OMB No. 0581 - 0189 

FINAL PACKOUT REPORT INSTRUCTIONS: 

1. Enter appropriate Handler/Marketer Information. 

2. Across the top of columns, enter the type of pack styles shipped during the crop year. Select pack styles from list below. 

3. Enter grower information. If handling fruit for a grower with more than one kiwifruit entity (farm, ranch, block, etc.), list each entry 

separately. 

4. Below the appropriate pack styles, enter the total number of containers shipped for each grower entry during the crop year. 

5. Enter acreage amount. 

6. Sign and date report. 

Description Enter this pack style on report 

9kg (19.8 lb.) Volume Fill Volume Fill 

Single layer tray Trays 

Container with 3-layers 3-Layers 

125 lb. Bins Bins 

Master Container with 20 - 1 lb. Bags 20/1# Bags 

Master Container with 10 - 1kg Bags 10/1kg Bags 

Master Container with 6 - 4lb. Clams 6/4# Clams 

Master Container with 6 - 3lb. Clams 6/3# Clams 

Master Container with 27 -.8lb Clams 27/.8# Clams 

Master Container with 18 - 8 ct. Clams 18/8ct. Clams and net wt. of master container 

Master Container with 20 - 6 ct. Clams 20/6ct. Clams and net wt. of master container 

Returnable Plastic Containers, 9kg RPC 9kg 

Containers with 2-layers 2-Layers and net wt. of container 

Euro Containers, Must include description and net wt. (i.e. 

Euro 2-layers, 20# ) 

Type and net wt. of container 

Any other container type/consumer pack must include the 

description and container net wt. 

Type and net wt. of container 

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 OMB 0581-0189. The time required to complete this information collection is estimated to average 45 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. 

SC-266-8 (Exp. 1/31/2027. Destroy previous versions.) 
 

 

 

 

 

 

 

 

 

 

 

OMB No. 0581 - 0189 

FINAL PACKOUT REPORT 

CROP YEAR 20__/20__ 

Kiwifruit Administrative Committee (KAC) 

1521 "I" Street, Sacramento, CA 95814 

Phone #: (916) 441-0678; Fax #: (916) 446-1063 

Email: calkiwi@agamsi.com 

COMPANY: 

Page 1 of ___ 

CONTACT: 

PHONE #: 

Report is due within thirty (30) days after all fruit has been shipped. PACK STYLE 

ENTER PACK STYLES USED AT THE TOP OF EACH COLUMN 

Grower and Farm Name (Please 

list each entity/farm separately) 

Mailing Address 

City/State/Zip 

County 

Farm 

Located 

Kiwifruit 

Acreage 

Subtotal from other pages 

Totals 

I hereby certify to the best of my knowledge and belief that this report is true and complete. I understand that records from which this report is compiled are 

subject to audit and must be preserved for a period of two years: 

Date: Signature: Title: 

SC-266-8 (Exp. 1/31/2027. Destroy previous versions.) 
 

 

 

 

 

 

OMB No. 0581 - 0189 

FINAL PACKOUT REPORT 

CROP YEAR 20__/20__ 

Page ___ of ___ 

COMPANY: 

CONTACT: 

PHONE #: 

Report is due within thirty (30) days after all fruit has been shipped. PACK STYLE 

ENTER PACK STYLES USED AT THE TOP OF EACH COLUMN 

Grower and Farm Name (Please 

list each entity/farm separately) 

Mailing Address 

City/State/Zip 

County 

Farm 

Located 

Kiwifruit 

Acreage 

Enter Subtotals on Page 1 

SC-266-8 (Exp. 1/31/2027. Destroy previous versions.) 
 

 

 

 

OMB No. 0581 - 0189 

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. 

SC-266-8 (Exp. 1/31/2027. Destroy previous versions.)