CWB 6 CA. Walnuts - Report of Merchantable Wallnuts Shipped

Vegetable and Specialty Crops

CWB-6 Report of Merchantable Walnuts Shipped (Page 1) (01-14)

Vegetable and Specialty Crops Mandatory

OMB: 0581-0178

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OMB No. 0581-0178

California Walnut Board Due Date: __________, 20___

101 Parkshore Drive, Suite 250 Month: __________________

Folsom, CA 95630

Ph (916) 932-7070; Fax (916) 932-7071


REPORT OF MERCHANTABLE WALNUTS SHIPPED


This report of merchantable walnuts shipped is submitted in compliance with the requirements of the Federal Marketing Order No. 984, as amended. In executing this form, the handler respectively certifies to the California Walnut Board (Board) and to the U.S. Department of Agriculture as to the correctness and completeness of their statement.


Instructions: 1. Report walnut receipts for the month in Inshell Pounds.

2. Report inshell and shelled by domestic and export shipments (in pounds).

3. Report all export shipments by country of destination on the attached page.

4. If you did not make any shipments, write “NONE” on the form.

5. Mail signed original to the Board on or before _____________, 20__.


WALNUT RECEIPTS


Inshell Pounds


Received for the month of _________________:



WALNUT SHIPMENTS (in pounds)


Inshell

Shelled

Domestic



Export






TOTAL




Handler: _____________________________________________________________________________


By: _________________________________________________________________________________


Title: ___________________________________________ Date: ___________________________


The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of title 18, section 1001, of the United States Code, which provides for a penalty of a fine for individuals and for organizations 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 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.

SHIPMENTS BY COUNTRY OF DESTINATION



INSHELL

(Pounds)

SHELLED

(Pounds)


INSHELL

(Pounds)

SHELLED

(Pounds)

N. AMERICA



ASIA/PACIFIC RIM



Canada



Australia



Mexico



China



EUROPE

Hong Kong



Austria



India



France



Japan



Germany



Korea



Greece



Malaysia



Italy



New Zealand



Latvia



Philippines



Netherlands



Singapore



Norway



Taiwan



Spain



Thailand



Sweden





Switzerland



CENTRAL AND SOUTH AMERICA

U.K.



Brazil



MIDDLE EAST/AFRICA

Chile



Algeria



Ecuador



Egypt



Venezuela



Israel






Jordon



OTHER (please list):



Morocco






Saudi Arabia






Turkey






U.A.E.



TOTALS




CWB 6 (Rev 01/2014. Destroy previous editions.)

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleWMB FORM NO
AuthorJodi Newman
File Modified0000-00-00
File Created2021-01-23

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