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ICR 201208-0581-005 · OMB 0581-0178 · Object 34199801.

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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Handler __________________
polly
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2010-11-02
2026-10-17
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HAZELNUT MARKETING BOARD
21595-A Dolores Way NE
Aurora, OR  97002-9738
Tel: (503) 678-6823
Fax: (503) 678-6825 	KERNELS CERTIFIED

Handler __________________________________________________			Period _________________________________________________________
Inspection Date
Inspection Certificate Number
Oregon Fancy and/or Oregon No. 1
Total
¹Inshell Equivalent








Giant
Jumbo
Extra Large
Large
Medium
Small
Whole/ Broken










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Total Current Period















Last Period Year To Date















Total Year To Date

















PRIOR YEAR CROP












































































Total Current Period















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Total Year To Date















¹ Inshell Equivalent based on 40% crackout.  Note:  Report lots that contain several sizes under the category that best describes their average size.

This report is required by law (7 U.S.C. 608(d), 7 CFR 982.66 and 7 CFR 982.466).  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.

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 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.  

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.