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Vegetable and Specialty Crops Mandatory

ICR 201606-0581-005 · OMB 0581-0178 · Object 66017401.

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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Vegetable and Specialty Crops Mandatory
AHatch
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2013-12-10
2026-10-17
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Far West Spearmint Oil Administrative Committee
100 N. Fruitland, Suite B
Kennewick, WA  99336
Phone: (509) 585-5460

Send Original to Committee 
Keep attached copy for your records	Still Form for: ___________________________

Date
Barrel No.
Still Wt.
Location to be Stored
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								_____________________________________________
	Name of Still

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	Prepared by



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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.