Agricultural Lime Product Registration
Instructions:
- Print out and complete form below.
- Submit form in duplicate for verification of registration.
- Annual Registration Fee: $100.00 per product.
- Send form, label, and registration fee (Payable to "Commonwealth of Massachusetts") to:
R. Rondeau
MDAR- Suite 500
251 Causeway St.
Boston, MA 02114-2151
For period ending December 31, _________
Company Name:_____________________________________________________________________
Street Address: ______________________________________________________________________
City/Town: ________________________________________________Zip:_______________________
Signature: __________________________________________________________________________
Telephone:______________________________________, e-mail_____________________________
Lime Products to be Registered:
Guaranteed Analysis % |
| Products Name/Brand |
Total Lime
(Min/Max) |
Total Magnesium
(Min/Max) |
Min. Calcium
Carbonate Equivalent |
Min.
ENV |
| 1.) |
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. |
. |
. |
. |
. |
| 2.) |
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. |
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| 3.) |
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| 4.) |
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Robert.Rondeau@state.ma.us Fax: 617-626-1850
:
*Be sure to submit forms in duplicate.
One copy will be returned to applicant upon certification.
DEPARTMENT USE ONLY
This certifies that the above-named applicant is hereby licensed to sell the
above brands of commercial lime in the State of Massachusetts for the
period ending December 31, _______, when sold, offered, or exposed for
sale under the brand name, guaranteed analysis and declarations of
ingredients exactly as they appear on the enclosed labels.
- Date _________________ Signature _____________________________________________
- Fertilizer Control Official
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