CDAC-5 CA Dates--Report of Handler Carry-over

OMB No. 0581-0178

Send one signed copy no later than March 10/October 10 to:

CALIFORNIA DATE ADMINISTRATIVE COMMITTEE

P.O. Box 1736

Indio, CA 92202-1736

Tel: (760) 347-4510 Fax: (760) 347-6374

REPORT OF HANDLER CARRYOVER

The following quantities of dates were held by me for my account (whether or not sold) on:

□ March 1, 20___ □ October 1, 20___

	Deglet Noor	Halawy	Khadrawy	Zahidi
	State in terms of whole dates (divide quality of pitted dates by .83 to determine whole date equivalent quantity)
Marketable Dates
Certified Dates on Hand
Certified Domestic and Canadian (DAC)
Certified Further Processing (FP)
Certified Export (EXP)
Certified Products (report only certified product still in whole date form, not finished product. Include certified products acquired for manufacturing from other handlers)
Graded Dates on Hand
Graded for Domestic and Canadian, Further Processing
Graded for Export
Graded for Products
Field Run Held
Estimate of Domestic and Canadian, Further Processing content
Estimate of Export content
Estimate of Products content
Marketable Sub-total
Non-Marketable Dates
Culls awaiting pick-up
Estimate of field run culls
Non-Marketable Sub-total
Total Dates Held

I hereby certify to the U.S. Department of Agriculture and to the California Date Administrative Committee that the information contained in this report is complete and accurate.

Handler: ___________________________________________ Date: _______________________________

By: _______________________________________________ Title: _______________________________

The making of false statement or representation on this form, knowing it to be false, is a violation of title 18 section 1000 of the United States Code, which provides for the penalty of a fine or imprisonment, or both. This report is required by law (7 USC 608(d), 7 CFR 987.51, 987.151). Failure to report can result in a fine for each 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 30 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 of 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, political beliefs, genetic information, 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.

CDAC-5 (Rev. 01/2014) Destroy previous editions.