Get Ca Cdph 8604 2018-2025

Filling out the CA CDPH 8604 form, also known as the Water Vending Machine Operator License Application, is essential for operating a water vending machine in California. This guide provides clear and supportive instructions to help you complete the form accurately online.

Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to obtain the form, which will open for you to begin filling it out.
2. Determine your status by selecting either 'New Applicant,' 'Renewal Applicant,' or 'Ownership Change.' This step is crucial as it establishes the nature of your application.
3. Enter the full name of your firm in the designated field labeled 'Name of Firm.' Ensure that the information is accurate, as it will be used for official documentation.
4. If your business operates under a different name, use the 'DBA' field to enter any additional names by which your company is known.
5. Fill in the 'Facility Address' section, which requires the complete address of your water vending machine's location, including the street number, city, state, and ZIP code.
6. If your mailing address differs from your facility address, provide that in the 'Mailing Address' section, ensuring all details are accurate.
7. Input the name and title of the business operator responsible for managing the operations of your firm in the 'Business Operator' field.
8. Include your business telephone number where clients or customers can reach you during business hours.
9. If applicable, enter your business FAX number and the 24-hour emergency telephone number for urgent situations.
10. Provide the e-mail address you want to be contacted at regarding your application.
11. In the 'Correspondent' section, enter the full name and title of the individual to be contacted for application inquiries.
12. Fill out the 'Correspondent Telephone Number' and 'Correspondent FAX Number' with relevant contact details.
13. For facilities located outside the United States, specify the country in the 'Country' section.
14. If applicable, include your business website URL in the designated field.
15. Indicate the type of ownership for your business by checking the appropriate box, such as 'Individual/Sole Proprietorship,' 'Partnership,' or 'Corporation.'
16. If your business has a corporate name, enter it along with the state of incorporation.
17. List the names and titles of the owners or officers in your organization in the specified section.
18. Select the type of water dispensed from your machines by placing an 'X' next to the relevant options provided.
19. Provide the name of the water district supplying the source water for your machines in the 'Source Water District Name' field.
20. Indicate the number of machines you are licensing in the corresponding section.
21. For renewal applicants only, answer the specific questions regarding tests and complaint records, and provide the necessary details about your water machines.
22. Conclude by signing the application, entering the date you signed, and printing your name and title as required.
23. Once you have filled out the form, you can save your changes, download a copy, print it, or share it as needed.

Complete the CA CDPH 8604 online today to ensure your water vending machine operations are compliant with California regulations.