FV-266-8 920-Kiwifruit Final Packout Rept.

OMB No. 0581 - 0189

F INAL PACKOUT REPORT INSTRUCTIONS:

1.	Enter appropriate Handler/Marketer information.
2.	Across the top of columns, enter the type of pack styles shipped during the crop year. Select pack styles from list below.
3.	Enter grower information. If handling fruit for a grower with more than one kiwifruit entity (farm, ranch, block, etc.), list each entry separately.
4.	Below the appropriate pack styles, enter the total number of containers shipped for each grower entry during the crop year.
5.	Enter acreage amount.
6.	Sign and date report.
	Description	Enter this pack style on report
	9kg (19.8 lb.) Volume Fill	Volume Fill
	Single layer tray	Trays
	Container with 3-layers	3-Layers
	125 lb. Bins	Bins
	Master Container with 20 - 1 lb. Bags	20/1# Bags
	Master Container with 10 - 1kg Bags	10/1kg Bags
	Master Container with 6 - 4lb. Clams	6/4# Clams
	Master Container with 6 - 3lb. Clams	6/3# Clams
	Master Container with 27 -.8lb Clams	27/.8# Clams
	Master Container with 18 - 8 ct. Clams	18/8ct. Clams and net wt. of master container
	Master Container with 20 - 6 ct. Clams	20/6ct. Clams and net wt. of master container
	Returnable Plastic Containers, 9kg	RPC 9kg
	Containers with 2-layers	2-Layers and net wt. of container
	Euro Containers, Must include description and net wt. (i.e. Euro 2-layers, 20# )	Type and net wt. of container
	Any other container type/consumer pack must include the description and container net wt.	Type and net wt. of container

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 45 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.

FINAL PACKOUT REPORT CROP YEAR 20__/20__
Kiwifruit Administrative Committee (KAC) 1521 "I" Street, Sacramento, CA 95814 Phone #: (916) 441-0678; Fax #: (916) 446-1063 Email: [email protected]			COMPANY:
Page 1 of ___			CONTACT:
			PHONE #:
Report is due within thirty (30) days after all fruit has been shipped.			PACK STYLE ENTER PACK STYLES USED AT THE TOP OF EACH COLUMN
Grower and Farm Name (Please list each entity/farm separately)	Mailing Address City/State/Zip	County Farm Located							Kiwifruit Acreage
Subtotal from other pages
Totals
I hereby certify to the best of my knowledge and belief that this report is true and complete. I understand that records from which this report is compiled are subject to audit and must be preserved for a period of two years:
Date:	Signature:					Title:
FINAL PACKOUT REPORT CROP YEAR 20__/20__
Page ___ of ___	COMPANY:
	CONTACT:
	PHONE #:
Report is due within thirty (30) days after all fruit has been shipped.			PACK STYLE ENTER PACK STYLES USED AT THE TOP OF EACH COLUMN
Grower and Farm Name (Please list each entity/farm separately)	Mailing Address City/State/Zip	County Farm Located							Kiwifruit Acreage
Enter Subtotals on Page 1

FV-266-8 (Rev. 9/13. Destroy previous versions.)