COC-3C (932) Olives Weight and Grade Report

OMB No. 0581-0178

CALIFORNIA OLIVE COMMITTEE

WEIGHT & GRADE REPORT

This is to certify that the following described commodity was weighted, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.

VARIETY OF OLIVE (Select one)

Date:

Producing County:

Received at:

SEVILLANO

MANZANILLO

ASCOLANO

MISSION

Received from:

Code Area:

BAROUNI

OBLIZA

Hauled to Station by Trucking Co. Buyer Grower

Truck Lic. No.

Trailer Lic. No.

Trailer Lic. No.

Vehicle Gross Weight Lbs.

CALIFORNIA OLIVE COMMITTEE, FRESNO, CA The undersigned certifies to the Committee and the Secretary of Agriculture of the United States that this report is a complete and accurate record of the weight and lot of olives listed.

Container Info.

Box Bin

Box Bin

Vehicle Tare Lbs.

Code

Fruit & Container Weight Lbs.

Handler Authorized Official Signature:______________________________________ Title: Date:

Count

Total Container Tare Lbs.

Notes:

Common Tare

Net Weight Lbs.

Buyers Containers Other Containers

Avg. Net Fruit per Container in Lbs.

Delivered to (Buyer):

Weighed at: Address:

Weighmaster:

By: Deputy

Defects

Handlers’ Use Only

Factor:

Overripe

Graded By: SAMPLE

OLIVE GRADE WEIGHTS

Overripe Mutilated

SIZE

SIZE

CODE

COUNT

Mutilated Wrinkled

SUPER COLOSSAL

02

COLOSSAL

03

Wrinkled Deformed

JUMBO

04

S

Sev XL“C”

05

Deformed Contaminated

Sev XL “L”

06

Extra Large

07

Contaminated Bruised

A O M

LARGE

LS

08

MEDIUM

09

Bruised Scale

SMALL

10

PETITE

LO/A LM

11

Scale

SUB-PETITE

12

UNDERSIZE

13

Softnose

CULLS

14

TRASH

15

Fly Damage

16

Other

17

TOTAL:

18

BINS

BINS

BINS

BINS

BINS

BINS

BINS TAKEN IN BINS TAKEN OUT

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 15 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.

This information is used to verify the provisions of Marketing Order No. 932, 7 C.F.R. 932.51. Making false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing to be false, is a violation of title 18, section 1001, of the United States Code, which provides for penalty of a fine 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 15 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.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider, employer, and lender.

COC-3c (Exp. x/xxxx) Destroy previous versions.