Project 143 |
|
|||||
|
2006 POTATO POSTHARVEST CHEMICAL USE SURVEY |
|
NATIONAL AGRICULTURAL STATISTICS SERVICE |
|||
|
|
U.S Department of Agriculture Rm. 5030, South Building 1400 Independence Avenue, S.W. Washington, D.C. 20250-2000 Phone: 1-800-727-9540 Fax: 202-690-2090 |
VERSION
02 |
POID
___ ___ ___ ___ ___ ___ ___ ___ ___ |
SUBTRACT
___ ___ |
T-TYPE
0 |
TABLE
000 |
LINE
00 |
|
||
CONTACT RECORD |
||
DATE |
TIME |
NOTES |
|
|
|
|
|
|
|
|
|
INTRODUCTION: [Introduce yourself, and ask for the operator. Rephrase in your own words.]
We are collecting information on chemical use and need your help to make the information as accurate as possible. Authority for collection of information on the Potato Postharvest Chemical Use Survey is Title 7, Section 2204 of the U.S. Code. This information will be used for analysis and to compile and publish estimates for your state and the United States. Response to this survey is confidential and voluntary.
We encourage you to refer to your records during the interview. |
|
|
|
BEGINNING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
004 __ __ __ __ |
|
|
|
|
|
Name___________________________________________ |
|
|
Address_________________________________________ |
|
|
_________________________________________ |
|
|
Phone(_____)___________________________________ |
|
[Name, address and partners verified and updated if necessary. |
1. Did
this operation (as
listed on the label)
store, pack/ship or process |
|
YES - [Go to page 3.] |
|
NO- [Go to page 2.] |
|
|
|
|
|
|
CHANGE IN OPERATION |
|
● [Complete this section only if item 1 on the front page is answered “No”.] |
|||||
|
|||||
1. Has the operation named on the label been sold, rented, or turned over to someone else? |
|||||
YES - [Go to item 2.] |
No – [Continue.] |
||||
a. Will the operation handle or receive potatoes or other crops at any of its facilities in 2006? |
|||||
YES |
DON'T KNOW |
NO |
|||
[Write a note to explain the situation, then go to back page, Conclusion.] |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
|
|||||
2. Please provide the name and address of the operation that has taken over the business you formerly operated: |
|||||
Operation Name:_____________________________________________________________________________________________________ |
|||||
Operator Name:______________________________________________________________________________________________________ |
|||||
Address:_____________________________________________________________________________________________________________ |
|||||
City:____________________________________________________ |
State:_____________________________ |
Zip:_________________ |
|||
Phone:(______)__________________________________________ |
|
||||
Make notes below and conclude interview. |
|||||
NOTES AND CALCULATIONS: |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
|||||
______________________________________________________________________________________________________________________ |
A |
QUANTITY HANDLED |
A |
1. From July 1, 2005 through June 30, 2006, did your operation--- |
||||||||||||||||||||||
a. change potatoes to a processed product by cooking, drying, frying or freezing? |
CODE |
|||||||||||||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
105 |
||||||||||||||||||||
|
|
|
||||||||||||||||||||
b. sort, grade, package or ship primarily fresh market (table stock) potatoes? |
CODE |
|||||||||||||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
106 |
||||||||||||||||||||
|
|
|
||||||||||||||||||||
c. store
fresh potatoes at about 40 to 55 degrees in an insulated,
ventilated |
CODE |
|||||||||||||||||||||
YES – [Enter code 1 and go to item 2.] |
NO – [Go to item 2.]. . . . . . . . . . . . . . . . . . . . . . . |
107 |
||||||||||||||||||||
Now I would like to ask about the 2005 crop year potatoes. |
||||||||||||||||||||||
Please use your records to help us get an accurate record of potato receipts. |
||||||||||||||||||||||
|
||||||||||||||||||||||
|
UNIT CODES |
|
||||||||||||||||||||
|
4 – Short Ton (2,000 lbs) 5 – CWT. (100 lbs)/SACK 6 – Pounds (lbs) 7 – Metric Ton (2204.6) 8 – Barrel (165 lbs) 9 – Other |
|
||||||||||||||||||||
|
QUANTITY |
|
UNIT |
|
If “9” enter POUNDS/UNIT |
|||||||||||||||||
2. What
was the total (table
and/or processed) |
200 |
|
201 |
|
202 |
|||||||||||||||||
___ ___ ___,___ ___ ___,___ ___ ___ .___ |
. ___ |
|||||||||||||||||||||
|
(If unit is pounds, enter 1.0) |
|||||||||||||||||||||
a. Of
the potatoes in item 1, how many DID
NOT |
QUANTITY |
OR |
PERCENT OF TOTAL NOT TREATED |
|||||||||||||||||||
206 |
|
207 |
||||||||||||||||||||
___ ___ ___,___ ___ ___,___ ___ ___ .___ |
||||||||||||||||||||||
|
|
UNIT CODES |
|
|||||||||||||||||||
|
4 – Short Ton (2,000 lbs) 5 – CWT. (100 lbs)/SACK 6 – Pounds (lbs) 7 – Metric Ton (2204.6 lbs) 8 – Barrel (165 lbs) 9 – Other |
|
||||||||||||||||||||
|
CAPACITY |
|
UNIT |
|
If “9” enter POUNDS/UNIT |
|||||||||||||||||
3. What
is the total potato storage capacity of |
203 |
|
204 |
|
205
.____ |
|||||||||||||||||
|
(If unit is pounds, enter 1.0.) |
|||||||||||||||||||||
|
|
|||||||||||||||||||||
|
COMPLETION
CODE for |
|||||||||||||||||||||
|
1 – Incomp/R 3 – Valid Zero |
300 |
B |
POSTHARVEST CHEMICAL TREATMENTS APPLIED |
B |
Now I will be collecting data on potatoes, only. I will need information for all products applied after harvest. This includes postharvest chemicals applied to all the April crop year potatoes stored, packed/shipped or processed by your operation. I will be asking for the specific product and amount used, quantity of potatoes treated and timing and method of application. Please use your records to answer the questions as accurately as possible and to help make sure we do not miss any products used. |
||||||||||||||||||
|
||||||||||||||||||
|
OFFICE USE LINES IN TABLE |
|||||||||||||||||
|
|
|
T-TYPE
3 |
TABLE
001 |
LINE
99 |
399 |
||||||||||||
|
|
|
||||||||||||||||
|
STORAGE CODES FOR COLUMN 2 5 – Not Stored 6 – Before Storage 7 – During Storage 8 – After Storage
|
|
||||||||||||||||
|
||||||||||||||||||
|
|
1 |
2 |
3 |
||||||||||||||
|
L I N E |
What product was applied? (in Respondent Booklet) |
When was this product applied? |
What was the total quantity of 2005 crop
year potatoes (column 1)?
|
||||||||||||||
CHEMICAL PRODUCT NAME |
(a) COMMON OR TRADE NAME |
(b) PRODUCT CODE |
[Enter code from above.]
|
|||||||||||||||
|
01 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
02 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
03 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
04 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
05 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
06 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
07 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
08 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
09 |
|
302 |
303 |
304 . ___ |
|||||||||||||
|
10 |
|
302 |
303 |
304 . ___ |
|||||||||||||
[For pesticides not listed in Respondent Booklet, specify---] |
||||||||||||||||||
LINE NO. |
|
EPA No. or Trade name and Formulation |
|
Form Purchased (Liquid or Dry) |
|
Where Purchased [Ask only if EPA No. cannot be reported.] |
||||||||||||
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
B |
POSTHARVEST CHEMICAL TREATMENTS APPLIED |
B |
|
|||||||||
UNIT CODES FOR COLUMN 4 |
|
UNIT CODES FOR COLUMN 7 |
|
APPLICATION CODES FOR COLUMN 8 |
|||||
4 - SHORT TON (2,000 lbs) |
|
1 - POUNDS |
|
1 - IMMERSION |
|||||
5 - CWT. (100 lbs)/SACK |
|
12 - GALLONS |
|
2 - SEED TREATMENT |
|||||
6 - POUNDS (lbs) |
|
13 - QUARTS |
|
3 - DIRECT SPRAY |
|||||
7 - METRIC TON (2,204.6 lbs) |
|
14 - PINTS |
|
6 - GAS/FOG |
|||||
8 - BARREL (165 lbs) |
|
15 - OUNCES, LIQUID |
|
8 - MIST |
|||||
9 - OTHER |
|
28 - OUNCES, DRY |
|
11 - OTHER |
|||||
|
|
30 - GRAMS |
|
|
|||||
|
|
40 - KILOGRAMS |
|
|
|||||
|
|
41 - LITERS |
|
|
|||||
|
|
45 - PELLETS |
|
|
|||||
|
|
46 - TABLETS |
|
|
|||||
|
|
50 - OTHER (Specify______________) |
|
|
|||||
|
|||||||||
|
4 |
5 |
6 |
7 |
8 |
||||
L I N E |
[Enter Unit code from above.]
|
If column 4 unit equals “9” enter pounds per unit.
[If unit is pounds, enter 1.0.] |
What was the total amount of formulated product applied to the (column
4)
amount
|
[Enter unit code from above.]
|
What was the method used to apply this product?
