Edible Food Donated

Name of Business

Date 

Phone Number

Email

Please Select Each Type of Food Collected by Food Recovery Organizations (Multiple May Be Selected) Please Select Each Type of Food Collected by Food Recovery Organizations (Multiple May Be Selected) Vegetative Meat Eggs/Dairy/Dairy Alternative Cooked/Baked/Prepared Perishable Items Packaged Non-Perishable Items

Please Select The Food Recovery Organization(s) That Collect Edible Food. (Multiple May Be Selected) Please Select The Food Recovery Organization(s) That Collect Edible Food. (Multiple May Be Selected) Corning Senior Center Food for the Hungry Rancho Tehama Community Church Salt Ranch Corning Christian Assistance Seventh-day Adventist Community Services Cornerstone Church of God Spirit of Life Church P.A.T.H Tehama County Gleaners Salvation Army Empower Tehama High Point Assembly Immaculate Conception Church New Life Assembly Feeding America/Food Bank of Contra Costa & Solano Other No Donations

How Often Is Food Collected? (i.e. Once per Week, Monday/Wednesday/Friday, etc.)

Pounds of Edible Food Donated to Food Recovery Organizations From January - December. Please round to the nearest pound.

Additional Information (Optional)