OMB No. 0581-0215 

Federal Marketing Order 983 - Administrative Committee for Pistachios 

Failed Lots: Notification and Rework/Disposition Report 

Federal Marketing Order §983.52: handlers shall notify the Administrative Committee for Pistachios (ACP) of all lots that fail to meet the order's maximum aflatoxin requirements 

by completing and submitting this report to the ACP. Use this form to report a failed lot (Section A) and to report the 

rework/disposition of this failed lot (Section B). Each section is to be signed and dated. Submit to: 

Administrative Committee for Pistachios 

A. Failed Lot Report – complete, sign, date, and submit to the ACP within 10 days of lot failure. Save a copy for 4938 East Yale Avenue, Suite 102 

your records. Complete Section B to report the rework/disposition of this failed lot. Fresno, California 93727 

Phone: (559) 255-6480 Fax: (559) 255-6485 

Handler Name Sampled by (lab/name) Sample Date Email: admin@acpistachios.org 

Lot Description Lot ID/Marks Weight in Pounds Container size/description Test 1 Result Test 2 Result Average Result Certificate No. 

Prepared By Title Signature Signature Date 

B. Failed Lot Rework/Disposition – complete Section B within 10 days of the rework or disposition of the failed lot. Sign, date and submit to the ACP 

Rework Report 

Pounds 

Reworked 

Pounds 

Accepted 

New Lot Description New Lot 

ID/Marks 

New Container 

size/description 

Test 1 

Result 

Test 2 

Result 

Test 3 

Result 

Avg 1 & 2 Avg 1,2, & 3 Pass Retest? 

Yes / No 

Certificate No. 

Disposition Report – check method of disposition if not reworked. 

Exported Pounds Shipped Country Customer BL No. 

Non-Human 

Consumption 

Pounds Shipped Description of use: BL No. 

Shelled Out Pounds Shelled 

Date of Rework/Disposition Form Prepared By Title Signature Signature Date 

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- 0215. The time required to complete this information collection is estimated to average 20 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. 

ACP-2 (Exp. 6/30/2024. Destroy previous editions.)