Form QID 002363 QID 002363 Nursery and Floriculture Chemical Use Survey

Nursery Production Survey and Nursery and Floriculture Chemical Use Survey

0244 - NFCUS - Questionnaire - QID - 002363

Nursery Production Survey and Nursery and Floriculture Chemical Use Survey

OMB: 0535-0244

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0535-0244 can be found here:

2016-09-12 - Revision of a currently approved collection

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NURSERY AND FLORICULTURE CHEMICAL USE SURVEY
	OMB No. 0535-0244 Approval Expires: 6/30/2013 Project Code: 159 QID 002363

			NATIONAL AGRICULTURAL STATISTICS SERVICE

		National Agricultural Statistics Service U.S Department of Agriculture NOC Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-800-727-9540 Fax: 314-595-9990 E-mail: [email protected]

VERSION

POID

___ ___ ___ ___ ___ ___ ___ ___ ___

SUBTRACT

___ ___

T-TYPE

TABLE

000

LINE

CONTACT RECORD
DATE	TIME	NOTES

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 and need your help to make the information as accurate as possible. Authority for collection of information is Title 7, Section 2204 of the U.S. Code. This information will be used to compile and publish estimates on chemical use in floriculture and nursery production. 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 farm records during the interview.

[Name, address and partners verified and updated if necessary]
POID __ __ __ __ __ __ __ __ __				POID __ __ __ __ __ __ __ __ __
PARTNER NAME				PARTNER NAME
ADDRESS				ADDRESS
CITY	STATE	ZIP	PHONE NUMBER	CITY	STATE	ZIP	PHONE NUMBER
POID __ __ __ __ __ __ __ __ __				POID __ __ __ __ __ __ __ __ __
PARTNER NAME				PARTNER NAME
ADDRESS				ADDRESS
CITY	STATE	ZIP	PHONE NUMBER	CITY	STATE	ZIP	PHONE NUMBER

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 number 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.

CHEMICAL APPLICATIONS

These questions are about pesticide and chemical (excluding fertilizer) applications.
1. In 20XX, for your floriculture and/or nursery operation, were any insecticides, herbicides, fungicides, nematicides, miticides, growth regulators, rooting compounds, soil fumigants or other chemicals applied?
YES – [Complete table below.]								NO – [Go to item 1 on page 18.]
[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.]

		OFFICE USE EDIT TABLE		1 Incomplete 3 Valid Zero					314		OFFICE USE LINES IN TABLE		T-TYPE 1			TABLE 001	LINE 99		101
PRODUCTION CATEGORY CODES FOR COLUMN 4													LOCATION CODES FOR COLUMN 5
NURSERY 1 Transplants for commercial vegetable and strawberry production 2 Propagative nursery material or lining-out stock 3 Broadleaf evergreens 4 Coniferous evergreens 5 Deciduous shade trees 6 Deciduous flowering trees 7 Deciduous shrubs 8 Fruit and nut plants 9 Christmas trees 10 Palms 11 Ornamental grasses 12 Other woody ornamentals and vines 20 Non-production area						FLORICULTURE 13 Cut flowers 14 Flowering plants (potted) 15 Bedding plants (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							Greenhouse (enclosed) Shade Structure (frames, slat, saran, cloth, screen, non-enclosed greenhouse, etc.) Natural Shade Area (palm, citrus, etc.) In The Open Production Area Perimeter (non-production areas)

					1					2		3			4			5
CHEMICAL PRODUCT NAME			L I N E		What products were applied? [Enter product code.]					Was this product bought in liquid or dry form? [Enter L or D.]		Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE			Where was this product mostly applied? [Enter code from above.] CODE
			01		301							302			303			304
			02		301							302			303			304
			03		301							302			303			304
			04		301							302			303			304
			05		301							302			303			304
			06		301							302			303			304
			07		301							302			303			304
			08		301							302			303			304
			09		301							302			303			304
			10		301							302			303			304
			11		301							302			303			304
			12		301							302			303			304
[For pesticides not listed in Respondent Booklet, specify---]
Line No.	Pesticide Type (Herbicide, Insecticide, Fungicide, etc.)						Tradename and Formulation							Form Purchased (Liquid or Dry)			EPA No.
_____________	__________________________						____________________________							________________			_________________

