Form PMC 5.1 PMC 5.1 CA Dried Prunes Notice of Proposed Intent to Store Reser

OMB No. 0581-0178

NOTICE OF PROPOSED INTENT TO STORE RESERVE PRUNES

TO: Prune Marketing Committee

3840 Rosin Court, Suite 170

Sacramento, CA 95834

HANDLER: __________________________________________________________________________________

ADDRESS: ___________________________________________________________________________________

The undersigned handler hereby notifies you of its proposed intent to store reserve prunes on the premises of ________________________________________________________________________ whose address is _______________________________________________________________________ as follows:

1. Approximate quantity to be stored ___________________ tons;

2. Exact location of storage facilities __________________________________________________________

______________________________________________________________________________________

3. Description of storage facilities:

a. Handler’s plant or regular dried fruit storage facility…………………………….□

b. Other (describe in detail below) ………………………………………………..…□

______________________________________________________________________________________

______________________________________________________________________________________

Date storage will begin: __________________________________________________________________

Handler __________________________________________________

Signature _________________________________________________

Title _____________________________________________________

STATEMENT OF AGREEMENT TO HOLD RESERVE

The undersigned hereby agrees to hold reserve prunes for the handler hereinabove signatory in proper storage and further agrees to permit access to the hereinabove described premises by the Prune Marketing Committee (Committee) at any time during business hours for the purpose of examining or taking delivery of such prunes.

SIGNATURE _____________________________________________

TITLE ___________________________________________________

INSTRUCTIONS: This notice must be filed with the Committee prior to moving reserve prunes to the person on whose premises the reserve prunes are proposed to be held. Complete the form in detail and obtain the signature of the person on whose premises the reserve prunes are proposed to be held before forwarding the notice to the Committee.

AUTHORITY: § 993.57 of Marketing Order No. 993, as amended, and § 993.157(e) of the Administrative Rules and Regulations established pursuant thereto.

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 5.1 (Rev. 01/2014. Destroy previous editions.)