ABC-7 (981) CA. Almonds Interhandler Transfer of Almonds

OMB No. 0581-0178

ALMOND BOARD OF CALIFORNIA

1150 9th Street, Suite 1500

Modesto, CA 95354

Tel: (209) 549-8262 Fax: (209) 550-5494

INTER-HANDLER TRANSFER OF ALMONDS

INSTRUCTIONS: Transferring handler must check applicable sections in Part A, sign, and then mail or fax a copy of this form to the receiving handler and the Almond Board of California (ABC). Receiving handler must check applicable sections in Part B, sign, and then mail or fax a copy of this form to the transferring handler and the ABC. This report is submitted to adjust assessment and reserve obligations and for use in redetermination reports, in compliance with sections 981.55 and 981.61 of Marketing Order No. 981.

Date of Transfer:
Transferring Handler:		From plant at:
Receiving Handler:		From plant at:

DESCRIPTION OF ALMONDS TRANSFERRED
Variety	Almonds Transferred				Almonds Treated to Achieve a Minimum 4-Log Reduction of Salmonella Bacteria
	Check One		Kernel Weight		No	Yes	Lot Identification Number1
	Inshell	Shelled
		Total

¹ Lot Identification Number is a handler-defined unique tracking number, such as a contract number, lot number, etc.

The undersigned hereby certify to the ABC and to the Secretary of Agriculture that the information in this report is complete and accurate.

PART A – TRANSFERRING HANDLER CHECK APPLICATION SECTION

I am retaining the following obligations: □ All assessments □ Administrative Assessments

□ Reserve □ Advertising Assessments □ None

_________________________________________ _______________________________ ______________

Handler Signature Title Date

PART B – RECEIVING HANDLER CHECK APPLICABLE SECTION

I am assuming the following obligations: □ All assessments □ Administrative Assessments

□ Reserve □ Advertising Assessments □ None

_________________________________________ _______________________________ ______________

Handler Signature Title Date

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 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.

ABC-7 (Exp. x/xxxx) Destroy previous editions.