TB-92 Tobacco Inspection Certificate

Reporting and Recordkeeping Requirements for 7 CFR, Part 29

0581-0056 FORM TB-92 3

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SERIAL NUMBER

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
COTTON AND TOBACCO PROGRAM

TOBACCO INSPECTION CERTIFICATE
Under the Tobacco Inspection Act of 1935

INSPECTED FOR THE ACCOUNT OF (Name and Srreet address or P.0. Box, City, State,

PACKAGE MARKS

CROP YEAR

and ZIP):

NUMBER OF PACKAGES IN LOT

TYPE NUMBER

OFFICIAL GRADE

REMARKS

DATE OF INSPECTION

TB-92 (Exp. X/XXXX) Destroy previous editions.

SIGNATURE OF OFFICIAL INSPECTOR

LOCATION OF INSPECTION (City and State);

COUNTRY OF ORIGIN

NET WEIGHT

TB-92 (Exp. X/XXXX)
TOBACCO INSPECTION CERTIFICATE

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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA,
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or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in
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Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter
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TB-92 (Exp. X/XXXX) Destroy previous editions


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