PMC 8.91 (993) CA Dried Prunes--Prune Grower Number Assignment Co

OMB No. 0581-0178

PRUNE MARKETING COMMITTEE

3840 Rosin Court, Suite 170

Sacramento, CA 95834

PRUNE GROWER NUMBER ASSIGNMENT CORRECTION

HANDLER: ________________________________________ DATE: _____________________________

Name

________________________________________

Address

RECEIVING ________________________________________

STATION: Name

________________________________________

Address

Please correct grower numbers ___________________ Lot Code as indicated below:

Signature ___________________________

Number

Prune Grower

Lot Identity

Was: Name: ____________________________________

Address: ____________________________________

____________________________________

_____________________________________________________________________________________________

Should Be: Name: ____________________________________

Address: ____________________________________

____________________________________

Above requested corrections have been made:

Record	Date		Signature
Receiving documents, weight certificates door receipts, contracts, etc.
Incoming Inspections DFA Form P-6 issued
Grower number assignment on handler’s report of accounting

INSTRUCTIONS: The correction needs to be made in your prune grower receiving documents, incoming inspection certificates, handler’s report of accounting, or in any other record wherein the old number appears to identify the above producer. Please return the enclosed copy of this form dated and acknowledged as assurance that this correction has been completed in your prune receiving records and also the incoming inspection records.

AUTHORITY: This report is required by law (7 U.S.C. 608(d), 7 CFR 993.73).

FAILURE TO REPORT can result in a fine for each such violation and each day during which such violation continues.

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.

PMC 8.91 (Exp. x/xxxx) Destroy previous editions.