<table>
<colgroup>
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 3%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 25%" />
<col style="width: 0%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="30">FSA-1007 (06-01-05) FINAL <strong>INSPECTION
CERTIFICATE AND CALCULATION WORKSHEET</strong> USDA/FSA/AMS</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="14" rowspan="2">Farm Producer Name/Seller’s Name, St. &amp;
CO. Code &amp; Farm No.</td>
<td colspan="9">Buying Point No. &amp; Location</td>
<td colspan="7">Serial No.</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Share %</td>
<td colspan="14"><p>Applicant /Buyer’s Name and No.</p>
<p>1,</p>
<p>2.</p>
<p>3.</p></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="15"><h2
id="section-i-inspection-certificate-farmers-stock-peanuts">SECTION I –
INSPECTION CERTIFICATE – FARMERS STOCK PEANUTS</h2></td>
<td colspan="7" rowspan="2">Whse. Description and Bin No.</td>
<td colspan="8" rowspan="3">Delivery Point, if not the same as
Whse.</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="15" rowspan="2">This certificate is issued pursuant to the
Agricultural Marketing Act of 1946 as amended (7 U.S.C. 1621 et. seq.)
and is admissible as prima-facie evidence in all courts in the United
States. Any person who knowingly shall falsely make, alter, forge, or
counterfeit this certificate, electronic image, or participate in any
such action is subject to a fine not more $1000.00, imprisonment for not
less than 1 year, or both.</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7">Type Storage</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="15">Vehicle No.</td>
<td colspan="13">Weight Ticket No.</td>
<td>In</td>
<td>Out</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="4" rowspan="2">Inspection Memo No. (FV-95)</td>
<td colspan="6" rowspan="2">Type of Inspection</td>
<td colspan="5" rowspan="2">Date Inspected</td>
<td colspan="15"><h2 id="section-ii-calculation-worksheet">SECTION II –
CALCULATION WORKSHEET</h2></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="4"><strong>Seg.</strong></td>
<td colspan="7">A. Weight including Vehicle</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2" rowspan="2">No. Bags</td>
<td rowspan="2">Bulk</td>
<td colspan="2" rowspan="2">Type</td>
<td colspan="4" rowspan="2">Seg.</td>
<td colspan="3" rowspan="2">Crop Year</td>
<td colspan="3" rowspan="2">Time</td>
<td colspan="3"><strong>HMC</strong></td>
<td><strong>%</strong></td>
<td colspan="7">B. Weight of Vehicle</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">FM</td>
<td></td>
<td colspan="7">C. Gross Weight (A minus B)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7"><p>FOREIGN MATERIAL % %</p>
<p>GR.</p></td>
<td colspan="8"><strong>VALENCIA TYPE ONLY</strong></td>
<td colspan="3">LSK</td>
<td></td>
<td colspan="7">D. Foreign Material (% of FM x C)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="7">LSK %</td>
<td colspan="8"><h1 id="crackedbroken-shells">CRACKED/BROKEN SHELLS
%</h1>
<p>%</p></td>
<td colspan="3">MST</td>
<td></td>
<td colspan="7">E. Weight Less FM (C minus D)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7">MOISTURE %</td>
<td colspan="8"><h1 id="discolored-shells">DISCOLORED SHELLS %</h1></td>
<td colspan="3">SMK</td>
<td></td>
<td colspan="7">F. Excess Moisture (% of EM x E)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="7">FREEZE DAMAGE %</td>
<td colspan="8"><strong>VIRGINIA TYPE ONLY</strong></td>
<td colspan="3">SS</td>
<td></td>
<td colspan="7">G. NET WEIGHT (E minus F)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7" rowspan="2">CONCEALED RMD %</td>
<td colspan="8">FANCY %</td>
<td colspan="3">SMKRS</td>
<td></td>
<td colspan="7">H. LSK (% of LSK x C)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8">ELK %</td>
<td colspan="3">OK</td>
<td></td>
<td colspan="7">I. Net Weight excluding LSK (G minus H)</td>
<td colspan="4">lbs.</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="15">SMK % + SOUND SPLITS %= %</td>
<td colspan="3">FRZ</td>
<td></td>
<td colspan="7">J. Kernel Value Per Ton/Lb. (Exc. LSK)</td>
<td colspan="4">$/¢</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8">REMARKS</td>
<td colspan="7">OTHER KERNELS %</td>
<td colspan="3">C RMD</td>
<td></td>
<td colspan="7">K. ELK Premium</td>
<td colspan="4">$/¢</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7" rowspan="4"></td>
<td colspan="8">DAMAGE %</td>
