CDGAC-1 925-CA Desert Grapes Organically Grown

OMB No. 0581-0189

CALIFORNIA DESERT GRAPE ADMINISTRATIVE COMMITTEE

82901 Bliss Avenue

Indio, CA 92201

Phone: (760) 342-4385

Fax: (760) 342-0485

E-Mail: [email protected]

ORGANICALLY GROWN GRAPES

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The marketing of organically produced grapes below minimum size requirements shall be permitted only if the producer or shipper of such grapes has registered the organically certified vineyard with this the California Desert Grape Administrative Committee (the “Committee) prior to April 1 of each year. The producer or shipper must certify to the Committee the location of the grapes being grown by completing and returning this form to the Committee.

Name of Firm or Business

Mailing Address

City State Zip Code

Owner or Representative of Firm

Telephone Number

Actual Location of Vineyards Producing Organic Grapes

Number of Acres of Each Variety Being Grown

County Organic Registration Number County Organic Certification Number (required after 1992)

DEFINITION OF ORGANICALLY PRODUCED GRAPES: For the purpose of administering Marketing Order No. 925, regulating California desert grapes, organically produced grapes have been defined as those grapes produced and handled in accordance with the National Organic Program standards and labeled as “organic” or “100 percent organic” grapes.

INSPECTION REQUIREMENTS: The Federal-State Fruit and Vegetable Inspection Service located in Coachella, California, has been designated by the Committee as the official shipping point inspection agency. All organically produced grapes must be inspected by the agency prior to shipment for market and must meet a “U. S. NO. 1, TABLE GRAPE STANDARD” (except for size). The handler is required to deliver the grapes to the shipping point agency for inspection, or make arrangements for other inspection locations.

CONTAINER REQUIREMENTS: All grape shipments must be in new unused boxes or RPC’s, and labeled in accordance with National Organic Program regulations.

I certify that the above report is true and correct to the best of my knowledge and that I will abide by all regulations issued by the Committee in the harvest of my organically produced grapes.

__________________________________________ _______________________ ______________

Signature Title Date

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 0581-0189. The time required to complete this information collection is estimated to average 10 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 any 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.

CDGAC-1 (Rev. 7/10. Destroy previous editions.)