OMB No. 0581-0178
ABC Form
8
1150 9th Street, Suite 1500
Modesto, CA 95354
Fax: (209) 550-5494
AMONDS: INEDIBLE and EXEMPT OUTLET DISPOSITION
Notice of Delivery to Oil or Feed
This report of disposition of almond material is submitted in compliance with the requirements of Marketing Order No. 981. In executing Parts A and Part B, Handler and Accepted User respectively certify to the Almond Board of California and to the Secretary of Agriculture as to the correctness and completeness of their respective statements.
Part A (Handler to complete) |
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Instructions:
The above kernel weight of almonds was delivered to:
Name of Accepted User:
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PART B (Accepted User to complete) |
Instructions: On completion of the disposition, complete Part B and send to Board along with destination public weighmaster certificate.
Disposition of the above almond material has been completed by (check method):
_________ crushing into oil _________ mixing into feed _________ feeding directly
_________
transfer of _________________ pounds to
_______________________________________________
Date Action Completed _____________ Name of User:____________________________
By: _____________________________ Title: ___________________________________
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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 OMB 0581-0178. The time required to complete this information collection is estimated to average 30 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.
Exp. x/xxxx. Destroy previous editions.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | snel |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |