Project 159 QID 002363 |
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NURSERY AND FLORICULTURE CHEMICAL USE SURVEY 2009 |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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U.S Department of Agriculture Rm. 5030, South Building 1400 Independence Avenue, S.W. Washington, D.C. 20250-2000 1-800-727-9540 Fax: 202-690-2090 Email: [email protected] |
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VERSION 01 |
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SUBTRACT ___ ___ |
T-TYPE 0 |
TABLE 000 |
LINE 00 |
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CONTACT RECORD |
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DATE |
TIME |
NOTES |
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[Name and address verified and updated if necessary.] |
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INTRODUCTION:
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
We
are collecting information on chemical applications for
floriculture and nursery production in 2009 and need your help to
collect complete and accurate data. Authority for collection of
information on the Nursery and Floriculture Chemical Use Survey
is
We encourage you to refer to your farm records during the interview. |
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1. Were your total gross sales of floriculture crops greater than $10,000 in 2009? |
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YES |
NO |
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2. Were your total gross sales of nursery crops and/or Christmas trees greater than $10,000 in 2009? |
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YES |
NO |
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[ENUMERATOR NOTE: If items 1 and 2 are NO, conclude the interview.] |
3. [Complete PARTNER boxes below only if the operator is in a partnership.] |
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POID __ __ __ __ __ __ __ __ __ |
POID __ __ __ __ __ __ __ __ __ |
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PARTNER NAME |
PARTNER NAME |
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ADDRESS |
ADDRESS |
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CITY |
STATE |
ZIP |
PHONE NUMBER |
CITY |
STATE |
ZIP |
PHONE NUMBER |
POID __ __ __ __ __ __ __ __ __ |
POID __ __ __ __ __ __ __ __ __ |
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PARTNER NAME |
PARTNER NAME |
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ADDRESS |
ADDRESS |
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CITY |
STATE |
ZIP |
PHONE NUMBER |
CITY |
STATE |
ZIP |
PHONE NUMBER |
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CHEMICAL APPLICATIONS |
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These questions are about pesticide and chemical (excluding fertilizer) applications. |
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1. In 2009, for your floriculture and/or nursery operation, were any insecticides, herbicides, fungicides, nematicides, miticides, growth regulators, rooting compounds, soil fumigants or other chemicals applied? |
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YES – [Complete table below.] |
NO – [Go to item 1 on page 18.] |
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[ENUMERATOR NOTE: In order to combine applications (column 10 greater than 1), the product/formulation, to what and where mostly applied, areas treated in size, amount applied, rate of application, method of application, and who made the application, MUST all be the same.] |
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OFFICE USE EDIT TABLE |
1 Incomplete 3 Valid Zero |
314 |
OFFICE USE LINES IN TABLE |
T-TYPE 1 |
TABLE 001 |
LINE 99 |
101 |
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PRODUCTION CATEGORY CODES FOR COLUMN 4 |
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LOCATION CODES FOR COLUMN 5 |
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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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
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1 |
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4 |
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CHEMICAL PRODUCT NAME |
L I N E
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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.]
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What was this chemical mostly applied to? [Enter code from above.]
CODE |
Where was this product mostly applied? [Enter code from above.]
CODE |
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01 |
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02 |
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04 |
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05 |
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06 |
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07 |
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08 |
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10 |
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11 |
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12 |
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304 |
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[For pesticides not listed in Respondent Booklet, specify---] |
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Line No. |
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Pesticide Type (Herbicide, Insecticide, Fungicide, etc.) |
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Tradename and Formulation |
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Form Purchased (Liquid or Dry) |
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EPA No. |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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CHEMICAL APPLICATIONS |
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UNIT CODES FOR COLUMN 9 |
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METHOD CODES FOR COLUMN 11 |
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APPLICATOR CODES FOR COLUMN 12 |
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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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify____________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
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[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
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6 |
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8 |
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10 |
11 |
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L I N E
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How much area was treated?
