PMC 2.21 CA Dried Prunes application for Permission to Dispose of

Form PMC 2.21
OMB # OS81-0178

APPLICATION FOR PERMISSION TO DISPOSE OF
UNDERSIZED PR11NES_F_OR~ON__1IUMAN
USAGE

Date.

TO: Prune Marketing Committee
3841 North Freeway Blvd., Suite 120
Sacramento, CA 95834
Fax: (916) 565-6237
HANDLER

ADDRESS
The undersigned hereby applies for permission to dispose of undersized pnmes, to the person, and for
the non-human usage shown below:
NAME
(1)
Our
Vendee (customer):
(2)
Consignee (if other
than Vendee or User):
(3) User, Manufacturer,
or Converter (if
other than above):
(4)
Non-Human Usage
(sy
):

(5)
Period of
Shipment:

ADDRESS

(6)
Approximate Tons
to be Shipped:

If a broker is not involved, it is the handler's responsibility to inform the actual user about the paperwork
(Forms PMC 4.71A and 4.71B) involved in complying with the undersized regulation. Failure of the actual
user to complete the paperwork involved can result in refusal to issue fub.1reundersized approvals.

Signature:
Title:
AUTHORITY:

This repon is required by law (7 U.S.C. 608 (d), 7CFR §993.49, §993.50 (g), §993.108 and §993.150 (g) (1».

FAILURE TO REPORT can result in a fine of not less than $50 or more than $5,000 for each such violation and each day during
which such violation continues shall be deemed a separate violation.
(Continued - See Over)

PMC2.21

Definition:

Vendee- The Actual Buyer (Broker or User)

Consignee

- One

User:

- The feeder or feed dealer if its ground or mixed with
other feed stuff.

who takes possession of the load,
(ie., holding area warehouse, etc.) if other than
the actual user.

Note: Prior to makin~ any shipment or in any way disposinll of undersized prunes, handlers are required to file
a written application on Form PMC 2.21 with the Committee for permission to make such shipment or disposal
and receive the Committee's approval thereof on Form PMC 2.31. Disposal of undersized prunes shall be
only in non-bmnan consumption outlets and during the crop year received.
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 infonnation collection is estimated to average 15 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.
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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 Centec at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400
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