No Form number CA Almonds Accepted User Business Data Sheet

AImoudBocdof~

June8, 20

1150 9th Street, Suite 1500
Modesto, CA 95S54 USA
Tel: 209.549.8262
Fax: 209.549.8267
www.A1mondsAreIn.com

ACCEPTEDUSERS:
We are currently updating the list of AcceptedUsers of Inedible Almondsfor the 20. l-2G Crop
Year and, as a result, the approved status of those currently Itsted are lnactfveas of September
1,20
If you intend to acquire Inediblealmond materialfor the 2C .-20 (which begins August 1), you
must complete the enclosed applJc:ationand data sheet and retum It to this office. A copy of the
BoardpoIfc:yfor Accepted User approval Is attached for your review.
Bysfgnlngthis agreement you wiDbe stating that you wiD:

.

USeinediblealmond materialonlyin permittedoutlets..

.

Obtain from each almond handler an executed ABCForm 8 for each dlsposftfon.

.
.

Complete Part (b) of the Form 8 and mall It to the Board along wIth a weight
certificate Issued at the time of receipt of inedIblematerial (I.e., destInatfonweight)
Ina timelyfashIon.
AllowBoardemployees or their desfgnee'saccess to premises for Inspectionand audit..

Please return two sfgned originals of the application, ABCForm 34, which Is endosed along with

the Data Sheet. Uponapprovalof your applk:atlonand completionof any requiredaudit
procedures, you will be Itsted as an Accepted User (for crop Year 2001-2002 only) and a sIgned
application will be returned to you.
Thank you for your cooperatfon.

SI~,

~Kn¥;nan~

DIrector of Administration

T1(:ta
Endosures
a::
RodgerWasson
Martin Engeler, USDA/AMS
Board of Dfredms

OMBNo. 0581-0178
ALMOND BOARD OF CALIFORNIA
Post Offtce Box 3130
Modesto, Callfomla95353-3.130
Telephone (209) 549-8282, FAX'(209) 550-5494
ACCEPTED USER
BUSINESS DATA SHEET
Name:
Mailing Address:
Street Address:

location of Facility:,
Telephone Number:
SSN or EIN:

Suslne88l0rganlzatlon

o

o
o

Type:

Years In Business:

Sole Proprietor
Partnership
Corporation

Principals (Persons owning/managing the
business:

Please check box that applies to Principals:
Almond Grower

Dyes

Handler.

Dyes

If growers, please provide number of acres and location of orchards

"
Bank Reference

Note: The foUowingstatements are made in accordancewith the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 1995.
The authority for requestingthis informationto be supplied on this form is the Agricultural Marketing AgreementAct of1937, Sees. 1-19,48 Stat. 31,
as amended,(7 U.S.C. 601-674). Fwnisbingthe requested informationis necessaryfor the administration of the marketing order program.
According to the Paperwork Reduction Act of 1995, an agency may not conduc:t or sponsor, and a person is not required to respond to a coUedion of
information uoIess it displays a valid OMB cootrolllUlllber. The valid OMB cootrolllUlllber for this information coUedion is 0581-0178. The time
required to complete this information coUedion is estimated to average 5 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and mAintaining the data needed, and completing and reviewing the coUection of information.
The U.S. Department of Agriculture (USDA) proIn'bits discrimination in all its progranL'I and activities on the basis of race, color, national origin, age,
disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political belie&,
reprisal. or because all or part of an individual's income is derived ftom any public assistance program (Not all prolu'bited bases apply to all
programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.)
should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of disaimination, write to USDA, Director,
Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410,
l1SDA is an equal opportunity proyider and employer.

or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).