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pdfInstructions for KC-359
Application for Port/Trans-Load Facility Approval
Operators use this form to apply for approval to handle/store USDA commodities at
port locations .
Submit the original of the completed form in hard copy or facsimile to the Kansas
City Commodity Office, P.O. Box 419205, Stop 8738, Kansas City, MO 64141-6205;
telephone 816-926-6577 or FAX 816-823-1172. Customers who have established
electronic access credentials with KCCO may electronically transmit this form to
KCCO.
Features for transmitting the form electronically are available to those customers
with access credentials only. If you would like to establish online access credentials
with KCCO, follow instructions provided at the USDA eForms web site.
Operators must complete Items 1 through 18. If facility is
operated under port authority tariff, port authority official must
sign in Item 19 and return KC-359 to KCCO.
Items 1-18
Fld Name /
Item No.
1
Port Name
2
Terminal
Name
3
Mailing
Address
4a – 4e
Terminal
Contact
5
Identification
and
Description of
Warehouses
Page 1 of 3
Instruction
Enter the Port Name where the terminal/warehouse is located.
Enter the terminal name of the facility.
Enter the mailing address of the facility in Item 2.
Item 4a. Enter name of a contact person.
Item 4b. Enter position of a contact person.
Item 4c. Enter telephone number including area code of a contact
person.
.
Item 4d. Enter fax number of a contact person.
Item 4e. Enter e- mail address of a contact person.
Enter the identification and description of warehouses requested for
approval.
Fld Name /
Item No.
6a – 6b
Facility/
Operation
Under a Port
Authority
Tariff
7a – 7b
Railroad(s)
Servicing
Location
8
Barge Line
Servicing
Location
9
Number of
Railcars that
can be
Spotted
10
Number of
Truck Docks
11a – 11b
Unload
Capacity Per
Day
12
Protection
During
Inclement
Weather
13a – 13b
Pest Control
Program
14
Has Facility
Implemented
a U.S. Coast
Guard
Approved
Security Plan
Page 2 of 3
Instruction
Item 6a.
Check “yes” if facility/operation is under a port authority
tariff or “no” if not.
Item 6b.
If yes, enter port name
Item 7a.
Enter the railroad(s) servicing location.
Item 7b.
Check “yes” if location is open to reciprocal switching or
“no” if not.
Enter barge line servicing location.
Enter the number of railcars that can be spotted by operator.
Enter number of truck docks.
Item 11a. Enter the number of railcars that can be unloaded per day.
Item 11b. Enter the number of trucks that can be unloaded per day.
Check “yes” if commodities can be protected during inclement
weather or “no” if not.
Item 13a. Check “yes” if you have a pest control program, or “no” if
not.
Item 13b. Enter name of firm if this is commercial.
Check “yes” if the facility implemented a U.S. Coast Guard approved
security plan and ISPS code, or “no” if not.
Fld Name /
Item No.
and ISPS
Code
15a – 16b
Facilities
Owned or
Leased
16
Stevedore
Company(s)
17
Additional
Comments
18a -18b
Instruction
Item 15a. Check “owned” if the facilities are owned or “leased” if the
facilities are leased.
Item 15b. Enter the name of the lessor if the facilities are leased.
Enter the name of the stevedore company(s) used to unload
commodities.
Enter any additional comments regarding Items 1 through 16.
Item 18a. Enter the signature of a person requesting this information
on behalf of the facility listed in Item 2.
Item 18b. Enter the date this form is being signed.
When operating under a port authority tariff listed in Item 5, operators must have the
port authority complete Item 19.
Item 19
Fld Name /
Item No.
19a – 19b
Port Official
Signature
Instruction
Item 19a. Enter the signature of a person authorized to sign on behalf of
the port authority.
Item 19b. Enter the date port official signed.
Page 3 of 3
File Type | application/pdf |
File Title | KC0359instr.doc |
Author | orvilea.ottlaube |
File Modified | 0000-00-00 |
File Created | 2005-12-01 |