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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 |
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ACRES |
OR |
SQUARE FEET |
RATE PER ACRE |
OR |
RATE PER 1,000 SQUARE FEET |
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01 |
305 |
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306 |
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02 |
305 |
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307 |
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.___ ___ |
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03 |
305 |
.___ |
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306 |
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04 |
305 |
.___ |
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306 |
307 |
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309 |
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05 |
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306 |
307 |
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308 |
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310 |
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06 |
305 |
.___ |
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306 |
307 |
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308 |
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07 |
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.___ |
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08 |
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306 |
307 |
.___ |
308 |
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.___ ___ |
310 |
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09 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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312 |
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10 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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312 |
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11 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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12 |
305 |
.___ |
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306 |
307 |
.___ |
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.___ ___ |
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309 |
.___ ___ |
310 |
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312 |
313 |
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NOTES AND CALCULATIONS: |
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CHEMICAL APPLICATIONS |
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PRODUCTION CATEGORY CODES FOR COLUMN 4 |
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LOCATION CODES FOR COLUMN 5 |
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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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
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1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas) |
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1 |
2 |
3 |
4 |
5 |
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CHEMICAL PRODUCT NAME |
L I N E
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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.]
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What was this chemical mostly applied to? [Enter code from above.]
CODE |
Where was this product mostly applied? [Enter code from above.]
CODE |
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13 |
301 |
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303 |
304 |
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14 |
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15 |
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304 |
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16 |
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17 |
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18 |
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23 |
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302 |
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304 |
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[For pesticides not listed in Respondent Booklet, specify---] |
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Line No. |
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Pesticide Type (Herbicide, Insecticide, Fungicide, etc.) |
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Tradename and Formulation |
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Form Purchased (Liquid or Dry) |
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EPA No. |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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CHEMICAL APPLICATIONS |
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UNIT CODES FOR COLUMN 9 |
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METHOD CODES FOR COLUMN 11 |
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APPLICATOR CODES FOR COLUMN 12 |
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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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify____________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
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[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
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6 |
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10 |
11 |
12 |
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L I N E
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How much area was treated?
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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 |
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ACRES |
OR |
SQUARE FEET |
RATE PER ACRE |
OR |
RATE PER 1,000 SQUARE FEET |
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13 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
311 |
312 |
313 |
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14 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
311 |
312 |
313 |
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15 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
311 |
312 |
313 |
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16 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
