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OMB No. 0535-0218 Approval Expires 12/31/2011 |
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2010 VEGETABLE CHEMICAL USE SURVEY |
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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US Version |
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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ENTERPRISE |
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VERSION 01 |
POID ___ ___ ___ ___ ___ ___ ___ ___ ___ |
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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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 Vegetable Chemical Use Survey is Title 7, Section 2204 of the U.S. Code. Under Title 7 of the U.S. Code and CIPSEA (Public Law 107-347), facts about your operation are kept confidential and used only for statistical purposes. Response is voluntary.
We encourage you to refer to your records during the interview. |
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BEGINNING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
004 __ __ __ __ |
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Name __________________________________________ |
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Address ________________________________________ |
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________________________________________ |
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Phone (_____)__________________________________ |
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[Name, address and partners verified and updated if necessary.] |
During the screening phase of the Vegetable Chemical Use Survey conducted in June and July, your operation was found to be growing or intending to grow vegetables this year. I now need to verify some of the information collected during the screening survey. |
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Verify operation name and operator on label and/or screener. |
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CHANGE IN OPERATING STATUS |
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[ENUMERATOR NOTE: Skip this section if there is no change in operation name or operator.] |
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1. Has there been a change in operation name or operator? |
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NO - [Go to Enumerator Note, below.] |
CODE |
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YES - [Enter code 1, complete name and address information below for new operator, then read Enumerator Note.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
023 |
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___________________________________________________ |
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Operation Name ____________________________________________ |
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___________________________________________________ |
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Operator Name _____________________________________________ |
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___________________________________________________ |
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Address ____________________________________________________ |
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___________________________________________________ |
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____________________________________________________ |
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___________________________________________________ |
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Phone ( _______ ) ___________________________________________ |
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[ENUMERATOR NOTE: |
If the operation on the face page was in business part of the 2010 crop year, complete this questionnaire for the part of the year during which the operation did business, unless the operation has been taken over by a new operator. If the operator has changed midyear, please conduct this interview start to finish with the new operator after reading “Valid Substitution” rules in section 4 of the Interviewer’s Manual.] |
2. Has the operation printed on this questionnaire been combined or merged with any other farming operations? |
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YES - [Go to “Conclusion.”] |
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NO - [Continue.] |
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CHANGE IN OPERATING STATUS |
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3. Did this operation have any of the target crops during the 2010 crop year? |
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YES - [Continue.] |
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NO - [Write notes explaining situation, then go to “Conclusion” on back page.] |
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______________________________________________________________________________________________________________________ |
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______________________________________________________________________________________________________________________ |
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______________________________________________________________________________________________________________________ |
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4. Are the day-to-day
decisions for this operation (name on label) made by
– |
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one individual? [Go to Section A.] |
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a hired manager? [Go to Section A.] |
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partners? [Continue.] |
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5. How many individuals are involved in the day-to-day decisions of this operation? [Enter the number of partners, including the partner named on the label. Identify the other persons in this partnership below, then go to Section A.] (Partners jointly operate land and share in decision making. Do not include landlords and tenants as partners.). . . . . . . . . . |
NUMBER |
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PARTNERS |
POID__ __ __ __ __ __ __ __ __ |
PARTNERS |
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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PARTNERS |
POID__ __ __ __ __ __ __ __ __ |
PARTNERS |
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 |
A |
LAND OPERATED |
A |
ACRES OPERATED |
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[Enumerator Action: If acreage on the insert is verified as correct, enter code 1 in box 801, then skip to Section B. If acreage has changed, ask ALL questions.] . . . . . . . . . |
CODE |
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801 |
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Now I would like to ask about the total acres operated under this land arrangement. |
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1. How many acres does this operation--- |
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ACRES |
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a. Own? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + |
901 |
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b. Rent or lease from others or use rent free? (Exclude land used on an animal unit month (AUM) basis.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + |
902 |
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c. Rent to others? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - |
905 |
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2. [Calculate item 1a + 1b -1c.] Then the total acres operated are: . . . . . . . . . . . . . . . . . . . . . . . . . . = |
900 . ___ |
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a. Does this include the farmstead, all cropland, woodland, pasture land, wasteland, and government program land?
