OMB No. 0581-0178
ALMOND BOARD OF CALIFORNIA
1150 9th Street, Suite 1500
Modesto, CA 95354
Tel: (209) 549-8262 Fax: (209) 550-5494
INTER-HANDLER TRANSFER OF ALMONDS
INSTRUCTIONS: Transferring handler must check applicable sections in Part A, sign, and then mail or fax a copy of this form to the receiving handler and the Almond Board of California (ABC). Receiving handler must check applicable sections in Part B, sign, and then mail or fax a copy of this form to the transferring handler and the ABC. This report is submitted to adjust assessment and reserve obligations and for use in redetermination reports, in compliance with sections 981.55 and 981.61 of Marketing Order No. 981.
Date of Transfer: |
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Transferring Handler: |
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From plant at: |
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Receiving Handler: |
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From plant at: |
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DESCRIPTION OF ALMONDS TRANSFERRED |
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Variety |
Almonds Transferred |
Almonds Treated to Achieve a Minimum 4-Log Reduction of Salmonella Bacteria |
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Check One |
Kernel Weight |
No |
Yes |
Lot Identification Number1 |
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Inshell |
Shelled |
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1 Lot Identification Number is a handler-defined unique tracking number, such as a contract number, lot number, etc.
The undersigned hereby certify to the ABC and to the Secretary of Agriculture that the information in this report is complete and accurate.
PART A – TRANSFERRING HANDLER CHECK APPLICATION SECTION
I am retaining the following obligations: □ All assessments □ Administrative Assessments
□ Reserve □ Advertising Assessments □ None
_________________________________________ _______________________________ ______________
Handler Signature Title Date
PART B – RECEIVING HANDLER CHECK APPLICABLE SECTION
I am assuming the following obligations: □ All assessments □ Administrative Assessments
□ Reserve □ Advertising Assessments □ None
_________________________________________ _______________________________ ______________
Handler 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 0581-0178. 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 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.
ABC-7 (Rev. 01/2014) Destroy previous Editions.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | OMB Approval No. 0581-0071 |
Author | Sue Hegwein |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |