QID Nursery and Floriculture Chemical Use Survey - Supplemen

Nursery Production Survey and Nursery and Floriculture Chemical Use Survey

0244-NFCUS Supplemental Quest_QID

Nursery Production Survey and Nursery and Floriculture Chemical Use Survey

OMB: 0535-0244

Document [doc]
Download: doc | pdf

16





























VERSION


01

POID


___ ___ ___ ___ ___ ___ ___ ___ ___

SUBTRACT


___ ___

T-TYPE


0

TABLE


000

LINE


00





JANUARY 2007

NURSERY and FLORICULTURE

CHEMICAL USE SURVEY


CHEMICAL APPLICATIONS TABLE

SUPPLEMENT












CHEMICAL APPLICATION SUPPLEMENT




OFFICE USE

EDIT TABLE

1 Incomplete

3 Valid Zero

314

OFFICE USE

LINES IN TABLE

T-TYPE 1

TABLE

001

LINE 99

101

PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


  1. Greenhouse (enclosed)

  2. Shade Structure (frames, slat, saran, cloth,
    screen, non-enclosed greenhouse, etc
    .)

  3. Natural Shade Area (palm, citrus, etc.)

  4. In The Open Production Area

  5. Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


01

301


302

303

304


02

301


302

303

304


03

301


302

303

304


04

301


302

303

304


05

301


302

303

304


06

301


302

303

304


07

301


302

303

304


08

301


302

303

304


09

301


302

303

304


10

301


302

303

304


11

301


302

303

304


12

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)





















6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

01

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

02

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

03

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

04

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

05

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

06

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

07

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

08

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

09

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

10

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

11

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

12

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313





PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


1 Greenhouse (enclosed)

2 Shade Structure (frames, slat, saran, cloth,
screen, non-enclosed greenhouse, etc
.)

3 Natural Shade Area (palm, citrus, etc.)

4 In The Open Production Area

5 Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


13

301


302

303

304


14

301


302

303

304


15

301


302

303

304


16

301


302

303

304


17

301


302

303

304


18

301


302

303

304


19

301


302

303

304


20

301


302

303

304


21

301


302

303

304


22

301


302

303

304


23

301


302

303

304


24

301


302

303

304


25

301


302

303

304


26

301


302

303

304


27

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)













6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

13

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

14

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

15

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

16

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

17

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

18

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

19

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

20

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

21

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

22

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

23

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

24

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

25

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

26

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

27

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313


PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


1 Greenhouse (enclosed)

2 Shade Structure (frames, slat, saran, cloth,
screen, non-enclosed greenhouse, etc
.)

3 Natural Shade Area (palm, citrus, etc.)

4 In The Open Production Area

5 Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


28

301


302

303

304


29

301


302

303

304


30

301


302

303

304


31

301


302

303

304


32

301


302

303

304


33

301


302

303

304


34

301


302

303

304


35

301


302

303

304


36

301


302

303

304


37

301


302

303

304


38

301


302

303

304


39

301


302

303

304


40

301


302

303

304


41

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)













6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

28

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

29

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

30

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

31

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

32

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

33

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

34

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

35

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

36

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

37

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

38

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

39

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

40

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

41

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313


PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


1 Greenhouse (enclosed)

2 Shade Structure (frames, slat, saran, cloth,
screen, non-enclosed greenhouse, etc
.)

3 Natural Shade Area (palm, citrus, etc.)

4 In The Open Production Area

5 Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


42

301


302

303

304


43

301


302

303

304


44

301


302

303

304


45

301


302

303

304


46

301


302

303

304


47

301


302

303

304


48

301


302

303

304


49

301


302

303

304


50

301


302

303

304


51

301


302

303

304


52

301


302

303

304


53

301


302

303

304


54

301


302

303

304


55

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)













6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

42

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

43

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

44

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

45

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

46

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

47

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

48

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

49

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

50

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

51

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

52

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

53

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

54

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

55

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313


PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


1 Greenhouse (enclosed)

2 Shade Structure (frames, slat, saran, cloth,
screen, non-enclosed greenhouse, etc
.)

3 Natural Shade Area (palm, citrus, etc.)

4 In The Open Production Area

5 Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


56

301


302

303

304


57

301


302

303

304


58

301


302

303

304


59

301


302

303

304


60

301


302

303

304


61

301


302

303

304


62

301


302

303

304


63

301


302

303

304


64

301


302

303

304


65

301


302

303

304


66

301


302

303

304


67

301


302

303

304


68

301


302

303

304


69

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)













6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

56

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

57

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

58

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

59

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

60

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

61

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

62

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

63

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

64

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

65

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

66

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

67

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

68

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

69

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313


PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


1 Greenhouse (enclosed)

2 Shade Structure (frames, slat, saran, cloth,
screen, non-enclosed greenhouse, etc
.)

3 Natural Shade Area (palm, citrus, etc.)

4 In The Open Production Area

5 Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


70

301


302

303

304


71

301


302

303

304


72

301


302

303

304


73

301


302

303

304


74

301


302

303

304


75

301


302

303

304


76

301


302

303

304


77

301


302

303

304


78

301


302

303

304


79

301


302

303

304


80

301


302

303

304


81

301


302

303

304


82

301


302

303

304


83

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)













