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pdfOMB #0581-0178
Form PMC 8.91
PRUNE GROWER NUMBER ASSIGNMENT CORRECTION
DATE:
HANDLER:
(Name)
(Address)
RECEMNG
STATION:
(Name)
(Address)
Please correct growers number_
Lot Code _
as indicatedbelow:
Signature
Number
Was:
Prune Grower
Lot Identi
Name:
Address:
Should Be:
Name:
Address:
Above requested corrections have been made:
Record
Receiving documents, weight certificates,
door receipts. contracts. etc.
[ncoming Inspections
DF A Form P-6 issued
3rower number assignment on handler's
reDort of accountin
Date
INSTRUCTIONS: SEE OVER
Simature
PMC Form 8.91
INSTRUCTIONS:
The correction needs to be made in your prunegrower receiving documents, incoming inspection certificates,
handler's repon of accounting, or in any other record wherein the old number appears to identifythe 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 requiredby law (7 U.S.C. 608 (d), 7 CRF §993.73).
FAILURE TO REPORT can result in a fme of not less than $50 or more than $5,000 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 OMBcontrol number. The valid OMBcontrol 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.
"
The u.s. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age,
disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs,
reprisal, or because all or part of an individual's income is derivedfrom a'QIpublic assistance program (Not allprohibited bases apply to all
programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.)
should contact USDA's TARGET Center at (202) 720-2600 (voice and IDD). Tofile a complaint of discrimination, write to USDA, Director, Office of
Civil Rights, 1400 Independence Avenue, S.w., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (I'DD). USDA is an
equal opportunity provider and employer.
File Type | application/pdf |
File Modified | 2007-08-02 |
File Created | 2007-08-02 |