PMC 5.1 (993) CA Dried Prunes Notice of Proposed Intent to Store

OMB No. 0581-0178

NOTICE OF PROPOSED INTENT TO STORE RESERVE PRUNES

TO: Prune Marketing Committee

3840 Rosin Court, Suite 170

Sacramento, CA 95834

HANDLER: __________________________________________________________________________________

ADDRESS: ___________________________________________________________________________________

The undersigned handler hereby notifies you of its proposed intent to store reserve prunes on the premises of ________________________________________________________________________ whose address is _______________________________________________________________________ as follows:

1. Approximate quantity to be stored ___________________ tons;

2. Exact location of storage facilities __________________________________________________________

______________________________________________________________________________________

3. Description of storage facilities:

a. Handler’s plant or regular dried fruit storage facility…………………………….□

b. Other (describe in detail below) ………………………………………………..…□

______________________________________________________________________________________

______________________________________________________________________________________

Date storage will begin: __________________________________________________________________

Handler __________________________________________________

Signature _________________________________________________

Title _____________________________________________________

STATEMENT OF AGREEMENT TO HOLD RESERVE

The undersigned hereby agrees to hold reserve prunes for the handler hereinabove signatory in proper storage and further agrees to permit access to the hereinabove described premises by the Prune Marketing Committee (Committee) at any time during business hours for the purpose of examining or taking delivery of such prunes.

SIGNATURE _____________________________________________

TITLE ___________________________________________________

INSTRUCTIONS: This notice must be filed with the Committee prior to moving reserve prunes to the person on whose premises the reserve prunes are proposed to be held. Complete the form in detail and obtain the signature of the person on whose premises the reserve prunes are proposed to be held before forwarding the notice to the Committee.

AUTHORITY: § 993.57 of Marketing Order No. 993, as amended, and § 993.157(e) of the Administrative Rules and Regulations established pursuant thereto.

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 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.

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.

PMC 5.1 (Exp. x/xxxx) Destroy previous editions.