<td colspan="3" rowspan="2"><p>Total</p>
<p>Kernels</p></td>
<td rowspan="2"></td>
<td colspan="7">L. Total (J + K)</td>
<td colspan="4">$/¢</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8">TOTAL KERNELS %</td>
<td colspan="2">M. Damage</td>
<td colspan="4">Excess FM</td>
<td>Excess Splits</td>
<td colspan="4">TOTAL</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="8">HULLS %</td>
<td colspan="3">DAM</td>
<td></td>
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td colspan="4">$/¢</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="8">TOTAL KERNELS</td>
<td colspan="3">HULLS</td>
<td></td>
<td colspan="7" rowspan="2"><p>N. Net Value Per Ton/Lb. Exc. LSK</p>
<p>(L minus M)</p></td>
<td colspan="4" rowspan="2">$/¢</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7"></td>
<td colspan="8">&amp; HULLS (EXC. LSK) %</td>
<td colspan="3">ELK</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="15"></td>
<td colspan="3">FANCY</td>
<td></td>
<td colspan="7">O. Value Per Lb. Exc. LSK (N divided by 2000)</td>
<td colspan="4">¢</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="15"></td>
<td colspan="3"><p>Tot Krnls</p>
<p>&amp; Hulls</p>
<p>(Exc. LSK)</p></td>
<td></td>
<td colspan="7"><p>P. Value Per Pound Including LSK</p>
<p>N or O x I = $ __________</p>
<p>H x $.07 = $ __________</p></td>
<td colspan="4"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="19"></td>
<td colspan="7">TOTAL = $ G =</td>
<td colspan="4">¢</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11" rowspan="4">I, the undersigned, a duly authorized
inspector of the United States Department of Agriculture, do hereby
certify that, at the request of the applicant and on the date inspected
indicated above, samples of the above described products were inspected
and the quality and/or condition as shown by said samples were as herein
stated.</td>
<td colspan="2">Applicant No.</td>
<td colspan="4">R. Unrecptd/Stored</td>
<td colspan="3">Applicant No.</td>
<td colspan="4">S. Receipted</td>
<td colspan="3">Applicant No.</td>
<td colspan="3">T. Commercial</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="6">LBS. (Line G)</td>
<td colspan="7">LBS. (Line G)</td>
<td colspan="6">LBS. (Line G)</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="6">x Line P = $</td>
<td colspan="7">x Line P = $</td>
<td colspan="6">X Line P = $</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="6">x %</td>
<td colspan="7">x %</td>
<td colspan="6">x %</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">Signature of Inspector Date Signed</td>
<td colspan="6">Value of Segment</td>
<td colspan="7">Value of Segment</td>
<td colspan="6">Value of Segment</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11"></td>
<td colspan="6">= $</td>
<td colspan="7">= $</td>
<td colspan="6">= $</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="6">I, the undersigned, a duly licensed weigher, do hereby
certify that this certificate is issued under the United States
Warehouse Act and in accordance with the regulations thereunder.</td>
<td colspan="5"><p><strong>Deductions</strong></p>
<p>1. Peanut Promotion</p></td>
<td colspan="6"></td>
<td colspan="7"></td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="6">Signature of Licensed Weigher</td>
<td colspan="5">2. Tax – Ser. Fee</td>
<td colspan="6">$</td>
<td colspan="7">$</td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="6"></td>
<td colspan="5">3.</td>
<td colspan="6">$</td>
<td colspan="7">$</td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="5">4.</td>
<td colspan="6">$</td>
<td colspan="7">$</td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="6">Date Signed</td>
<td colspan="5">5.</td>
<td colspan="6">$</td>
<td colspan="7">$</td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="6"></td>
<td colspan="5">6.</td>
<td colspan="6">$</td>
<td colspan="7">$</td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="6" rowspan="2">Q. REMARKS</td>
<td colspan="5">7. Net Amount</td>
<td colspan="6">$</td>
<td colspan="7">$</td>
<td colspan="6">$</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="24">Date Delivered for Immediate Sale:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="30" rowspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="31"><strong>Note: THIS IS NOT A WAREHOUSE RECEIPT – NOT
NEGOTIABLE</strong> <strong>Applicant</strong>
<strong>Original</strong></td>
</tr>
</tbody>
</table>