Seed Service Testing Program

Seed Service Testing Program

SAC Form 2016_6-3-2016

Seed Service Testing Program

OMB: 0581-0140

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u.s. DEPARTMENT

CERTIFICATE NO.

OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
LIVESTOCK, POULTRY, AND SEeD PROGRAM
FEDERAL sseo LABORATORY, GASTONIA, NC 28054-2193

USDA

70 - AA XXXXX -X
DATE ISSUED

June 03, 2016
SEED ANALYSIS

CERTIFICATE

- SAMPLE

DATE SAMPLE RECEIVED

INSPECTION

11

May 18, 2016

NAME OF SEED

Tested in accordance

with

1STA

rules.

Solanum Lycopersicum (tomato)

SENDER'S MARK

Lot No. xxxxxx, tomato, ANAIS F1.
PURE SEED

INERT MATIER

OTHER SEEDS

100.0%

0.0%
OTHER SEEDS

ABNORMAL SPROUTS

98%

DORMANT SEED

1%

21

Not Requested

0.0%

TEST PERIOD

14

0%

NOXIOUS WEED SEEDS BASED ON EXAMINATION

DAYS

OF --- GRAMS.

Not Requested

REMARKS

11 The results herein apply only to the above described sample submitted for xxxxxxx, P.O. Box xxxxxx, San Jose, CA
sample is to represent a total of 1,300,000 seeds of which 500,000 seeds are scheduled for export. Treatment: None.

21 BP; 20-30DC.

xxxxx.

The

(] DUPLICATE

SIGNATURE

I_Tf_TL_E

_

This certificate is issued under the authority of the Agricultural Marketing Act of 1946, as amended (7 U.S.C. 1621 et seq.), and the regulations thereunder (7 CFR
75.1 et seq.), and is receivable in all courts of the United Stales as prima facie evidence of the truth of the statements therein contained. This certificate does not
excuse failure to comply with any of the regulatory laws of the United States.

A

UNIT RATES

3.

AUTHORIZATION NO.
Year

C
1.

9P5914T

70 - AA xxxxx-x

XXXXXXX

D

FIXED AMOUNTS
TOTAL DUE

ACCOUNT

2016

06

CLASSIFICATION

1. SUBCENTER

xxxxxxxxxxxxxxxxxxxxxxxxxxx
E

MISCELLANEOUS

1. CERTIFICATE TO BE REPLACED

F

APPLICANT

2. DIVISION

3. APPLICANT NAME (Area Code and No.)

NAME AND ADDRESS
2. 1ST LINE AODRESS

1. NAME

4.

FORM LS-375 CG (5-98)

CITY

Replaces LS-375 (8-83)

(J DUPLICATE

6. ZIP CODE

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Complaint Form, AD-

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