COC-27C Olives - Rept. of canning Size Olives in Storage

Form COC-27c
04-01

REPORT OF CANNING SIZE OLIVES IN STORAGE

OMS

#0581-0178

(WHOLE AND LIMITED)
MONTH

20

(1) TO:

(2) FROM:

California Olive Committee
1903 North Fine #102

Fresno CA 93727

.

(3) EIN#:
(4) STORAGE
SIZES
.

SIZE

- WHOLE

CANNING

TONS

(5) STORAGE

VARIETY

- LIMITED

SIZES

TONS

Small
Med iu m
Larg e
Extra Large
Extra Large Sev
J umbo
Colossal
Sup Colossal

TOTAL
(6) CERTIFICATION AND SIGNATURE: The undersigned on behalf of the reporting handler certifies to the
California Olive Committee and the Secretary of Agriculture of the United States that this report
represents a complete and accurate record of inventory holdings of all olives held in storage by the handler
as of the date shown above.

.

Date

AuthorJzed Official

Title

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 following statementsare 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 Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to
a collectionof informationunless it displaysa valid OMB control number. The valid OMB control number for this information
collectionis 0581-0178. The time required to complete this informationcollectionis estimatedto average40 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, parental status, religion,sexual orientation,
genetic information,politicalbeliefs,reprisal,or because all or part of an individual's income is derivedfrom any public assistance
program (Not all prohibited bases 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 complaintof discrimination,write to USDA, Director, Office of CivilRights, 1400 htdependence 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.