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pdfCalifornia Walnut Board
110 Woodmere Rd., Suite 250
Folsom, CA 95630
Ph (916) 932-7070 Fax (916) 932-7071
OMB NO. 0581-0178
CWB Form #6
Due Date:
Month:
REPORT OF MERCHANTABLE WALNUTS
RECEIVED, COMMITTED, AND SHIPPED
This report of merchantable walnuts received, committed, and shipped is submitted in compliance with the requirements of the
Federal Marketing Order No. 984, as amended. In executing this form, the handler respectively certifies to the California Walnut
Board and to the U.S. Department of Agriculture as to the correctness and completeness of their statement.
Instructions:
1. Report walnut receipts (received from growers) for the month in Inshell pounds.
2. Report walnut purchase commitments (sales/not yet shipped) in Inshell and Shelled pounds.
3. Report inshell and shelled by domestic and export shipments (in pounds).
4. Report all export shipments by country of destination on the attached page.
5. If you did not have any receipts, commitments, or shipments, write “NONE” on the form.
6. Submit a copy to the California Walnut Board (CWB) office on or before______.
1. WALNUT RECEIPTS (received from growers)
Inshell Pounds
Conventional
Inshell Pounds
Organic
Shelled Pounds
Conventional
Shelled Pounds
Organic
Received for the month of:
2. PURCHASE COMMITMENTS (sales/not yet shipped)
Inshell Pounds
Conventional
Inshell Pounds
Organic
3. WALNUT SHIPMENTS
Inshell Pounds
Conventional
Inshell Pounds
Organic
Shelled Pounds
Conventional
Shelled Pounds
Organic
Domestic
Export
TOTAL
Handler: ___________________________________________________________________________
By: __________________________ Title________________________ Date: ___________________
The making of 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 a penalty of a fine for individuals
and for organizations or imprisonment, or both.
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 5 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.
CWB 6 (EXP. 4/30/2027) Destroy Previous Versions
OMB NO. 0581-0178
CWB Form #6
Due Date:
Month:
Handler Name: _______________________________________
CONVENTIONAL SHIPMENTS BY COUNTRY OF DESTINATION
INSHELL (lbs)
SHELLED (lbs)
MIDDLE EAST/AFRICA
INSHELL (lbs)
NORTH AMERICA
Algeria
Canada
Bahrain
Mexico
Egypt
CENTRAL & SOUTH AMERICA
Iraq
Chile
Israel
Ecuador
Jordan
ASIA / PACIFIC RIM
Kuwait
Australia
Lebanon
China
Morocco
Hong Kong
Pakistan
India
Qatar
Japan
Saudi Arabia
Korea
Tunisia
Malaysia
Turkey
New Zealand
U.A.E.
Philippines
EUROPE
Singapore
Austria
Taiwan
Belgium
Thailand
Denmark
Vietnam
France
Germany
OTHER (please list):
Greece
Italy
Netherlands
Norway
Portugal
Spain
Sweden
Switzerland
U.K.
TOTALS
CWB 6 (EXP. 4/30/2027) Destroy Previous Versions
SHELLED (lbs)
OMB NO. 0581-0178
CWB Form #6
Due Date:
Month:
Handler Name:_______________________________________
ORGANIC SHIPMENTS BY COUNTRY OF DESTINATION
INSHELL (lbs)
SHELLED (lbs)
MIDDLE EAST/AFRICA
INSHELL (lbs)
NORTH AMERICA
Algeria
Canada
Bahrain
Mexico
Egypt
CENTRAL & SOUTH AMERICA
Iraq
Chile
Israel
Ecuador
Jordan
ASIA / PACIFIC RIM
Kuwait
Australia
Lebanon
China
Morocco
Hong Kong
Pakistan
India
Qatar
Japan
Saudi Arabia
Korea
Tunisia
Malaysia
Turkey
New Zealand
U.A.E.
Philippines
EUROPE
Singapore
Austria
Taiwan
Belgium
Thailand
Denmark
Vietnam
France
Germany
OTHER (please list):
Greece
Italy
Netherlands
Norway
Portugal
Spain
Sweden
Switzerland
U.K.
TOTALS
CWB 6 (EXP. 4/30/2027) Destroy Previous Versions
SHELLED (lbs)
File Type | application/pdf |
File Title | WMB FORM NO |
Author | Jodi Newman |
File Modified | 2024-10-18 |
File Created | 2024-10-18 |