Vegetable and Specialty Crops Mandatory

Vegetable and Specialty Crops

COC-3c Electronic(5-20)

Vegetable and Specialty Crops Mandatory

OMB: 0581-0178

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  Crop Year:   20__-__

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FORM COC- 3 WEIGHT & GRADE REPORT OMB NO. 0581-0178

Exp. x/xxxx

       CERT #    -   


THIS IS TO CERTIFY THAT THE FOOLOWING DESCRIBED COMMODITY WAS WEIGHTED, MEASURED, OR COUNTED BY A WEIGHMASTER, WHOSE SINGATURE 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 (CIRCLE ONE)

DATE 



TIME




 

      

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
INSPECTION CERTIFICATION:

 
THE UNDERSIGNED CERTIFIES TO THE CALIFORNIA OLIVE COMMITTEE AND THE SECRETARY OF AGICULTURE OF THE UNITED STATES THAT THIS REPORT IS A COMPLETE AND ACCURATE RECORD OF GRADE OF THE LOT OF OLIVES LISTED.

CONTAINER
INFORMATION

BOX BIN

BOX BIN

BOX BIN

VEHICLE
TARE
LBS.


CODE




FRUIT AND
CONTAINER
WEIGHT LBS. 


COUNT




HANDLER AUTHORIZED OFFICIAL

COMMON TARE




TOTAL
CONTAINER
TARE LBS.


TITLE      DATE 

 BUYERS CONTAINERS
   
OTHER CONTAINERS

AVERAGE NET FRUIT
PER CONTAINER


LBS


NET
WEIGHT
LBS.


THIS LOT WAS WEIGHED, SAMPLED AND SIZE GRADED UNDER
THE DIRECT SUPERVISON OF THE FEDERAL STATE INSPECTION
SERVICE.

WEIGHED AT: 

ADDRESS:      

INSPECTOR     DATE 

DELIVERED TO (BUYER)

WEIGHMASTER

BY
    DEPUTY



 


HANDLERS USE ONLY

OFFICIAL INSPECTION CERTIFICATE

FACTOR:

DEFECTS

GRADED BY:  

SAMPLE


LOT

CODE
AREA

OLIVE GRADE
WEIGHTS

OVERRIPE


SIZE

MUTILATED


SIZE

 

CODE

OZ./LB.

%

COUNT

POUNDS

WRINKLED


SUPER COLOSSAL

 

02




 

 


DEFORMED


COLOSSAL

 

03




 

 


CONTAMINATED


JUMBO

 

04




 

 


BRUISED


S

SEV.
EX. LARGE "C"

05




 

 


SCALE


SEV.
EX. LARGE "L"

06




 

 


SOFTNOSE


EX. LARGE

 

07




 

 




A

LARGE

LS

08




 

 




O

MEDIUM

 

09




 

 




M

SMALL

 

10




 

 


 

 

PETITE

LO/A

11




 

 


 

 

SUB-PETITE

LM

12




 

 


 

 

UNDERSIZE

 

13




 

 


 

 

CULLS

 

14




 

 


 

 

TRASH

 

15




 

 


TOTAL:


TOTALS

16




 

 



TAKEN OUT

TAKEN IN EMPTY

BOXES

BINS
  

PALLETS

BINS
  

BINS
  


BINS
  



THIS INFORMATION IS USED TO VERIFY THE PROVISIONS OF THE ORDER, 7 CFR 932.151 MAKING ANY FALSE STATEMENTS OR REPRESENTATIONS IN ANY MATTER WITHIN THE JURISDICTION OF ANY
AGENCY OF THE UNITED STATES, KNOWING IT TO BE FALSE, IS A VIOLATION OF TITLE 18 SECTION 1001, UNITED STATES CODE, WHICH PROVIDES FOR PENALTY OF A FINE, OR IMPRISONMENT, OR BOTH.

Current Burden Statement and Non-Discrimination Statement : 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.

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.

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