ABC 9 (981) CA Almonds Transfer of Unprocessed 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

TRANSFER OF UNPROCESSED ALMONDS

PART A – Transferring Handler to Complete

Instructions:

1. The transferring handler must complete an original and two copies of Part A of this form.

2. Retain the green copy for your records.

3. Forward the yellow and white copies to the receiving handler.

I am transferring the following lot(s) of unprocessed almonds: Date of Transfer ________________, 20___

Original USDA Certificate No.	Total Pounds	Inedibles

The undersigned hereby certifies to the Almond Board of California (ABC) and the Secretary of Agriculture, that the information on this report is complete and accurate.

________________________________ _____________________________________________

Transferring Handler By

________________________________ _____________________________________________

Date Title

PART B – Receiving Handler to Complete

Instructions:

1. The receiving handler must complete Part B of this form.

2. Retain the yellow copy for your records.

3. Forward the original white copy to the ABC.

I am accepting the following lot(s) of unprocessed almonds, and have assumed the inedible disposition obligation on this/these lot(s):

New USDA Certificate No. (attach copy)	Total Pounds	Inedibles

________________________________ _____________________________________________

Receiving Handler By

________________________________ _____________________________________________

Date Title

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.

PART C – ABC Approval

Instructions:

1. The ABC must complete part C of this form.

2. Copies are to be sent to the transferring and receiving handlers.

The above transfer is hereby approved.

_______________________________ __________________________ ______________

ABC Staff Title Date

This report is submitted to adjust handler inedible disposition obligations(s) and receipts reports. It is in compliance with sections 981.42, 981.55, and 981.72 of Marketing Order No. 981.

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-9 (Exp. x/xxxx) Destroy previous editions.