COC-30 Olives-Interhandler Sale or Purchase of Canned ripe Oliv

Form COC-30
04-01

INTERHANDlER SALE OR PURCHASEOF CANNED RIPE OLIVES
Month

of

(1) TO: CALIFORNIA OLIVE COMMITTEE

20

OMB

#0581-0178

__

(3) Transfer to:

(2) FROM:

(4) REPORT OF INTERHANDlER SALE OR PURCHASE:

OLIVE SIZE

RIPE

D

GREEN RIPE

STYLE

D
TOTAL

TOTAL

REPORT STYLES: Whole, Pitted, Broken Pitted, Halved, Quartered, Segmented, Sliced, Chopped.

(5) CERTIFICATION AND SIGNATURES: The undersigned certifies to the California Olive Committee and the
Se'cretary of Agriculture of the United States that this report represents a complete and accurate
record of interhandler sales or purchases of canned ripe olives.

-------------------------------------------------------------------------Date
Authorized Official - Delivering Handler

Title

EIN#

-------------------------------------------------------------------------Date

Authorized' Official

- Receiving Handler

Title

EIN#

- -.- -

-

...

INSTRUCTIONS ON COMPLETING FORM COC-30

GENERAL:

Use this form to report interhandler sales or purchases
of canned ripe olives. Delivering handler shall send a
copy (photocopy or carbon) of Form COC-30 to the
California Olive Committee at the time the fruit is
tran sferred. The 0 rig i n a I COC-30 shall be sent with the
shipment.
The receiving handler shall sign 0 rig i n a I COC30 upon receipt as verification of the shipment.
Or i gin a I Form COC-3D with both signatures shall then be
forwarded to the COC office.

ITEM (2)

Name and address of handler originating

ITEM (3)

Name and address of handler receiving sale.

ITEM (4)

Details

ITEM (5)

sale.

(Seller)
(Purchaser)

of transaction:

- Ripe

or Green Ripe

(a)

Type

(b)

Olive size

(c)

Style - Whole, Pitted, Broken Pitted, etc.

(d)

Can Size - 6/1 D, 24/300, etc.

-

Small, Medium, Large, etc.

Certification and Signatures of both delivering and
receiving handlers.
Both signatures must be on the final
(original)
Form COC-3D sent to COCo Please include
handler's EIN (Employer Identification Number).

This information is used to verify the provisions of the order, 7 CFR 932.161 making any false
statements or representations in any matter within the jurisdiction of any agency of the United
States, knowing it to be false, is a violation of Title 18 Section 1001, United States Code, which
provides for penalty of a fine of $10,000 or imprisonment of not more than five years or both.

Note: The followingstatements are made in accordancewith the PrivacyAct of 1974 (5 U.S.C. 552a) and the Paperwork Reduction
Act of 1995. The authority for requesting this informationto be suppliedon this form is the AgriculturalMarketing AgreementAct of
1937, Sees. 1-19,48 Stat. 31, as amended, (7 U.S.C. 601-674). Furnishingthe requested information is necessary for the
administrationof the marketing order program.
Accordingto the PaperworkReduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to
a collectionof information unless it displaysa validOMB control number. The validOMB control number for this information
collectionis 0581-0178. The time required to completethis informationcollectionis estimated to average 10 minutes per response,
including the time for reviewinginstructions,searching existingdata sources, gathering and maintainingthe data needed, and
completingand reviewing the collectionof information.
The U.S. Department of Agriculture(USDA) prohibitsdiscriminationin all its programs and activitieson the basis of race, color,
national origin,age, disability,and where applicable,sex, marital status, familialstatus, parentalstatus, religion,sexual orientation,
genetic information,politicalbeliefs,reprisal,or because all or part of an individual's income is derived from any public assistance
program (Not all prohibitedbases apply to all programs.)Persons with disabilitieswho require alternativemeans 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 discrimination,write to USDA, Director,Office of CivilRights, 1400 Independence Avenue, S.W.,
Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunityprovider
and employer.