WMB 7 Quarterly Repot of Receipt of Walnuts Produced Outside t

OMS NO. 0581~178

Walnut Marketing Board
1540 River Park Drive, Suite 203
Sacramento, CA 95815-4609
Ph (916) 922-5888 Fax (916) 923-2548

WMBFonn #7

QUARTERLY REPORT OF RECEIPT OF WALNUTS
PRODUCED OUTSIDE THE USA
Quarter (1,2,3,4)
The undersigned certifies to the Walnut Marketing Board and the Secretary of Agriculture of the United States that during the quarter

ending

"

the following quantitiesof walnuts producedoutside the U.S. were received at

(Plant Location), California and that copies of the substantiating produd tags attached are true and corrado

YEAR TO DATE FROM AUGUST 1

CURRENT QUARTER'S RECEIPTS
INSHELL

Pounds

Pounds

Country of Origin

.

Country of Origin

",

.

TOTALS
SHELLED

TOTALS
Handler:

By:

Title:

Date:

The making of .nyfa'" 8t8f8m8nts or repntH..bdlOll8ln .ny matter within lhejurlsdlctlon of.ny.gencyoflhe United St8tes.lcnowIng Itto befa
vIoI8tIonofT1tle18. Sec:IIon1001.
United States Code. which pravtdes for the petUlltyof . fine of $250.000for Individuals .nd $500.000for organizations or Imprisonment of not more than 5 ~.rs. or both.

INSTRUCTIONSFORCOMPLETINGWMBFORM#7
This report is submitted pursuant to the provisions of Section 984.476 of the Administrative Rules and Regulations.

1.

as amended.

Reports covering the quarter applicable shall be submitted not later than .the 5th day of the month following the end of the quarter
(see below for specific dates). IT IS IMPORTANT THAT THE REPORTS COVER ALL IMPORTED WALNUTS.
Due Dates
November 5
February 5

May 5
August5

Quarter Covered
August - October
November - January
February - April
May - July

2.

All quantities on the report shall be in pounds.

3.

Reports shall be certified by a responsible officialof the reporting handler.

4.

Each report should be numbered consecutively.beginningwith No.1 for the firstquarter of the crop year during which such walnuts
were received.

5.

The total receipts of the walnuts dIJring the cunent quarter. as shown on the report in the first two columns. shall be supported by a
copy of a product tag(s)covering each and every receipt of walnuts. These product tags shall clearly show the name of the tenderer
from whom received. the number of containers and the custom=s entry 10 number. whether or not the product is inshell or shelled.
the volume of the shipment, country of origin. and the name of the DFA inspector and the date.

6.

Contact the WMB office in Sacramento for any points that are not clear.

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. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where
applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's
income is derived from ~ny public assistance program (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 TDD). To file a complaint of discrimination,
write to USDA, Director, Office of Civil Rights, 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 opportunity provider and employer.