YES - [Continue.] NO - [Make corrections, then continue.] |
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The remaining questions in this survey refer to these [item 2] acres. |
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3. Of the total acres operated, how many acres are considered cropland, including land in hay, summer fallow, cropland idle, cropland used for pasture and cropland in government programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
ACRES |
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802 |
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4. Of the total acres operated, how many acres are vegetables? (Include both target and non-target vegetables planted on the operation.) . . . . . . . . . . . . . . . . . . . . . . . . . . |
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803 . ___ |
B |
VEGETABLE ACREAGE |
B |
1. What target
vegetables were on these [Section A,
item 2] acres of vegetables not intended for harvest in 2010.) |
T-TYPE 1 |
TABLE 001 |
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OFFICE USE
LINES IN TABLE |
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[ENUMERATOR NOTE: If no target acreage is present, write notes and skip to “Conclusion” on back page.] |
LINE 99 |
199 |
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1 |
2 |
3 |
4 |
5 |
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L I N E
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How many acres were PLANTED for harvest in the 2010 crop year? (Include 2010 acres which were planted in other years.) |
Were any commercial fertilizers applied to this crop?
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Were any herbicides, insecticides, fungicides, etc. applied to this crop?
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INCLUDE: |
� TARGET CROPS ONLY.
� All acreage of TARGET CROPS for processing or fresh market.
� All acreage equal to or greater than one tenth of an acre.
� All bearing acreage of TARGET CROPS for roadside stands, farmer’s markets or U-pick sales.
� Acreage not harvested due to weather, economic or other reasons.
� Crops planted in the fall of 2009 if they were part of the 2010 crop.
� Double Cropping
� ALL CROPS GROWN IN ANOTHER STATE.
� All crops grown in greenhouses, hothouses and home gardens.
� Plantings of crops not intended for harvest in 2010.
� New plantings and other plantings which are not yet bearing (asparagus & strawberries)
� All vegetables grown for commercial transplanting.
� All mushrooms, potatoes, dry beans, sweet potatoes.
� All vegetable acreage grown for seed only.
� All vegetable acres grown by institutional, experimental, research and university farms.
� Non-target vegetables. |
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CROP |
CROP CODE |
ACRES |
[YES = 1] |
[YES = 1] |
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01 |
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101 |
102 |
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108 |
109 |
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02 |
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101 |
102 |
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108 |
109 |
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03 |
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101 |
102 |
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108 |
109 |
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04 |
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101 |
102 |
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108 |
109 |
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EXCLUDE: |
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05 |
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101 |
102 |
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108 |
109 |
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06 |
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101 |
102 |
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108 |
109 |
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07 |
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101 |
102 |
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108 |
109 |
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08 |
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101 |
102 |
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108 |
109 |
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09 |
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101 |
102 |
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108 |
109 |
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10 |
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101 |
102 |
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108 |
109 |
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11 |
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101 |
102 |
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108 |
109 |
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12 |
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101 |
102 |
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108 |
109 |
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13 |
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101 |
102 |
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108 |
109 |
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14 |
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101 |
102 |
.___ |
108 |
109 |
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15 |
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101 |
102 |
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108 |
109 |
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TARGET CROPS & CODES |
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COLORADO |
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MINNESOTA |
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OREGON |
CORN, SWEET 2110 FRESH MARKET |
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CARROTS 4107 PROCESSING |
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BEANS, SNAP 4131 PROCESSING |
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CORN, SWEET |
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CORN, SWEET |
FLORIDA |
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4110 PROCESSING |
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2110 FRESH MARKET |
BEANS, SNAP |
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PEAS, GREEN (exclude dried) |
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4110 PROCESSING |
2131 FRESH MARKET |
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4122 PROCESSING |
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120 ONIONS, BULB |
CABBAGE |
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PEAS, GREEN (exclude dried) |
2106 FRESH MARKET |
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NEW JERSEY |
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4122 PROCESSING |
CORN, SWEET |
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CORN, SWEET |
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74 STRAWBERRIES (bearing age) |
2110 FRESH MARKET |
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2110 FRESH MARKET |
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CUCUMBERS |
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CUCUMBERS |
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SOUTH CAROLINA |
2111 FRESH MARKET |
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2111 FRESH MARKET |
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CUCUMBERS |
