COC-4 Olives Pack and Certification Report

CALIFORNIA OLIVE COMMITTEE

OMB No. 0581-0178

PACK & CERTIFICATION REPORT FOR CANNED RIPE OLIVES
PAGENO.

HANDLE~
ADDRESS

DATE PACKED

VARIETY
IAI

STYLE OF PACK
181

FRUIT SIZE
IC)

. CANSPERCASE.a.SIZE CONTAINER CODE (INCL. BATCH NOS.)
ID)
IE)

CASESPACKED
IF)

REMARKS
IG)

1
2

3
4

5
6

7

B
9
10
.

11
12

13

14
15

16

17
18

19

TO:

CALIFORNIA
FRESNO,

TOTAL CASES

OLIVE COMMITTEE

PACKED'

CALIFORNIA

THE UNDERSIGNED CERTIFIES TO THE CALIFORNIA OLIVE COMMITTEE AND THE SECRETARY OF AGRICULTURE OF THE UNITE D STATES THAT THE
ABOVE STATED QUANTITIES, VARIETIES AND STYLES OF OLIVES WERE PACKED ON THE DATE SHOWN ABOVE.
BY

TITLE

LINE NUMBER
FOR CANNED RIPE OLIVES UNDER THE FEDERAL MARKETING ORDER NO. 932.
This information
is used to verify the provisions
of the order,.? CFR 932.152.
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 tine of
$10,000.00 or imprisonment
of not more than five years or both.

FORMCOC-4 5-98

LISTED ABOVE MEET QUALITY AND SIZE REQUIREMENTS

PROCESSED PRODUCTS INSPEC,OR
U.S.D.A.
Agricultural Marketing Service
FV Dlv., PP Branch
2202 Monterey Street, Suite 102C
Fresno, CA 93721

.

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