No Form No. Door Receipt or Weight Certificate

OMB No. 0581-0178

RAISIN ADMINISTRATIVE COMMITTEE

2445 Capitol Street, Suite 200

Fresno, California 93721

Phone: (559) 225-0520

____________________, 20___

TO: All Handlers of Raisins Produced from Grapes Grown in California

SUBJECT: Handler Weight Certificates

Section 989.158(a)(1)(iii) of Marketing Order No. 989, regulating the handling of raisins produced from grapes grown in Califonia (Order), requires each handler to substantiate the weight of each lot of raisins tendered for receiving, storage, reconditioning, acquisition, or disposition on an official “State Certificate of Weights and Measures” issued by a public weighmaster on a form approved by the Raisin Administrative Committee (RAC). Section 989.158(a)(3) of the Order also requires handlers to issue a “door receipt” or weight certificate on a serially prenumbered form. These requirements are usually met by using the same form.

For each lot of raisins tendered for receiving, storage, reconditioning, acquisition, or disposition, please provide the following information to the RAC:

1. The name and address of the tenderer;

2. The weight of the lot;

3. The number and type of containers in the lot; and

4. Any other information necessary to identify the lot.

If you have any questions, please contact your RAC field representative.

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 10 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.

Rev. 01/2014 Destroy previous editions.