OMB No. 0581-0178
PRUNE MARKETING COMMITTEE
3840 Rosin Court, Suite 170
Sacramento, CA 95834
PRUNE GROWER NUMBER ASSIGNMENT CORRECTION
HANDLER: ________________________________________ DATE: _____________________________
Name
________________________________________
Address
RECEIVING ________________________________________
STATION: Name
________________________________________
Address
Please correct grower numbers ___________________ Lot Code as indicated below:
Signature ___________________________
Number |
Prune Grower |
Lot Identity |
Was: Name: ____________________________________
Address: ____________________________________
____________________________________
_____________________________________________________________________________________________
Should Be: Name: ____________________________________
Address: ____________________________________
____________________________________
Above requested corrections have been made:
Record |
Date |
|
Signature |
Receiving documents, weight certificates door receipts, contracts, etc. |
|
|
|
Incoming Inspections DFA Form P-6 issued |
|
|
|
Grower number assignment on handler’s report of accounting |
|
|
|
INSTRUCTIONS: The correction needs to be made in your prune grower receiving documents, incoming inspection certificates, handler’s report of accounting, or in any other record wherein the old number appears to identify the above producer. Please return the enclosed copy of this form dated and acknowledged as assurance that this correction has been completed in your prune receiving records and also the incoming inspection records.
AUTHORITY: This report is required by law (7 U.S.C. 608(d), 7 CFR 993.73).
FAILURE TO REPORT can result in a fine for each such violation and each day during which such violation continues.
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 5 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.
PMC 8.91 (Rev. 01/2014. Destroy previous editions.)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | ARicci |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |