California Walnut Board OMB NO. 0581-0178

101 Parkshore Drive, Suite 250 CWB Form #1

Folsom, CA 95630 Due Date: JANUARY 15, 20__

Ph (916) 932-7070 Fax (916) 932-7071

CROP ACQUISITION REPORT, BY COUNTY AND VARIETY, FOR CROP YEAR 20__

This report of crop acquisitions by county and variety is submitted in compliance with the requirements of the Federal Marketing Order No. 984, as amended. In executing this form, the 

handler respectively certifies to the California Walnut Board and to the U.S. Department of Agriculture as to the correctness and completeness of their statement.

Instructions: 1. Report ALL crop acquisitions, except Interhandler transfers, by county and variety including your own production as a grower.

2. Report all quantities in inshell pounds. If you did not have any acquisitions, write “NONE” on the form.

3. Please complete BOTH Section 1 and Section 2. Your totals for county and variety must agree.

4. Mail a signed original to the California Walnut Board (CWB) office on or before January 15, 20__.

SECTION 1: COUNTY SECTION 2: VARIETY

COUNTY INSHELL POUNDS COUNTY INSHELL POUNDS VARIETY INSHELL POUNDS

Alameda Santa Barbara Ashley

Amador Santa Clara Chandler

Butte Santa Cruz Chico

Calaveras Shasta Eureka/Eureka types 

Colusa Solano Franquette

Contra Costa Sonoma Hartley

El Dorado Stanislaus Howard

Fresno Sutter Ivanhoe

Glenn Tehama Livermore

Kern Tulare Payne

Kings Yolo Serr

Lake Yuba Solano

Madera Other (please list): Sunland

Merced Tehama

Monterey Tulare

Placer Vina

Riverside Other (please list):

Sacramento

San Benito

San Joaquin

San Luis Obispo TOTAL (must = Section 2) TOTAL (must = Section 1)

Handler: _____________________________________________________ By: ______________________________________________

Title: ________________________________________________________ Date: ____________________________________________

The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of Title 18, Section 1001, United 

States Code, which provides for the penalty of a fine for individuals and for organizations or imprisonment, or both. OVER 
 

 

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 1 hour 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.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial 

status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all 

prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET 

Center at (202) 720-2600 (voice and TDD). 

To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). 

USDA is an equal opportunity provider and employer.

CWB Form 1 (Exp. 3/31/2024) Destroy previous versions.