PMC 5.1 CA Dried Prunes Notice of Proposed Intent to Store Reser

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FonnPMC 5.1
OMB No. 0581-0178

NOTICE OF PROPOSEDINTKNT TO STORE RESERVE PRUNES
TO:

Prune MarketingCommittee
3841 North FreewayBlvd., Suite 120
Sacramento,CA 95834

HANDLER:
ADDRESS:

The undersigned handler hereby notifies you of its proposed intent to store reserve prunes on the
premises of
whose address is
as follows:

1.

Approximate quantity to be stored

2.

Exact locationof storagefacilities

3.

Descriptionof storage facilities:

tons;

a.

Handler's plant or regular dried fruit storage facility

b.

Other (describe in detail below)

D
D

Date storage will begin
HANDLER
SIGNATURE
TITLE
STATEMENT OF AGREEMENT TO HOLD RESERVE
The undersigned hereby agrees to hold reserve prunes for the handler hereinabove signatory in
proper storage and further agrees to pennit access to the hereinabove described premises by the Prune
Marketing Committee at any time during business hours for the purpose of examining or taking delivery
of such prunes.
SIGNATURE
TITLE
(INSTRUCTIONS:

See reverse side of this fonn.)

Fonn PMC 5.1
Page 2

INSTRUCTIONS:
This notice must be filed with the Prune Marketing Committee prior to moving
reserve prunes to the person on whose premises the reserve prunes are proposed to be held. Complete the
form in detail and obtain the signature of the person on whose premises the reserve prunes are proposed to
be held before forwarding the notice to the Committee.
AUTHORITY:
§ 993.57 of Marketing Order No. 993, as Amended, and § 993.157 (e) of the
Administrative Rules and Regulations established pursuant thereto.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to
a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information
collection is 0581-0178. The time required to complete this information collection 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 collection of information.
The U.S. Deparbnent of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color,
national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited
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 TOD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400
Independence Avenue, SW, Washington, OC 20250-9410 or call (202) 720-5964 (voice and TOD). USDA is an equal opportunity
provider and employer.