CODE |
||||
01 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
02 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
03 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
04 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
05 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
06 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
07 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
08 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
09 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
10 |
305 |
306 . ___ |
307 . ___ ___ |
308 |
309 |
||||
|
|||||||||
Enumerator Notes: |
|||||||||
__________________________________________________________________________________________________________________________ |
|||||||||
__________________________________________________________________________________________________________________________ |
|||||||||
__________________________________________________________________________________________________________________________ |
|||||||||
__________________________________________________________________________________________________________________________ |
C |
PEST MANAGEMENT PRACTICES |
C |
- |
|
|
|
||||||||
Now
I have some questions about pest management practices |
T-TYPE
0 |
TABLE
000 |
LINE
00 |
||||||||
1. Did you use a --- |
|
|
|||||||||
a. aeration controller? |
|
CODE |
|||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
651 |
|||||||||
b. re-circulation fumigation device? |
|
|
|||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
655 |
|||||||||
|
|
|
|||||||||
|
1 – AUTOMATICALLY MONITORED 2 - HOURLY 3 - DAILY 4 – TWICE A WEEK 5 - WEEKLY 6 - OTHER – (Specify____________) 7 - DO NOT MONITOR |
|
CODE |
||||||||
2. How
often are your potatoes inspected for insects |
. . . . . . . . |
685 |
|||||||||
|
|
|
|||||||||
|
|
|
|
|
|||||||
|
1 – AUTOMATICALLY MONITORED 2 - HOURLY 3 - DAILY 4 – TWICE A WEEK 5 - WEEKLY 6 - OTHER – (Specify____________) 7 - DO NOT MONITOR |
|
CODE |
||||||||
3. How
often do you measure potato temperature |
. . . . . |
686 |
|||||||||
|
|
|
C |
PEST MANAGEMENT PRACTICES |
C |
|
|
|
|
|||||||||
4. Which practices do you use at your potato storage processing facilities--- |
||||||||||||
Did you --- |
|
|
||||||||||
a. clean and disinfect potato warehouses? |
|
|
||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . |
671 |
||||||||||
b. use pest/rodent control measures? |
|
|
||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . |
672 |
||||||||||
c. pick up spilled potatoes/clean surrounding areas? |
|
|
||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . |
673 |
||||||||||
d. control vegetation around warehouses? |
|
|
||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . |
674 |
||||||||||
e. clean aeration ducts? |
|
|
||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . |
675 |
||||||||||
f. clean
or sanitize packing/processing facilities |
|
|
||||||||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . |
676 |
||||||||||
|
||||||||||||
5. Did
you do any other cleaning activities besides the ones listed above
to |
||||||||||||
YES – [Enter code 1 and continue.] |
NO [Go to item 6.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
677 |
||||||||||
|
||||||||||||
a. What did you do? [Record responses below.] |
|
OFFICE USE |
||||||||||
|
_______________________________________________________________________ |
|
678 |
|||||||||
|
_______________________________________________________________________ |
|
679 |
|||||||||
|
_______________________________________________________________________ |
|
680 |
|||||||||
|
_______________________________________________________________________ |
|
681 |
|||||||||
|
||||||||||||
|
|
|
COMPLETION CODE for PEST MANAGEMENT SECTION |
|||||||||
|
|
|
|
1 - Incompl/R 3 – Valid Zero |
600 |
CONCLUSION |
SURVEY PUBLICATIONS |
||||
That
completes the survey. Would you like to receive a copy of the
results in the mail? |
CODE |
|||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . . |
099 |
||
[Thank the respondent then review this questionnaire.] |
||||
|
|
|||
ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
005 ___ ___ ___ ___ |
|||
|
OFFICE USE TIME IN HOURS |
|||
|
006 . ___ |
|||
RECORDS USE |
||||
Did respondent use operation records to report chemical data? |
||||
YES – [Enter code 1 and continue.] |
NO – [Continue.]. . . . . . . . . . . . . . . . . . . . . . . |
064 |
||
SUPPLEMENTS USED |
NUMBER |
|||
Record
the total number of chemical treatment supplements used
to |
068 |
|||
|
||||
|
||||
|
|
|||
|
||||
|
||||
Reported by: ______________________________________________ |
Telephone No.(_____) __________________________________ |
Response |
Respondent |
Mode |
Enum ID |
Eval |
Date MM DD YY |
R Unit |
Adj Factor |
Optional |
Optional |
|||
1-Comp 2-R 3-Inac 4-Office Hold 8-Known Zero |
9901 |
1- Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Other |
9902 |
2-Tel
3-Face-to
|
9903 |
098 |
100 |
9910
__ __ __ __06 |
921 |
922 |
002 |
003 |
S/E Name |
File Type | application/msword |
File Title | Project 143 |
Author | USDA |
Last Modified By | hancda |
File Modified | 2008-06-11 |
File Created | 2008-06-11 |