Mass.gov
Mass.gov Logo
Mass.Gov homeMass.gov  homeget things doneagenciesSearch Mass.Gov

MDAR Logo

Agricultural Lime Product Registration

Instructions:

  1. Print out and complete form below.
  2. Submit form in duplicate for verification of registration.
  3. Annual Registration Fee: $100.00 per product.
  4. 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.) . . . . . .
2.) . . . . . .
3.) . . . . . .
4.) . . . . . .

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