311 |
312 |
313 |
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17 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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312 |
313 |
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18 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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312 |
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19 |
305 |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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20 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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.___ ___ |
310 |
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312 |
313 |
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21 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
311 |
312 |
313 |
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22 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
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23 |
305 |
.___ |
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306 |
307 |
.___ |
308 |
.___ ___ |
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309 |
.___ ___ |
310 |
311 |
312 |
313 |
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NOTES AND CALCULATIONS: |
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CHEMICAL APPLICATIONS |
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PRODUCTION CATEGORY CODES FOR COLUMN 4 |
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LOCATION CODES FOR COLUMN 5 |
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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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
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1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas) |
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1 |
2 |
3 |
4 |
5 |
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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 |
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24 |
301 |
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302 |
303 |
304 |
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25 |
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26 |
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32 |
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33 |
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304 |
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34 |
301 |
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302 |
303 |
304 |
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[For pesticides not listed in Respondent Booklet, specify---] |
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Line No. |
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Pesticide Type (Herbicide, Insecticide, Fungicide, etc.) |
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Tradename and Formulation |
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Form Purchased (Liquid or Dry) |
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EPA No. |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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_____________ |
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__________________________ |
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____________________________ |
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________________ |
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_________________ |
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CHEMICAL APPLICATIONS |
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UNIT CODES FOR COLUMN 9 |
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METHOD CODES FOR COLUMN 11 |
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APPLICATOR CODES FOR COLUMN 12 |
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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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify____________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||||
[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
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 |
|||||||||||||||||||||
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 |
|||||||||||
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 |
|||||||||||
|
||||||||||||||||||||||||||
NOTES AND CALCULATIONS: |
||||||||||||||||||||||||||
|
|
CHEMICAL APPLICATIONS |
|
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||||
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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
|
1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 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 |
||||||||||||||||||
|
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 |
||||||||||||||||||
|
42 |
301 |
|
302 |
303 |
304 |
||||||||||||||||||
|
43 |
301 |
|
302 |
303 |
304 |
||||||||||||||||||
|
44 |
301 |
|
302 |
303 |
304 |
||||||||||||||||||
|
45 |
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. |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
|
CHEMICAL APPLICATIONS |
|
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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify____________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||||
[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
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 |
|||||||||||||||||||||
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 |
|||||||||||
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 |
|||||||||||
|
||||||||||||||||||||||||||
NOTES AND CALCULATIONS: |
||||||||||||||||||||||||||
|
|
CHEMICAL APPLICATIONS |
|
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||||
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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
|
1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 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 |
||||||||||||||||||
|
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 |
||||||||||||||||||
|
56 |
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. |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
|
CHEMICAL APPLICATIONS |
|
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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify____________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||||
[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
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 |
|||||||||||||||||||||
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 |
|||||||||||
56 |
305 |
.___ |
|
306 |
307 |
.___ |
308 |
.___ ___ |
|
309 |
.___ ___ |
310 |
311 |
312 |
313 |
|||||||||||
|
||||||||||||||||||||||||||
NOTES AND CALCULATIONS: |
||||||||||||||||||||||||||
|
|
CHEMICAL APPLICATIONS |
|
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||||
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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
|
1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 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 |
||||||||||||||||||
|
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 |
||||||||||||||||||
[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. |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
|
CHEMICAL APPLICATIONS |
|
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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify__________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||||
[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
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 |
|||||||||||||||||||||
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 |
|||||||||||
|
||||||||||||||||||||||||||
NOTES AND CALCULATIONS: |
||||||||||||||||||||||||||
|
|
CHEMICAL APPLICATIONS |
|
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||||
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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
|
1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 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 |
||||||||||||||||||
|
68 |
301 |
|
302 |
303 |
304 |
||||||||||||||||||
|
69 |
301 |
|
302 |
303 |
304 |
||||||||||||||||||
|
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 |
||||||||||||||||||
[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. |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
|
CHEMICAL APPLICATIONS |
|
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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify____________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:_________________)
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||||
[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
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 |
|||||||||||||||||||||
68 |
305 |
.___ |
|
306 |
307 |
.___ |
308 |
.___ ___ |
|
309 |
.___ ___ |
310 |
311 |
312 |
313 |
|||||||||||
69 |
305 |
.___ |
|
306 |
307 |
.___ |
308 |
.___ ___ |
|
309 |
.___ ___ |
310 |
311 |
312 |
313 |
|||||||||||
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 |
|||||||||||
|
||||||||||||||||||||||||||
NOTES AND CALCULATIONS: |
||||||||||||||||||||||||||
|
|
CHEMICAL APPLICATIONS |
|
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||
|
||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
||||||||||||||||
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 (flats, potted, hanging) 16 Foliage plants (potted or hanging) 17 Propagative floriculture material 18 Cut cultivated greens 19 Herbaceous perennials (potted) 20 Non-production area |
|
1 Greenhouse (enclosed)
2 Shade Structure (frames,
slat, saran, cloth, 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 |
||||||||||||||||||
|
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 |
||||||||||||||||||
|
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 |
||||||||||||||||||
[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. |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
||||||||||||||||
_____________ |
|
__________________________ |
|
____________________________ |
|
________________ |
|
_________________ |
|
CHEMICAL APPLICATIONS |
|
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. |
1 Hand held back pack sprayer
2 Hand held wand/gun/boom
from power 3 Hand held granular shakers
4 Hand held granular
rotary applicator 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, 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation
15 Machine injection,
branded, broadcast, 16 Other, (Specify__________________) |
1 Licensed
operator/employee pesticide 2 Unlicensed operator/employee under the direction of licensed applicator
3 Hired custom
applicator 4 Other, (Specify:__________________)
|
|||||||||||||||||||||||
|
||||||||||||||||||||||||||
[ENUMERATOR NOTE: CHEMICAL APPLICATIONS –when completing columns 6, 7 & 8 complete either columns 6 and 7 or columns 6 and 8 or columns 7 and 8.] |
||||||||||||||||||||||||||
|
|
|
|
|
|
|
||||||||||||||||||||
|
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 |
|||||||||||||||||||||
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 |
|||||||||||
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 |
|||||||||||
|
||||||||||||||||||||||||||
NOTES AND CALCULATIONS: |
||||||||||||||||||||||||||
|
|
PEST MANAGEMENT PRACTICES |
|
|
T-TYPE 0 |
TABLE 000 |
LINE 00 |
||||||
1. In 2009, did your operation scout or monitor for pests--- |
|
||||||||
a. By conducting general observations while performing routine tasks? |
CODE |
||||||||
YES – [Enter code 1 then go to item 2.] |
NO – [Continue with item 1b.]. . . . . . . . . . . . . . . . |
320 |
|||||||
b. By deliberately going to the growing areas specifically for scouting activities? |
CODE |
||||||||
YES – [Enter code 1 then go to item 2.] |
NO – [Continue with item 2c.]. . . . . . . . . . . . . . . . . . |
321 |
|||||||
2. In 2009, did your operation--- |
CODE |
||||||||
a. keep electronic or written records on weed, insect or disease levels?. . . . . . . . . . . . . . . . . . . |
YES = 1 |
323 |
|||||||
b. use pheromones to monitor insects by trapping?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
328 |
|||||||
c. detect the presence of weeds, insects, diseases or pathogens by--- |
|
CODE |
|||||||
(i) soil analysis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
324 |
|||||||
(ii) plant tissue analysis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
325 |
|||||||
(iii) using trap indicator plants?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES =1 |
326 |
|||||||
(iv) inspecting incoming stock?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
327 |
|||||
(v) use of insect traps?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
355 |
|||||
d. use insect or disease resistant plant varieties?. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
329 |
|||||
e. control weeds, insects or disease by--- |
|
|
|
CODE |
|||||
(i) using beneficial organisms (insects, nematodes or fungi)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
330 |
|||||||
(ii) using biological pesticides (BotaniGard, Conserve, Gnatrol, Nemasys, etc.)?. . . . . . . . . . . . . |
YES = 1 |
331 |
|||||||
(iii) using trap vegetation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
332 |
|||||||
(iv) using pheromones to disrupt insect mating?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
333 |
|||||||
(v) using water management practices such as controlled
drainage or |
NA = 4 |
. . . . . |
YES = 1 |
334 |
|||||
(vi) pruning out or removing infected plants or plant parts?. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
335 |
|||||||
(vii) tilling, mowing, or burning of field or greenhouse borders, lanes, etc.?. . . . . . . . . . . . . . . |
YES = 1 |
336 |
|||||||
(viii) adjusting row spacing or direction?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
337 |
|||||
(ix) elevating plant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
338 |
|||||
(x) adjusting plant density?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
339 |
|||||||
(xi) use sterilized growing media?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
340 |
|
PEST MANAGEMENT PRACTICES |
|
2. In 2009, did your operation---(continued) |
|
||||||
e. control weeds, insect or diseases by--- |
|
|
|
CODE |
|||
(xii) sanitizing benches or other platform devices between uses?. . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
341 |
|||
(xiii) sanitizing ground covers between uses?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
342 |
|||
(xiv) sanitizing containers between uses?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
343 |
|||
(xv) modifying temperature?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
344 |
|||
(xvi) modifying hothouse/greenhouse relative humidity?. . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
345 |
|||
(xvii) using greenhouse ventilation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
346 |
|||
(xviii) using greenhouse screening?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
347 |
|||
(xix) using plant tissue dryness management such as
minimizing |
NA = 4 |
. . . . . |
YES = 1 |
348 |
|||
(xx) utilizing ground covers, mulches or other physical
barriers |
NA = 4 |
. . . . . |
YES = 1 |
349 |
|||
(xxi) use of insect traps?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
NA = 4 |
. . . . . |
YES = 1 |
356 |
|||
f. rotate or tank mix pesticides (use
pesticides with different mechanisms of action) |
YES = 1 |
350 |
|||||
g. monitor weather data to assist in determining when to make
pesticide |
YES = 1 |
351 |
|||||
|
|
|
|||||
h. apply pesticides |
1 2
3 4 |
PREVENTIVE SCHEDULE? SCOUTING DATA COMPARED TO UNIVERSITY OR EXTENSION INFESTATION GUIDELINES? SCOUTING DATA AND YOUR ESTABLISHED THRESHOLDS? OTHER? (Specify:_______________________________________ ) |
. . . . . . . . . . |
CODE |
|||
352 |
3. In 2009, where did your operation--- |
|
||||||||||
|
1 2 3 |
CHEMICAL DEALER? CHEMICAL MANUFACTURER? OTHER? (Specify: ________________________ ) |
|
CODE |
|||||||
a. obtain most of its pesticides--- |
. . . . . . . . . . . |
353 |
|||||||||
|
|
||||||||||
b. mostly get recommendations [Enter one code.]. . . . . . . . . . . . . . . . . . |
1 2 3
4 5
6 7 8 |
FARM SUPPLY DEALER/CHEMICAL DEALER UNIVERSITY/EXTENSION PERSONNEL/MATERIALS? COMMERCIAL SCOUTING SERVICE/CROP CONSULTANT/ PEST CONTROL ADVISOR? OTHER GROWERS/PRODUCERS? PRODUCER ASSOCIATION/NEWSLETTER/ TRADE MAGAZINE? EMPLOYEE PEST ADVISOR? CUSTOM APPLICATOR? OTHER? (Specify: __________________________________ ) |
. . . . |
CODE |
|||||||
354 |
|||||||||||
|
|||||||||||
|
COMPLETION CODE for PEST MANAGEMENT |
|
|||||||||
|
1 3 |
Incomp/R Valid zero |
300 |
|
CONCLUSION |
1. SURVEY RESULTS: The information from USDA-NASS surveys is available at http://www.nass.usda.gov/results. The results will be available under the title "Nursery and Floriculture Chemical Use Survey." If you do not have Internet access please call 1-800-727-9540. |
|||||||||
[Thank the respondent then review this questionnaire.] |
|||||||||
|
TOTAL ENUMERATION TIME |
|
TOTAL TIME SPENT WITH OPERATOR or RESPONDENT |
||||||
2. Time spent collecting data----. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
019 |
.___ |
|
012 |
.___ |
||||
|
|
|
|
|
|
||||
3. SUPPLEMENTS USED |
NUMBER |
||||||||
(Record the total number of chemical supplements used to complete this interview.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
014 |
||||||||
|
|
||||||||
4. ENUMERATOR NOTE: Please list names, title and
contact information if other people were contacted for |
|||||||||
NAME/TITLE: |
__________________________________________________________________________________________ |
|
|||||||
PHONE: |
__________________________________________________________________________________________ |
|
|||||||
ADDRESS: |
__________________________________________________________________________________________ |
|
|||||||
|
|
|
|||||||
|
|
|
|||||||
|
|
|
|||||||
|
|
|
|||||||
|
|
|
|||||||
Respondent’s Name:_______________________________ |
Telephone Number:__________________________ |
Date:_____________ |
|||||||
|
|
|
OFFICE USE |
||||||||||||
Response |
Respondent |
Mode |
Enum. |
Eval. |
R. UNIT |
Date |
Office Use for POID |
|||||
1-Comp 2-R 3-Inac 4-Office Hold
|
9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Oth
|
9902 |
2-Tel 3-Face-to- Face
|
9903 |
098 |
100 |
921 |
9910
__ __ __ __ __ __ |
789
__ __ __ - __ __ __ - __ __ __ |
||
|
||||||||||||
Dup Adj. |
Optional |
|||||||||||
922 |
002 |
|||||||||||
.___ ___ ___ |
||||||||||||
S/E Name |
|
|
|
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 0535-0244. The time required to complete this information collection is estimated to average 60 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. |
File Type | application/msword |
Author | Carol Pinto |
Last Modified By | David Hancock |
File Modified | 2009-12-09 |
File Created | 2009-12-09 |