ABC 8 (981) CA Almonds Inedible & Exempt Outlet Disposition -

OMB No. 0581-0178

ALMOND BOARD OF CALIFORNIA

1150 9th Street, Suite 1500

Modesto, CA 95354

Fax: (209) 550-5494

INEDIBLE AND EXEMPT OUTLET DISPOSITION

NOTICE OF DELIVERY TO OIL OR FEED

This report of disposition of almond material is submitted in compliance with the requirements of Marketing Order No. 981. In executing Part A and Part B, Handler and Accepted User respectively certify to the Almond Board of California (ABC) and to the Secretary of Agriculture as to the correctness and completeness of their respective statements.

PART A (Handler to complete)

Instructions:

1. Deliveries are limited to Accepted Users of the ABC.

2. An official weight certificate must be obtained on each load.

3. The Federal-State Inspection Program must certify the meat content. A sample must be drawn by an Inspector at the time of delivery. The ABC may, however, use an oil crusher to sample at the destination, giving the sample to Inspection.

4. The handler must complete Part A of this form, and send a copy to the ABC, along with weight and inspection certificates.

5. The handler must also send copy to the Accepted User.

Inspection Cert. No. Weight of Percent Net Kernel

Material Meats Weight

___________________ ______________ lbs. __________ % ______________ lbs.

___________________ ______________ lbs. __________ % ______________ lbs.

The above kernel weight of almonds was delivered to:

Name of Accepted User:

Delivery Date: ___________________ Bill of Lading or Invoice No.: __________________

Delivered By: Handler: _______________________________________________________________________

By: ____________________________ Title:______________________________________

PART B (Accepted User to complete)

Instructions: On completion of the disposition, complete Part B and send to the ABC along with destination public weighmaster certificate.

Disposition of the above almond material has been completed by (check method):

□ transfer of_______________________ pounds to _____________________________ (Name of Accepted User)

By (Agent Name): __________________ Signature: __________________________Transfer Date: ____________

□ crushing into oil □ mixing into feed □ feeding directly

Accepted User Name: _______________________________ Date Action Completed:_______________________

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 OMB 0581-0178. The time required to complete this information collection is estimated to average 30 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: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.

ABC-8 (Rev. 01/2017) Destroy previous editions.