organic products and ensuring they meet the health and safety expectations of consumers and the environment alike. The application process also involves a labeling review to ensure that all promotional materials conform to regulatory standards. With a non-refundable fee and specific biennial expiration, the 513 026 form underscores the rigorous and ongoing commitment required from providers of organic input materials to uphold quality and compliance in their offerings. This system not only facilitates the state’s management of fertilizing materials but also aids in preserving the integrity of California's food and agriculture sector by promoting healthy, sustainable agricultural practices.
Document Example
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ORGANIC INPUT MATERIAL |
STATE OF CALIFORNIA |
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FERTILIZING MATERIALS REGISTRATION APPLICATION DEPARTMENT OF FOOD AND AGRICULTURE |
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FEED, FERTILIZER, LIVESTOCK DRUGS, & EGG REGULATORY SERVICES |
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DO YOU HAVE A FERTILIZING MATERIALS LICENSE? □ YES □ NO (IF NO, SUBMIT A FERTILIZING MATERIALS LICENSE APPLICATION)
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DOING BUSINESS AS (NAME ON LICENSE AND AS APPEARS ON LABEL) |
(PHONE NUMBER) |
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(FAX NUMBER) |
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FULL NAME OF APPLICANT (OWNER OR OWNERS): |
EMAIL : |
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ADDRESS (LICENSED ADDRESS AS IT APPEARS ON LABEL) : |
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(STREET NUMBER) |
(CITY OR TOWN) |
(COUNTY) |
(STATE) |
(ZIP CODE +4) |
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TYPE OF ORGANIC INPUT MATERIAL (CHECK ALL THAT MAY APPLY): |
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□ AUXILIARY SOIL AND PLANT SUBSTANCE |
□ SOIL AMENDMENT |
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□ AGRICULTURAL MINERAL |
□ SPECIALTY FERTILIZER |
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□ COMMERCIAL FERTILIZER |
□ NOT SURE |
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PLEASE SUBMIT THE FOLLOWING DOCUMENTATION: COMPLETE FORMULA OF MATERIAL, COMPLETE DESCRIPTION OF THE MANUFACTURING PROCESS FOR EACH INGREDIENT AND THE FINAL PRODUCT, INTENDED USE OF PRODUCT, SUPPLIER OF INGREDIENTS, ALTERNATE FORMULATION, THIRD PARTY FORMULATED INGREDIENTS, AND ANY ADDITIONAL INFORMATION SUPPORTING COMPLIANCE WITH THE NATIONAL ORGANIC PROGRAM STANDARDS. FAILURE TO SUBMIT THE REQUIRED DOCUMENTATION MAY RESULT IN A DELAY OF PROCESSING YOUR APPLICATION.
PLEASE SUBMIT ONE 8 ½ X 11 COPY OF LABELING - LARGER SIZES ARE UNACCEPTABLE. LABELING MEANS ALL WRITTEN, PRINTED, OR GRAPHIC MATTER ON, ACCOMPANYING, OR USED IN PROMOTING SALE OF ANY FERTILIZING MATERIAL, INCLUDING ADVERTISEMENTS, BROCHURES, POSTERS, AND TELEVISION AND RADIO ANNOUNCEMENTS. REFER TO SECTION 14542 OF THE FOOD AND AGRICULTURAL CODE.
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 15374- 15378. Failure to comply with these time periods may be appealed to the Secretary of Food and Agriculture, P.O. Box 942871, Sacramento, CA
SIGNATURE OF AUTHORIZED REPRESENTATIVE
TYPE OR PRINT NAME |
DATE |
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THE FEE FOR AN ORGANIC INPUT MATERIAL LABEL REGISTRATION IS FIVE HUNDRED DOLLARS ($500) PER PRODUCT.
THE REGISTRATION EXPIRES ON DECEMBER 31 OF AN
THE ABOVE FEE IS A LABEL REVIEW FEE AND IS NOT REFUNDABLE.
SEND ONE COPY OF THIS APPLICATION, WITH ONE 8 ½ X 11 COPY OF LABELING AND FEES TO:
CASHIER, CFI
CALIFORNIA DEPARTMENT OF FOOD & AGRICULTURE P.O. BOX 942872
SACRAMENTO, CA
DEPT. USE ONLY
RC NO. AND DATE
FEE |
PENALTY |
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DO NOT SEND COIN OR CURRENCY
Page 1 of 2
PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
AND WILL BE RETURNED.
PRODUCT NAME
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WETTING AGENT |
APPROVAL DATE / PRODUCT |
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TYPE (OFFICE USE ONLY): |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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□ PAM □ SF □ ASPS □ PSA □ CF |
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□ BAM □ BSA □ COMPOST |
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Confidential? □ YES |
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□ NO |
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Page 2 of 2
PLEASE FILL OUT ALL FIELDS. INCOMPLETE APPLICATIONS CANNOT BE PROCESSED
AND WILL BE RETURNED.
Form Breakdown
| Fact Number | Fact Name | Description |
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| 1 | Form Title | Organic Input Material State of California Fertilizing Materials Registration Application |
| 2 | Form Number | 513-026 |
| 3 | Revision Date | December 2010 |
| 4 | Administering Department | Department of Food and Agriculture |
| 5 | Fertilizing Materials License Requirement | Applicants must have a Fertilizing Materials License or submit an application for one. |
| 6 | Type of Organic Input Material | Includes options such as auxiliary soil and plant substance, soil amendment, agricultural mineral, specialty fertilizer, commercial fertilizer. |
| 7 | Documentation Requirements | Applicants must submit detailed formulae of the material, including the manufacturing process, intended use, supplier information, and compliance with the National Organic Program standards. |
| 8 | Labeling Requirements | All labeling, including written, printed, or graphic matter, must be submitted in an 8 ½ x 11 format. |
| 9 | Governing Law | Section 14542 of the Food and Agricultural Code and sections 15374-15378 of the Government Code, Title 3, California Code of Regulations, Section 301. |
| 10 | The fee for registration is $500 per product, which is not refundable and expires on December 31 of an odd-numbered year. |