RAC-28 CA Raisins Processors Rept. of Acquisition of Off-Grade

INSTRUCTIONS FOR COMPLETING FORM RAC-28

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 acquired during
the preceding month. The reports shall be numbered consecutively beginning at the
start of each crop year and shall be certified by a responsible official of the reporting
handler. Disposition of the raisins reported herein will be shown on Form RAC-28A.
(1)

Insert the name and address of the producer, packer or dehydrator from
whom the material was received.

(2)

Show date acquired or received.

(3)

Indicate varietal type.

(4)

Show weight of raisin residuals including stemmer waste, tailings, or
mixed waste.

(5)

Show weight of off-grade other than residuals.

(6)

If off-grade raisins were acquired under exemption (§989.173(b)(6),
indicate by marking "X" in this column.

(7)

Insert totals of residuals and off-grade received. If more than one sheet is
used, totals should be brought forward.

(8)

Consult RAC Field Representatives on any points not clear to you.

This report is required bv law (7 u.S.C 608(d), 7 CF.R 989.73 and 7 CF.R 989.173(b)(6». Failure to reportcan result in
afi.ne. of $1,100for eacn such violationand each day during which such violation continues shaU be deemed a separate
ViOlatiOn.

According to the Paperwork Reduction Act of 1995, an agency 1IIIlJ'_
not conduct or sponsor, and a person is not required to
respond to a coUectton oj in/ormation unless it displays a valid OMB control number. The valid OMB control number for
thrs information coUectton rs 0581-0178. The time requiredto cOnyJletethis in/ormation coUectionis estimatedto average
15 minutes per response, includinJ: the time for reviewing instructions, searchmg existing data sources, gathering and
maintaining the diIta needed, and completing and reviewmg the coUection 0/ inJormation. The u.s. Department-of
Agriculture (USDA) j!rohibits discrimmation in aU its programs and activities on the basis of race, colDlj nano,"" origin,
age, disabifiiy, and'where apJ!licable, sex, marital status, JalJlilial status, parental status; religion, sexlUUorientation,
genetic information, p!Jliticfil beliefs, reprisal, or because aU or part of an individual's mcome is derived from any public
assistance program (Not aUj!rohi6ited bases apj!1yto aUI!!ograms.) Persons with disabilities who require alternattve
rint, audiotape, etc.) should contact USDA's TARGET
means for communication Ofprogram information (Braille.>~
Center at '202 720-2600 (voice tiiul TDD>. To ile a com winI 0 (Jiscrimination, write to USDA, Director, 0 Ice 0 Civil
l!lJ:...hts,
1:/00 'PndependenceAvenue, S. W wasfington, ~C 20 50-9410 or caU (800) 795-3272 (voice) or (2~ 7il6382
(IvD). USDA is an equal opportunity provider flliil employer.

~

RAC-28
Revised 12/06

PROCESSOR'S

REPORT OF ACQUISITION OF OFF-GRADE
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 following quantities of
off-grade raisins, or raisin material were received for the purpose indicated during the month of

Tendered By
(1)

Address

Date

Varietal

Acquired
(2)

Type
(3)

Weight of
Residuals
(4)

Weight of
Off-Grade
(5)

Under
Exemption
(6)

( 7) TOTALS

The making of any false statement 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 a penalty of a fine of $10,000 or imprisonment of not more than five years,
or both.
Handler

By
(See reverse side for instructions)

Title

Date