COC-3C Olives Weight and Grade Report

OMB No. 0581-0178

CALIFORNIA OLIVE COMMITTEE

WEIGHT & GRADE REPORT

Cert No.

This is to certify that the following described commodity was weighted, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.

VARIETY OF OLIVE (Circle One)

Date:

Producing County:

Received at:

SEVILLANO

1

MANZANILLO

3

ASCOLANO

2

MISSION

4

Received from:

Code Area:

BAROUNI

5

OBLIZA

6

7

8

Hauled to Station by Trucking Co. Buyer C Grower C

Truck Lic. No.

Trailer Lic. No.

Trailer Lic. No.

Vehicle Gross Weight Lbs.

CALIFORNIA OLIVE COMMITTEE, FRESNO, CA INSPECTION CERTIFICATE The undersigned certifies to the Committee and the Secretary of Agriculture of the United States that this report is a complete and accurate record of the grade and lot of olives listed.

Container Info.

Box c Binc

Box c Binc

Box c Binc

Vehicle Tare Lbs.

Code

Fruit & Container Weight Lbs.

Count

Total Container Tare Pounds

Handler Authorized Officials Title Date

Common Tare

Net Weight Lbs.

Buyers Containers c Other Containers c

Avg. Net Fruit per Container in Lbs.

This lot was weighed, sampled and size graded under the direct supervision of the Federal-State Inspection Program. ___________________________________________________ _________________ Inspector Date

Weighed at: Address:

Delivered to (Buyer):

Weighmaster:

By: Deputy

Handlers’ Use Only

OFFICIAL INSPECTION CERTIFICATE

Factor:

Defects

Graded By: SAMPLE c

LOT c

CODE AREA

OLIVE GRADE WEIGHTS

Overripe

SIZE

SIZE

CODE

OZ./LBS.

%

COUNT

POUNDS

Mutilated

SUPER COLOSSAL

02

COLOSSAL

03

Wrinkled

JUMBO

04

S

05

Deformed

06

07

Contaminated

A O M

LGE

LS

08

MEDIUM

09

Bruised

SMALL

10

PETITE

LO/A LM

11

Scale

SUB-PETITE

12

UNDERSIZE

13

Softnose

CULLS

14

TRASH

15

TOTAL:

TOTALS

16

BOXES

BINS

PALLETS

TAKEN OUT

This information is used to verify the provisions of Marketing Order No. 932, 7 C.F.R. 932.51. Making false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing to be false, is a violation of title 18, section 1001, of the United States Code, which provides for penalty of a fine or imprisonment, or both.

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.

COC-3c (Rev. 01/2014. Destroy previous versions.)