RAC-510 CA Raisins--Produced from Grapes grown outside of CA (No

NON-CALIFORNIA RAISINS
RAISIN ADMINISTRATIVE COMMITTEE
P.O. Box 5217
Fresno, CA 93755-5217

RAC-510
Revised12/06

Office of Management & Budget
Control Number 0581-0178

(1) Producers Name:
(2) Mailing Address:
Street or P.O. Box
Phone Number

Zip

City,State

(3) Location and address of production unit including

SECTION, TOWNSHIP, RANGE:

acres.

(4) Acreage of production unit
County of production unit

Ibs.

(5) Raisin Net Fruit Weight
Variety
(6) Documents required and attached:
(a)

For U.S.A. raisins produced outside of California

D
D
D
(b)

Commission Processing Order,
Bill of lading or equivalent with State of California
Stamp and date obtained at border crossing, and
Weight Tags

For raisins produced outside of U.S.A.

D

U.S. Customs Entry Form

I hereby agree to comply with all the regulations established for Non-Califomla Raisins and certify that the raisins
produced from grapes grown on the production unit Identified herein are true and correct.
'\:~- - . ,-,.,
''_'
Thfrm~l:File Typeapplication/pdfFile Modified2007-10-16File Created2007-10-16