RAC-28A CA Raisins--Processors Rept of Disposition of Off-Grade

INSTRUCTIONS FOR COMPLETING FORM RAC-28A

One copy of this report shall be submitted to the RAC not later than the seventh day
by 10:00 a.m. of each month and shall contain all raisins or raisin material shipped or
otherwise disposed of during the preceding month. The reports shall be numbered
consecutively beginning at the start of the crop year and shall be certified by a
responsible official of the reporting handler. The acquisition of the raisins or raisin
material reported herein was shown on Form RAC-28.
(1)

Enter ultimate disposition as "stock feed" or "distillery".

(2)

Enter date shipped or otherwise disposed of.

(3)

Enter varietal type.

(4)

If off-grade was received under exemption, mark "X" in column.

(5)

Enter weight of residuals including stemmer waste, tailings, etc.

(6)

Enter weight of off-grade raisins exclusive of residuals.

(7)

Enter totals of residuals and off-grade disposed of during reporting period.
If more than one sheet is used totals should be brought forward to first
sheet.

(8)

Consult Field Representatives on any points not clear to you.

This report is required by law (7 u.s.c 608(d), 7 CF.R. 989.73 and 7 CF.R. 989.173(c)(4». Failure to report can result
iJ! af,!,e of Sl,l 00for each such violation airJ each day during which such violation continues shall be deemed a separate
vro/iition.
'. .

According to the Papenvork Reduction Act of 1995, an agency JIIay.not conduct or sponsor, and a person is not required to
respond to a coUection oj in/ormation unless it displays a valid OMB control number. The valid OMB control nuinber for
thIS information coUectton IS 0581-0178. The time required to complete this information coUection is estimated to average
15 minutes/hours per respons~ including the time for reviewing instructions, searching existing data sources, gathering
and maintaininx...the data neeaed, and co'¥kf:ing imd reviewing the coUection of information. The u.s. Department 01
Agriculture (USDAJ I!rohibits discriminatton in all its programs and activities on tlie basis of race, color national origm,
age, disabiJity, antf where ~plicable, sex, lIUlI'italstatus, ftllJlilial status, parental status) religion, s;;;;;;J orientation,
genetic information, R!llitiCtil belielS, reprisal, or because all or part of an individual's InCome is derived from any public
alfJlJ:grams.)
Persons
with disabilities
require
aIJernattve
assistance
INot alll!rohwited
bases apply to(Br
rint,
audiotape,
etc.) shouldwho
contact
USDA's
TARGET
means for program
comnuuucation
oJ'program informidion
';' ~
Center at '202 720-2600 (voICetiiul roD). To ile a co IainI 0 iliscriminatio1l, write to USDA, Director, 0
eo Civil
Jljghts,

1r./oO 'Pnt/ependence

Avenue,

S.

~ wasfington,

~

''If C 20 50-9410 or call (800) 795-3272 (voice) or (2W1t721-6382

(TDD). USDA is an equal opportunity provider anil employer.

RAC-28A
Revised 12/06

PROCESSOR'S REPORT OF DISPOSITION OF OFF-GRADE
RAISINS AND RAISIN MATERIAL
Raisin Administrative Committee
P. O. Box 5217
Fresno, CA 93755-5217

Office of Management and Budget
Control Number 0581-0178

Report No.
The undersigned certifies to the Raisin Administrative Committee and the Secretary of Agriculture of the United States that the followingquantities of
off-grade raisins and raisin material were disposed of in the outlets indicated during the month of
Disposition
Outlet
(1)

Date Shipped
(2)

Varietal Type
(3)

Weight of
Residuals
(5)

Exemption
(4)

Weight of
Off-Grade
(6)

( 7) TOTALS

The making of any false statement or representations in any matter withinthe jurisdictionof any agency of the United States, knowingit to be false, is a
iolationof Title 18, Section 1001, United States Code, which provides for a penalty of a fine of $10,000 or imprisonment of not more than five years, or both

Processor

By
(See reverse side for instructions)

Title

Date