4111 PROCESSING |
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122 EGGPLANT |
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4111 PROCESSING |
126 PEPPERS, BELL |
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126 PEPPERS, BELL |
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33 WATERMELONS |
188 SQUASH |
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SQUASH |
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74 STRAWBERRIES (bearing age) |
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1188 SUMMER SQUASH |
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TENNESSEE |
TOMATOES |
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3188 WINTER SQUASH |
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BEANS, SNAP |
2134 FRESH MARKET |
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TOMATOES |
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2131 FRESH MARKET |
33 WATERMELONS |
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2134 FRESH MARKET |
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TOMATOES |
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2134 FRESH MARKET |
GEORGIA |
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NEW YORK |
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BEANS, SNAP |
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BEANS, SNAP |
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TEXAS |
2131 FRESH MARKET |
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2131 FRESH MARKET |
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CABBAGE |
CABBAGE |
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4131 PROCESSING |
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2106 FRESH MARKET |
2106 FRESH MARKET |
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CABBAGE |
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4 CANTALOUPE |
CORN, SWEET |
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2106 FRESH MARKET |
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CARROTS |
2110 FRESH MARKET |
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CORN, SWEET |
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2107 FRESH MARKET |
CUCUMBERS |
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2110 FRESH MARKET |
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CORN, SWEET |
2111 FRESH MARKET |
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CUCUMBERS |
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2110 FRESH MARKET |
120 ONIONS, BULB |
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2111 FRESH MARKET |
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CUCUMBERS |
126 PEPPERS, BELL |
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120 ONIONS, BULB |
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4111 PROCESSING |
188 SQUASH |
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188 SQUASH |
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120 ONIONS, BULB |
TOMATOES |
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SPINACH |
2134 FRESH MARKET |
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NORTH CAROLINA |
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2132 FRESH MARKET |
33 WATERMELONS |
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BEANS, SNAP |
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33 WATERMELONS |
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2131 FRESH MARKET |
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ILLINOIS |
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CABBAGE |
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WISCONSIN |
BEANS, SNAP |
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2106 FRESH MARKET |
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BEANS, SNAP |
4131 PROCESSING |
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CORN, SWEET |
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4131 PROCESSING |
CORN, SWEET |
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2110 FRESH MARKET |
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CABBAGE |
2110 FRESH MARKET |
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CUCUMBERS |
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2106 FRESH MARKET |
128 PUMPKINS |
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2111 FRESH MARKET |
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CARROTS |
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4111 PROCESSING |
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4107 PROCESSING |
MICHIGAN |
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126 PEPPERS, BELL |
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CORN, SWEET |
102 ASPARAGUS (bearing age) |
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188 SQUASH |
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2110 FRESH MARKET |
BEANS, SNAP |
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TOMATOES |
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4110 PROCESSING |
4131 PROCESSING |
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2134 FRESH MARKET |
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CUCUMBERS |
CARROTS |
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33 WATERMELONS |
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4111 PROCESSING |
2107 FRESH MARKET |
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120 ONIONS, BULB |
CORN, SWEET |
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OHIO |
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PEAS, GREEN (exclude dried) |
2110 FRESH MARKET |
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CORN, SWEET |
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4122 PROCESSING |
CUCUMBERS |
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2110 FRESH MARKET |
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2111 FRESH MARKET |
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CUCUMBERS |
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4111 PROCESSING |
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4111 PROCESSING |
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128 PUMPKINS |
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128 PUMPKINS |
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188 SQUASH |
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TOMATOES 2134 FRESH MARKET |
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C |
FERTILIZER APPLICATIONS |
C |
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Enumerator Note--- If
column 4 of the table in Section B is
YES for any crops, continue with item 1. |
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1. I need to record complete information on all commercial fertilizers applied to the target vegetables grown during the 2010 crop year. Include all applications regardless of how they were applied (irrigation water, foliar applications, etc.). [Record amount of analysis of fertilizers applied or pounds of actual plant nutrients applied. Complete the table below (and any necessary supplemental fertilizer tables). Exclude micronutrients, lime, and gypsum.] |
T-TYPE
002 |
TABLE
001 |
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OFFICE USE
LINES IN TABLE |
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LINE
99 |
299 |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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L I N E
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CROP |
CROP CODE |
N I T R O G E N
N |
P H O S P H A T E
P205 |
P O T A S H
K20 |
S U L F U R
S |
How much was applied per acre per application?
[Leave this column blank if actual nutrients were reported.]
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UNIT CODES
1 Pounds 12 Gallons 13 Quarts 15 Liquid Oz. 28 Dry Oz. 19 Actual Nutrients
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How many acres was this applied to?
ACRES |
How many times was it applied?
NUMBER |
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01 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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02 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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03 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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04 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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05 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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06 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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07 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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08 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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09 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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10 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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11 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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12 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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13 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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14 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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15 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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16 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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17 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
C |
FERTILIZER APPLICATIONS |
C |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
L I N E
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CROP |
CROP CODE |
N I T R O G E N
N |
P H O S P H A T E
P205 |
P O T A S H
K20 |
S U L F U R
S |
How much was applied per acre per application?
[Leave this column blank if actual nutrients were reported.]
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UNIT CODES
1 Pounds 12 Gallons 13 Quarts 15 Liquid Oz. 28 Dry Oz. 19 Actual Nutrients
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How many acres was this applied to?
ACRES |
How many times was it applied?
NUMBER |
18 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
19 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
20 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
21 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
22 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
23 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
24 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
25 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
26 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
27 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
28 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
29 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
30 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
31 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
32 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
33 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
34 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
35 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
36 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
37 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
38 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
39 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
40 |
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201 |
202 |
203 |
204 |
214 |
205 . ___ |
206 |
207 . ___ |
208 |
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NOTES |
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D |
PESTICIDE APPLICATIONS |
D |
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1. Now I need to get complete
information on all of the chemicals applied, including
applications made by you and/or by custom applicators during the
2010 crop year to each of the target vegetable
crops you grew. Let’s start with the first
application to your [crop] since the 2009
crop year harvest. |
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[ENUMERATOR NOTE: If
respondent is not able to report columns 6 or 7, ask respondent
to report: |
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LINES IN TABLE OFFICE USE |
T-TYPE 3 |
TABLE 001 |
LINE 99 |
399 |
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1 |
2 |
3 |
4 |
5 |
||||||||||||||
CHEMICAL PRODUCT NAME |
L I N E
|
CROP |
CROP CODE |
What products were applied to the [crop]?
[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.] |
||||||||||||||
|
01 |
|
304 |
305 |
|
306 |
||||||||||||||
|
02 |
|
304 |
305 |
|
306 |
||||||||||||||
|
03 |
|
304 |
305 |
|
306 |
||||||||||||||
|
04 |
|
304 |
305 |
|
306 |
||||||||||||||
|
05 |
|
304 |
305 |
|
306 |
||||||||||||||
|
06 |
|
304 |
305 |
|
306 |
||||||||||||||
|
07 |
|
304 |
305 |
|
306 |
||||||||||||||
|
08 |
|
304 |
305 |
|
306 |
||||||||||||||
|
09 |
|
304 |
305 |
|
306 |
||||||||||||||
|
10 |
|
304 |
305 |
|
306 |
||||||||||||||
|
11 |
|
304 |
305 |
|
306 |
||||||||||||||
|
12 |
|
304 |
305 |
|
306 |
||||||||||||||
|
13 |
|
304 |
305 |
|
306 |
||||||||||||||
|
14 |
|
304 |
305 |
|
306 |
||||||||||||||
|
15 |
|
304 |
305 |
|
306 |
||||||||||||||
[For pesticides not listed in Respondent Booklet, specify---] |
||||||||||||||||||||
Line No. |
|
Pesticide Type (Herbicide, Insecticide, Fungicide, etc.) |
|
Trade Name and Formulation |
|
Form Purchased (Liquid or Dry) |
|
EPA Reg. No. |
||||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
||||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
||||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
D |
PESTICIDE APPLICATIONS |
D |
|
CODES FOR COLUMN 8 |
|
||||||||||||||||
|
1 POUNDS |
14 PINTS |
30 GRAMS |
46 SPIRALS |
|
|||||||||||||
|
12 GALLONS |
15 OUNCES, LIQUID |
40 KILOGRAMS |
47 PACKETS |
|
|||||||||||||
|
13 QUARTS |
28 OUNCES, DRY |
41 LITERS |
50 OTHER (Specify_____________) |
|
|||||||||||||
|
|
|
|
|||||||||||||||
|
||||||||||||||||||
L I N E
|
6 OR 7 |
8 |
9 |
10 |
||||||||||||||
How much was applied per acre per application?
|
What was the total amount applied per application?
|
[Enter unit code from above.]
CODE |
How many acres were treated with this product?
ACRES |
How many times was it applied?
NUMBER |
||||||||||||||
01 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
02 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
03 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
04 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
05 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
06 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
07 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
08 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
09 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
10 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
11 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
12 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
13 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
14 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
15 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
[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 Reg. No. |
||||||||||
____________ |
|
___________________________ |
|
_________________________ |
|
_______________ |
|
_____________________ |
||||||||||
____________ |
|
___________________________ |
|
_________________________ |
|
_______________ |
|
_____________________ |
||||||||||
____________ |
|
___________________________ |
|
_________________________ |
|
_______________ |
|
_____________________ |
D |
PESTICIDE APPLICATIONS |
D |
|
||||||||||||||||||||
|
|
|
|
|
|
|
|
|||||||||||||
|
|
1 |
2 |
3 |
4 |
5 |
||||||||||||||
CHEMICAL PRODUCT NAME |
L I N E
|
CROP |
CROP CODE |
What products were applied to the [crop]?
[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.] |
||||||||||||||
|
16 |
|
304 |
305 |
|
306 |
||||||||||||||
|
17 |
|
304 |
305 |
|
306 |
||||||||||||||
|
18 |
|
304 |
305 |
|
306 |
||||||||||||||
|
19 |
|
304 |
305 |
|
306 |
||||||||||||||
|
20 |
|
304 |
305 |
|
306 |
||||||||||||||
|
21 |
|
304 |
305 |
|
306 |
||||||||||||||
|
22 |
|
304 |
305 |
|
306 |
||||||||||||||
|
23 |
|
304 |
305 |
|
306 |
||||||||||||||
|
24 |
|
304 |
305 |
|
306 |
||||||||||||||
|
25 |
|
304 |
305 |
|
306 |
||||||||||||||
|
26 |
|
304 |
305 |
|
306 |
||||||||||||||
|
27 |
|
304 |
305 |
|
306 |
||||||||||||||
|
28 |
|
304 |
305 |
|
306 |
||||||||||||||
|
29 |
|
304 |
305 |
|
306 |
||||||||||||||
|
30 |
|
304 |
305 |
|
306 |
||||||||||||||
|
31 |
|
304 |
305 |
|
306 |
||||||||||||||
|
32 |
|
304 |
305 |
|
306 |
||||||||||||||
|
33 |
|
304 |
305 |
|
306 |
||||||||||||||
[For pesticides not listed in Respondent Booklet, specify---] |
||||||||||||||||||||
Line No. |
|
Pesticide Type (Herbicide, Insecticide, Fungicide, etc.) |
|
Trade Name and Formulation |
|
Form Purchased (Liquid or Dry) |
|
EPA Reg. No. |
||||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
||||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
||||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
D |
PESTICIDE APPLICATIONS |
D |
|
CODES FOR COLUMN 8 |
|
||||||||||||||||
|
1 POUNDS |
14 PINTS |
30 GRAMS |
46 SPIRALS |
|
|||||||||||||
|
12 GALLONS |
15 OUNCES, LIQUID |
40 KILOGRAMS |
47 PACKETS |
|
|||||||||||||
|
13 QUARTS |
28 OUNCES, DRY |
41 LITERS |
50 OTHER (Specify_____________) |
|
|||||||||||||
|
|
|
|
|||||||||||||||
|
||||||||||||||||||
L I N E
|
6 OR 7 |
8 |
9 |
10 |
||||||||||||||
How much was applied per acre per application?
|
What was the total amount applied per application?
|
[Enter unit code from above.]
