ABC 9 CA Almonds Transfer of Unprocessed Almonds

OMB No. 0581-0178

ALMOND BOARD OF CALIFORNIA

1150 9th Street, Suite 1500

Modesto, CA 95354

Tel: (209) 549-8262 Fax: (209) 550-5494

TRANSFER OF UNPROCESSED ALMONDS

PART A – Transferring Handler to Complete

Instructions:

1. The transferring handler must complete an original and two copies of Part A of this form.

2. Retain the green copy for your records.

3. Forward the yellow and white copies to the receiving handler.

I am transferring the following lot(s) of unprocessed almonds: Date of Transfer ________________, 20___

Original USDA Certificate No.	Total Pounds	Inedibles

The undersigned hereby certifies to the Almond Board of California (ABC) and the Secretary of Agriculture, that the information on this report is complete and accurate.

__________________________________ _____________________________________________

Transferring Handler By

__________________________________ _____________________________________________

Date Title

PART B – Receiving Handler to Complete

Instructions:

1. The receiving handler must complete Part B of this form.

2. Retain the yellow copy for your records.

3. Forward the original white copy to the ABC.

I am accepting the following lot(s) of unprocessed almonds, and have assumed the inedible disposition obligation on this/these lot(s):

New USDA Certificate No. (attach copy)	Total Pounds	Inedibles

__________________________________ _____________________________________________

Receiving Handler By

__________________________________ _____________________________________________

Date Title

PART C – ABC Approval

Instructions:

1. The ABC must complete part C of this form.

2. Copies are to be sent to the transferring and receiving handlers.

The above transfer is hereby approved.

__________________________________ _______________________________ ______________

ABC Staff Title Date

This report is submitted to adjust handler inedible disposition obligations(s) and receipts reports. It is in compliance with sections 981.42, 981.55, and 981.72 of Marketing Order No. 981.

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 USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.

ABC-9 (Rev. 01/2014) Destroy previous editions.