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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify____________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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
01	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
02	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
03	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
04	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
05	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
06	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
07	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
08	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
09	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
10	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
11	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
12	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313

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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		13	301				302			303		304
		14	301				302			303		304
		15	301				302			303		304
		16	301				302			303		304
		17	301				302			303		304
		18	301				302			303		304
		19	301				302			303		304
		20	301				302			303		304
		21	301				302			303		304
		22	301				302			303		304
		23	301				302			303		304
[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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify____________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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
13	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
14	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
15	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
16	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
17	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
18	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
19	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
20	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
21	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
22	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313
23	305	.___			306	307	.___		308	.___ ___		309	.___ ___	310		311	312	313

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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		24	301				302			303		304
		25	301				302			303		304
		26	301				302			303		304
		27	301				302			303		304
		28	301				302			303		304
		29	301				302			303		304
		30	301				302			303		304
		31	301				302			303		304
		32	301				302			303		304
		33	301				302			303		304
		34	301				302			303		304
[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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify____________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify____________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify____________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify__________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify____________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:_________________)

[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, screen, non-enclosed greenhouse, etc.) 3 Natural Shade Area (palm, citrus, etc.) 4 In The Open Production Area 5 Perimeter (non-production areas)

			1			2	3			4		5
CHEMICAL PRODUCT NAME		L I N E	What products were applied? [Enter product code.]			Was this product bought in liquid or dry form? [Enter L or D.]	Was this part of a tank mix? [If tank mix, enter line number of first product in mix.]			What was this chemical mostly applied to? [Enter code from above.] CODE		Where was this product mostly applied? [Enter code from above.] CODE
		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. (Specify unit & weight________)				1 Hand held back pack sprayer 2 Hand held wand/gun/boom from power hydraulic sprayers 3 Hand held granular shakers 4 Hand held granular rotary applicator (whirly bird, belly grinder) 5 Hand held foggers 6 Dusting 7 Overhead rail sprayers (track sprayers) 8 Root ball/container/cutting/flower dip 9 Drench 10 Stationary fogger, aerosols, misters, electrostatic sprayers, smokers 11 Tractor powered boom sprayer 12 Tractor powered air blast or mister 13 Aerial application 14 Chemigation 15 Machine injection, branded, broadcast, knifed in 16 Other, (Specify__________________)							1 Licensed operator/employee pesticide applicator 2 Unlicensed operator/employee under the direction of licensed applicator 3 Hired custom applicator (Not an employee of operation) 4 Other, (Specify:__________________)

[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 20XX, 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 20XX, 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 treatment of retention water? (Exclude chemigation.). . . . . . . . . . . . . . . . . . . . .				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 20XX, 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 overhead irrigation to reduce leaf wetness time?. . . . . . . . . . . . . . . . . . . . . .			NA = 4	. . . . .		YES = 1	348
(xx) utilizing ground covers, mulches or other physical barriers such as gravel, weed mats, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .			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) for the primary purpose of keeping pests from becoming resistant to pesticides?. . . . . . . . .						YES = 1	350
g. monitor weather data to assist in determining when to make pesticide application decisions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .						YES = 1	351

h. apply pesticides based mostly on--- [Enter one code.]. . . . . . . . .	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 20XX, where did your operation---
		1 2 3		CHEMICAL DEALER? CHEMICAL MANUFACTURER? OTHER? (Specify: ________________________ )						CODE
a. obtain most of its pesticides--- [Enter one code.]. . . . . . . . . . . . . . . . . . . .							. . . . . . . . . . .			353

b. mostly get recommendations for pest control or pesticide use--- [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 assistance in completing this questionnaire. Please record their name, address and phone number below.]
NAME/TITLE:	__________________________________________________________________________________________
PHONE:	__________________________________________________________________________________________
ADDRESS:	__________________________________________________________________________________________





Respondent’s Name:_______________________________		Telephone Number:__________________________			Date:_____________

OFFICE USE

Response

Respondent

Mode

Enum.

Eval.

R. UNIT

Date
MM DD YY

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

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Carol Pinto
File Modified	0000-00-00
File Created	2021-01-29