QID Chemical Supplement - US Enterprise

Agricultural Resource Management, Chemical Use, and Post-harvest Chemical Use Surveys

0218 - Vegetable Chemical Use - Chem Supplement - US - 2013

Agricultural Resource Management, Chemical Use, and Contractor Expense Surveys

OMB: 0535-0218

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2013 VEGETABLE CHEMICAL USE SURVEY
ENTERPRISE VERSION
ALL STATES EXCEPT
CALIFORNIA and WASHINGTON
PESTICIDE APPLICATIONS TABLE
SUPPLEMENTS

-2-

PESTICIDE APPLICATIONS SUPPLEMENT
VERSION

ID

SUBTRACT

TABLE

01

___ ___ ___ ___ ___ ___ ___ ___ ___

___ ___

___ ___ ___

1

2

L
I
N
E
CHEMICAL
PRODUCT NAME

CROP

CROP
CODE

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20

LINES IN
TABLE
OFFICE USE

3
What product(s)
was applied
to the [crop]?

[Enter product code.]

LINE

399

99

4
Was this
product
bought in
liquid or
dry form?

5
Was this part
of a tank mix?

[Enter L or D.]

[If tank mix,
enter line number
of first product
in mix.]

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

61

62

63

[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.

_____________

__________________________

____________________________

________________

_________________

_____________

__________________________

____________________________

________________

_________________

_____________

__________________________

____________________________

________________

_________________

-3-

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_____________)

6

L
I
N
E

OR

How much
was applied
per acre per
application?

7
What was the
total amount
applied per
application?

8

9

10

[Enter unit code
from above.]

How many acres
were treated
with this product?

How many times
was it applied?

CODE

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20

65

73
. ___ ___

65
. ___ ___

73

77

79
. ___

74

73

77

79
. ___

74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___

. ___
74

77

79

. ___ ___
73

. ___ ___
65

79

. ___ ___

. ___ ___

65

77
. ___

74

73

65

79

. ___ ___

. ___ ___

65

77
. ___

74

73

65

79

. ___ ___

. ___ ___

65

77
. ___

74

73

65

79

. ___ ___

. ___ ___

65

77
. ___

74

73

65

79

. ___ ___

. ___ ___

65

77
. ___

74

73

65

79

. ___ ___

. ___ ___

65

77
. ___

74

73

65

79
. ___

. ___ ___

. ___ ___

65

. ___

74

73

65

77

. ___ ___

. ___ ___
65

74

. ___
74

77

79

. ___ ___
73

. ___ ___

NUMBER
79

. ___ ___

. ___ ___
65

77

. ___ ___
73

65

ACRES

74

. ___
74

77

79

. ___ ___

. ___

[For pesticides not listed in Respondent Booklet, specify---]
Pesticide Type
Line No.

(Herbicide, Insecticide, Fungicide, etc.)

Trade name
and Formulation

Form Purchased
(Liquid or Dry)

EPA Reg. No.

____________

___________________________

_________________________

_______________

_____________________

____________

___________________________

_________________________

_______________

_____________________

____________

___________________________

_________________________

_______________

_____________________

-4-


File Typeapplication/pdf
AuthorCarol Pinto
File Modified2012-05-23
File Created2012-05-23

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