Download:
pdf |
pdfOMB No. 0581-0178
RAISIN ADMINISTRATIVE COMMITTEE
2445 Capitol Street, Suite 200
Fresno, California 93721
Phone: (559) 225-0520
WEEKLY REPORT OF DISPOSITION OF STANDARD RAISINS
RECOVERED FROM RECONDITIONING OF OFF-GRADE RAISINS
Report No. _________________
Date of Report _________________
The undersigned certifies to the Raisin Administrative Committee (RAC) and the Secretary of Agriculture of the United States that the following
quantities of standard grade raisins were recovered from reconditioning of off-grade raisins and were disposed of in the outlets indicated during the
week ending _____________________, 20___.
Tendered By
(1)
Received
(2)
Scale Tag No.
(3)
Inspection
Certificate No.
(4)
Failing Weight
(5)
Standard Raisin
Recovered
Weight
(6)
Standard
Raisins
Delivered To
(7)
Date
(8)
Totals for the Week (9)
Cumulative Totals (10)
The making of any false statement 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 of the United States Code, which provides for a penalty of a fine or imprisonment of not more than five years, or both.
Handler _____________________________________________
By _________________________________________________
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 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.
RAC-33 (Exp. 4/30/2027) Destroy previous versions.
OMB No. 0581-0178
INSTRUCTIONS FOR COMPLETING FORM RAC-33
A copy of this report shall be submitted to the RAC not later than 10:00 am Wednesday of
each week as of the close of business on the preceding Saturday and shall cover the disposition of all
standard grade raisins recovered by the non-acquiring handler by reconditioning off-grade raisins during
the preceding week. The reports shall be numbered consecutively for each crop year and shall be certified
by a responsible official of the handler. This report is concerned only with receipts reported on form
RAC-31.
Item (1)
Enter name of tenderer of each lot.
Item (2)
Show date received.
Item (3)
Enter number of applicable weight certificate.
Item (4)
Enter number of USDA inspection certificate.
Item (5)
Enter net weight of natural condition raisins.
Item (6)
Enter weight of standard raisins recovered from reconditioning off-grade raisins.
Item (7)
Enter name of packer or other outlet to whom standard raisins were delivered.
Item (8)
Show date delivered.
Item (9)
Enter totals of standard raisins recovered this week.
Item (10)
Enter totals of standard raisins recovered from the beginning of the season through the
reporting period.
This report is required by law (7 U.S.C. 608d, 7 CFR 989.73, 7 CFR 989.173(b)(5)). Failure to report can result in a fine of $3,501 for each such
violation, and each day during which such violation continues shall be deemed a separate violation.
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.
RAC-33 (Exp. 4/30/2027) Destroy previous versions.
File Type | application/pdf |
Author | John Silva |
File Modified | 2024-10-04 |
File Created | 2024-10-04 |