California Code of Regulations › Title 11 - Law › Division 5 - Firearms Regulations › Chapter 6 - Certified Firearm Safety Device Laboratories, Firearm Safety Device Standards and Testing, and Standards for Gun Safes › Article 3 - Certified Firearm Safety Device Laboratories › Section 4084 - Application for Firearms Safety Device Laboratory Certification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The DOJ shall accept completed applications from laboratories
					 seeking an FSD Laboratory Certification. Application for certification shall be made
					 on an Application for Firearms Safety Device Laboratory Certification Form BOF 019A
					 (Rev. 01/2012), which shall include the following information:
(a) Laboratory information: name of applicant
				  laboratory; physical and mailing addresses; telephone and fax numbers; local
				  licensing authority, business license number, and expiration date; the name of the
				  local law enforcement agency with jurisdiction over the laboratory; state
				  corporation/partnership number and expiration date; federal firearms license number,
				  type, and expiration date (if licensed); business hours; e-mail address (if
				  applicable); and copies of licenses and/or certificates identified on the
				  application.
(b) COE holder information:
				  name, title, COE number, and COE expiration date of any owner, chief executive
				  officer, or person who possesses or has applied for a COE and who is authorized to
				  sign compliance test reports.
(c)
				  Ownership information: ownership structure; the name, title/relation to
				  laboratory/percentage owned and/or controlled, address, telephone and fax numbers,
				  state corporation/partnership number and expiration date, and local business license
				  number and expiration date of any owner that is not a natural person; and the name,
				  title/relation to laboratory/percentage owned and/or controlled, address, and
				  telephone number of each owner, partner, officer, director and any person who owns
				  and/or exercises control of five percent or more of outstanding common stock; and if
				  a corporation or partnership either original certified copies of the articles of
				  incorporation or a current roster of general and limited partners.
(d) Facility management and testing supervision
				  information: name and title of the manager or director of the laboratory and/or unit
				  of the laboratory that will conduct FSD tests, the person(s) supervising FSD tests
				  (if different from the manager or director), and person(s) participating and/or
				  performing FSD tests (if different); a copy of the laboratory's security procedures;
				  the name, address, and telephone number of any 24-hour security service or monitored
				  alarm system that is employed by the laboratory, and a copy of the contract for
				  services; and a copy of the procedures for ensuring that persons prohibited from
				  possessing firearms will not have access to firearms, and a description of the
				  method to be used to identify any such persons.
(e) A signed certification regarding: possession
				  of the required equipment (whether the laboratory will obtain the required equipment
				  at the time the application is submitted or at a later date); the maintenance and
				  calibration of that equipment; compliance with safety, design, operation, and
				  licensing and approval requirements; the signature of the authorized representative;
				  and the county, state, and date of signature.
(f) Off-site location information, if applicable:
				  name of the owner; telephone number; physical address; and the testing to be
				  performed and/or equipment to be used at the off-site location (if more than one
				  off-site location is desired, the applicant must also complete a Request to Utilize
				  an Additional Off-site Location Form BOF 020A (Rev. 01/2012).
(g) Authorized representative information: name
				  and title of the person who has the legal authority to sign the application and
				  attest to the required matters on behalf of the applicant laboratory, signed
				  certification of the authorized representative, the county, state, and date of
				  signature, and statements of certification that the laboratory agrees to give
				  complete and truthful answers to questions that are pertinent to the laboratory's
				  ability to perform FSD tests and to comply with all applicable federal, state,
				  and/or local laws and/or regulations that relate to laboratory certification or FSD
				  testing.
(h) A signed certification
				  stating that the laboratory and/or owner is free from any conflicts of interest as
				  defined by section
				  4090 of these regulations; the
				  signature of the authorized representative; and the county, state, and date of
				  signature.
(i) A signed certification
				  ensuring: the notification to staff of laws relating to prohibitions against
				  firearms possession, ensuring that prohibited persons do not have access to, come
				  into contact with, and/or possess firearms; the laboratory obtaining and maintaining
				  any required federal, state, and/or local licenses; and the laboratory complying
				  with all applicable federal, state, and/or local laws and/or regulations; the
				  signature of the authorized representative; and the county, state, and date of
				  signature.
1. Change without
					 regulatory effect renumbering section
					 977.31 to section
					 4084, including amendment of subsection
					 (h), filed 6-28-2006 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2006, No. 26).
2. Change without regulatory effect
					 amending section and NOTE filed 12-27-2011 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2011, No. 52).
Note: Authority cited: Sections
						23650 and
						23655, Penal Code.
						Reference: Sections
						23650 and
						23655, Penal
						Code.