CODE |
How many acres were treated with this product?
ACRES |
How many times was it applied?
NUMBER |
||||||||||||||
16 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
17 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
18 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
19 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
20 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
21 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
22 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
23 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
24 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
25 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
26 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
27 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
28 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
29 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
30 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
31 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
32 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
33 |
308 . ___ ___ |
309 . ___ ___ |
310 |
312 . ___ |
313 |
|||||||||||||
[For pesticides not listed in Respondent Booklet, specify---] |
||||||||||||||||||
Line No. |
|
Pesticide Type (Herbicides, Insecticides, Fungicides, etc.) |
|
Trade name and Formulation |
|
Form Purchased (Liquid or Dry) |
|
EPA Reg. No. |
||||||||||
__________ |
|
________________________________ |
|
_________________ |
|
___________________ |
|
____________ |
||||||||||
__________ |
|
________________________________ |
|
_________________ |
|
___________________ |
|
____________ |
||||||||||
__________ |
|
________________________________ |
|
_________________ |
|
___________________ |
|
____________ |
E |
PEST MANAGEMENT PRACTICES |
E |
Now I have some questions
about pest management practices on this operation. (Include both target and non-target vegetable crops grown.) By pests, we mean insects, weeds, and diseases. |
|
|
|
T-TYPE |
TABLE |
LINE |
|
0 |
000 |
00 |
|
|
|
|
|
||||||
1. [Enumerator Action: Were PESTICIDE APPLICATIONS reported in Section B, column 5 on page 5?] |
||||||
YES - [Continue.] |
No - [Go to item 5.] |
|||||
|
||||||
2. Was weather data used to
assist in determining either the need or |
|
CODE |
||||
YES = 1 |
600 |
|||||
|
|
|
||||
3. Were any biological
pesticides such as Bt (Bacillus thuringiensis), |
|
|
||||
YES = 1 |
601 |
|||||
|
|
|
||||
4. Were pesticides with
different mechanisms of action rotated or tank |
|
|
||||
YES = 1 |
602 |
|||||
|
|
|||||
5. In 2010, how were your vegetable acres primarily scouted for insects, weeds, diseases and/or beneficial organisms? . . . . . . . . . . . . . . . . . |
1 By deliberately going to the vegetable acres specifically for scouting activities. (Enter code 1 and go to item 6.) 2 By conducting general observations while performing routine tasks. (Enter code 2 and go to item 8.) 3 The vegetable acres were not scouted. (Enter code 3 and go to item 11.) |
. . . . . . . . . . . . . . |
|
|||
608 |
||||||
|
|
|||||
6. Was an established
scouting process used (systemic sampling, |
|
|
||||
YES = 1 |
609 |
|||||
|
|
|||||
7. Was scouting for pests done on these vegetable acres due to--- |
|
|||||
a. a pest advisory warning?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
610 |
||||
b. a pest development model?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
611 |
|
||
1 |
2 |
|
8. Were your vegetable acres scouted for –-- |
[If column 1 is YES, ask---]
Who did the majority of the scouting for [column 1]—
1 Operator, partner or family member 2 An employee 3 Farm supply or chemical dealer 4 Independent crop consultant or commercial scout 5 Processor 6 Other (specify: ______________________________ ) |
|
|
YES = 1 |
CODE |
a. weeds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
612 |
614 |
b. insects and mites?. . . . . . . . . . . . . . . . . . . . . . |
615 |
617 |
c. disease?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
618 |
620 |
E |
PEST MANAGEMENT PRACTICES |
E |
9.
Were written or electronic records kept to track the activity or
|
|
CODE |
|||||||||
YES = 1 |
623 |
||||||||||
10.
Was scouting data compared to published information on
infestation |
|
|
|||||||||
YES = 1 |
624 |
||||||||||
|
|
|
|||||||||
11. Was field mapping data used for making pest management decisions?. . . . . . . . . . . . . . . . . . |
YES = 1 |
625 |
|||||||||
12.
