A grower selling cultivated ginseng shall do all of the following when selling to a dealer:

(a) Provide a record of sale containing all of the following information to the dealer:

(i) Grower's name and address;

(ii) Grower's registration number;

(iii) Ginseng certificate number;

(iv) Ginseng dry weight;

(v) Year harvested;

(vi) County of harvest;

(vii) Date of transaction;

(b) Certify that the ginseng was grown in Washington state. The certificate of origin shall be in the form prescribed by the director;