6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

70

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

71

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

72

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

73

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

74

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

75

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

76

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

77

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

78

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

79

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

80

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

81

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

82

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

83

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313


PRODUCTION CATEGORY CODES FOR COLUMN 4


LOCATION CODES FOR COLUMN 5

NURSERY

1 Transplants for commercial vegetable and strawberry production

2 Propagative nursery material or lining-out stock

3 Broadleaf evergreens

4 Coniferous evergreens

5 Deciduous shade trees

6 Deciduous flowering trees

7 Deciduous shrubs

8 Fruit and nut plants

9 Christmas trees

10 Palms

11 Ornamental grasses

12 Other woody ornamentals and vines

20 Non-production area

FLORICULTURE

13 Cut flowers

14 Flowering plants (potted)

15 Bedding plants (flat, potted, hanging)

16 Foliage plants (potted or hanging)

17 Propagative floriculture material

18 Cut cultivated greens

19 Herbaceous perennials

20 Non-production area


1 Greenhouse (enclosed)

2 Shade Structure (frames, slat, saran, cloth,
screen, non-enclosed greenhouse, etc
.)

3 Natural Shade Area (palm, citrus, etc.)

4 In The Open Production Area

5 Perimeter (non-production areas)










1

2

3

4

5

CHEMICAL

PRODUCT NAME

L

I

N

E




What products

were

applied?





[Enter product code.]

Was this

product

bought in

liquid or

dry form?



[Enter L or D.]

Was this part

of a

tank mix?


[If tank mix, enter line number

of first product

in mix.]


What was this chemical mostly applied to?

[Enter code

from above.]


CODE

Where was this

product

mostly

applied?

[Enter code

from above.]


CODE


84

301


302

303

304


85

301


302

303

304


86

301


302

303

304


87

301


302

303

304


88

301


302

303

304


89

301


302

303

304


90

301


302

303

304


91

301


302

303

304


92

301


302

303

304


93

301


302

303

304


94

301


302

303

304


95

301


302

303

304


96

301


302

303

304

[For pesticides not listed in Respondent Booklet, specify---]

Line No.


Pesticide Type

(Herbicide, Insecticide, Fungicide, etc.)


Tradename

and Formulation


Form Purchased

(Liquid or Dry)


EPA

No.

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________

_____________


__________________________


____________________________


________________


_________________


UNIT CODES FOR COLUMN 9


METHOD CODES FOR COLUMN 11


APPLICATOR CODES FOR COLUMN 12

1 Pounds

12 Gallons

13 Quarts

14 Pints

15 Liquid Ounces

20 Teaspoons

21 Tablespoons

28 Dry Ounces

30 Grams

40 Kilograms

41 Liters

42 Milliliters

50 Other, bags, WSP, etc.
(
Specify unit &
weight
________)

1 Hand held back pack sprayer

2 Hand held wand/gun/boom from power
hydraulic sprayers

3 Hand held granular shakers

4 Hand held granular rotary applicator
(
whirly bird, belly grinder)

5 Hand held foggers

6 Dusting

7 Overhead rail sprayers (track sprayers)

8 Root ball/container/cutting/flower dip

9 Drench

10 Stationary fogger, aerosols, misters,
electrostatic sprayers, smokers

11 Tractor powered boom sprayer

12 Tractor powered air blast or mister

13 Aerial application

14 Chemigation

15 Machine injection, branded, broadcast,
knifed in

16 Other, (Specify____________________)

1 Licensed operator/employee pesticide
applicator

2 Unlicensed operator/employee under the direction of licensed applicator

3 Hired custom applicator
(
Not an employee of operation)

4 Other, (Specify:________________)













6

7

8

9

10

11

12

L

I

N

E




How much area

was

treated?


What was the

total amount applied per application?

How much was applied

per acre OR

per 1,000 square feet per

application?

UNIT

[Enter code from

above.]




CODE

How many

times was

this

applied?



NUMBER

How was this product applied?

[Enter code

from above.

CODE

Who made

the application(s)?

[Enter code

from above.]




CODE

ACRES

OR

SQUARE FEET

RATE

PER ACRE

OR

RATE PER

1,000 SQUARE FEET

84

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

85

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

86

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

87

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

88

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

89

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

90

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

91

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

92

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

93

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

94

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

95

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313

96

305

.___


306

307

.___

308

.___ ___


309

.___ ___

310

311

312

313





File Typeapplication/msword
File TitleVERSION
AuthorEvanPa
Last Modified ByHancDa
File Modified2007-07-20
File Created2007-07-20

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