Were the services of a diagnostic laboratory used for pest
identification or |
|
|
|||||||||
YES = 1 |
626 |
||||||||||
|
|
|
|||||||||
13. Were crop residues plowed down or removed to manage pests?. . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
627 |
|||||||||
|
|
|
|||||||||
14. Were crops rotated during the past three years for the purpose of managing pests?. . . . . . . . |
YES = 1 |
628 |
|||||||||
15.
Were ground covers, mulches, or other physical
barriers |
|
|
|||||||||
YES = 1 |
629 |
||||||||||
|
|
|
|||||||||
16. Was a crop variety chosen because it had resistance to a specific pest?. . . . . . . . . . . . . . . . . |
YES = 1 |
630 |
|||||||||
|
|
|
|||||||||
17. Was no-till or minimum till used to manage pests?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
631 |
|||||||||
|
|
|
|||||||||
18. Were planting locations planned to avoid infestation of pests?. . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
632 |
|||||||||
|
|
|
|||||||||
19. Were planting or harvesting dates adjusted to manage pests?. . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
633 |
|||||||||
|
|
|
|||||||||
20. Were row spacing or plant density adjusted to manage pests?. . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
634 |
|||||||||
|
|
|
|||||||||
21. Was a trap crop grown to help manage insects?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
635 |
|||||||||
22.
Were any beneficial organisms (insects,
nematodes, fungi) |
|
|
|||||||||
YES = 1 |
636 |
||||||||||
23.
Were floral lures, attractants, repellants, pheromone traps
or |
|
|
|||||||||
YES = 1 |
637 |
||||||||||
|
|
|
|||||||||
24. Were any vegetable acres cultivated for weed control during the growing season?. . . . . . . . . . |
YES = 1 |
640 |
|||||||||
25.
Were field edges, lanes, ditches, roadways or fence lines
chopped, |
|
|
|||||||||
YES = 1 |
642 |
||||||||||
26.
Were equipment and implements cleaned after completing |
|
|
|||||||||
YES = 1 |
643 |
||||||||||
|
|
|
|||||||||
27. Were any vegetable acres irrigated for the 2010 crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
644 |
|||||||||
a. [If item 27 = YES, ask---]
Were
water management practices (excluding chemigation) |
|
|
|||||||||
YES = 1 |
645 |
||||||||||
|
|||||||||||
|
COMPLETION
CODE for |
|
COMPLETION
CODE for |
|
COMPLETION CODE for PEST MANAGEMENT PRACTICES |
|
|||||
|
1 Incomp/R 3 Valid Zero |
200 |
|
1 Incomp/R 3 Valid Zero |
300 |
|
1 Incomp/R
|
500 |
|
CONCLUSION |
SURVEY RESULTS |
||
1. To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/. Would you rather have a brief summary mailed to you at a later date? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
|
CODE |
YES = 1 |
099 |
|
[Thank the respondent, then review this questionnaire.] |
||
|
|
|
ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
005
___ ___ ___ ___ |
|
|
OFFICE USE TIME IN HOURS |
|
|
006
. ___ |
RECORD USE |
CODE |
|
Did respondent use operation records to report pesticide data?. . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
064 |
|
||
SUPPLEMENT USE |
|
|
Record the total number of supplements used to complete this interview. |
NUMBER |
|
Fertilizer Supplements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
067 |
|
Pesticide Supplements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
068 |
|
|
|
|
|
|
Reported by: __________________________________________________ |
Telephone No. ( ) ________________________________ |
Response |
Respondent |
Mode |
Enum |
Eval |
Date MM DD YY |
R Unit |
Duplication Adjustor |
Optional |
|||
1-Comp 2-R 3-Inac 4-Office Hold |
9901 |
1- Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Other |
9902 |
2-Tel 3-Face-to - Face
|
9903 |
0098 |
0100 |
9910
__ __ __ __ 10 |
0921 |
0922 |
0002 |
Office Use for POID |
|||||||||||
0789
__ __ __ - __ __ __ - __ __ __ |
|||||||||||
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 0535-0218. The time required to complete this information collection is estimated to average 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Carol Pinto |
File Modified | 0000-00-00 |
File Created | 2021-01-31 |