CDAC-6 (987) Monthly Rept. of Acquisition & Disposition of Date

OMB No. 0581-0178

Send one signed copy no later than the 16^th of each month to:

CALIFORNIA DATE ADMINISTRATIVE COMMITTEE

P.O. Box 1736

Indio, CA 92202-1736

Tel: (760) 347-4510 Fax: (760) 347-6374

MONTHLY REPORT OF ACQUISITION AND DISPOSITION OF DATES

The following is a report of the total amount of dates acquired and disposed of during _________________ (month).

	Deglet Noor	Halawy	Khadrawy	Zahidi
	State in terms of whole dates (divide quality of pitted dates by .83 to determine whole date equivalent quantity)
Field Run received at packing house (your own production and/or field run purchased from other growers)
Dates Purchased from Other Handlers – InterHandler Transfers
Certified Domestic and Canadian (DAC)
Certified Further Processing (FP)
Certified EXPORT
Certified PRODUCTS
Graded (Grade only, has not been USDA inspected and certified)
Field Run
Date Sales or Dispositions
Domestic and Canadian (DAC)
Further Processing (FP)
EXPORTS
PRODUCT SOLD (whole date equivalent of products sold and/or sold to an approved manufacturer)
Exempt Sales
InterHandler Transfer – Graded (Grade only, has not been USDA inspected and certified)
InterHandler Transfer – Field Run
Cull Disposed
TOTAL SOLD OR DISPOSED

I hereby certify to the U.S. Department of Agriculture and to the California Date Administrative Committee that the information contained in this report is complete and accurate.

Handler: ___________________________________________ Date: _______________________________

By: _______________________________________________ Title: _______________________________

The making of false statement or representation on this form, knowing it to be false, is a violation of title 18 section 1000 of the United States Code, which provides for the penalty of a fine or imprisonment, or both. This report is required by law (7 USC 608(d), 7 CFR 987.51, 987.151). Failure to report can result in a fine for each violation and each day during which such violation continues shall be deemed a separate violation.

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.

CDAC-6 (Exp. x/xxxx) Destroy previous editions.