QID 002009 2015 Fruit Chemical Use Survey

2015 FRUIT CHEMICAL USE SURVEY
OMB No. 0535-0218
Approval Expires: xx/xx/xxxx
Project Code: 141 QID: 002009
SMetaKey: 1241
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: 1-888-424-7828
Fax: 314-595-9990
E-mail: [email protected]

VERSION

POID

SUBTRACT

01

___ ___ ___ ___ ___ ___ ___ ___ ___

___ ___

DATE

TIME

CONTACT RECORD
NOTES

INTRODUCTION:
[Introduce yourself, and ask for the operator. Rephrase in your own words.]
We are collecting information on chemical use and need your help to make the information as accurate as possible. The information
you provide will be used for statistical purposes only. In accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses will be kept confidential and will not be disclosed in
identifiable form to anyone other than employees or agents. By law, every employee and agent has taken an oath and is subject to a
jail term, a fine, or both if he or she willfully discloses ANY identifiable information about you or your operation. Response is
voluntary.
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 70 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.
We encourage you to refer to your records during the interview.
004

BEGINNING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

__ __ __ __

[Name, address and partners verified and updated if necessary.]

1. During 2015, were any crops (including new plantings),
livestock or poultry on the total acres operated? (Exclude
crops produced by a tenant if [target] operator is landlord only.). . . . . . . . . .

2. During 2015, did this operation sell any agricultural products
or receive government agricultural payments? (Exclude crops
produced by a tenant if [target] operator is landlord only.). . . . . . . . . . . . . . .

3. During 2015, were any crops stored on the total acres
operated? (Exclude crops produced by a tenant if [target] operator is
landlord only.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. During 2015, did this operation have any fruit acres
which were operated by a management firm?. . . . . . . . . . . .

YES – [Go to item 5, page 2.]

NO-[Continue.]

YES - [Go to item 5, page 2.]

NO-[Continue.]

YES - [Go to item 5, page 2.]

NO-[Continue.]

YES - [Go to item 5, page 2.]

NO-[Go to page 4.]

-2-

SCREENING
1. Did this operation have any of the target crops during the 2015 crop year?
YES - [Continue.]
NO - [Write notes explaining situation then go to “Conclusion” on back page.]
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

2. Are the day-to-day decisions for this operation (name on label) made by –
[Check one.]
partners? [Continue.]

3. 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.]

NUMBER

(Partners jointly operate land and share in decision making. Do not include landlords and tenants as partners.). . . . . . . . . .

PARTNERS

POID__ __ __ __ __ __ __ __ __

PARTNERS

PARTNER NAME

PARTNER NAME

ADDRESS

ADDRESS

CITY

PARTNERS

STATE

ZIP

PHONE NUMBER

POID__ __ __ __ __ __ __ __ __

CITY

PARTNERS

PARTNER NAME

PARTNER NAME

ADDRESS

ADDRESS

CITY

STATE

ZIP

PHONE NUMBER

CITY

POID__ __ __ __ __ __ __ __ __

STATE

ZIP

PHONE NUMBER

POID__ __ __ __ __ __ __ __ __

STATE

ZIP

PHONE NUMBER

-3-

TARGET CROPS & CODES

FLORIDA
313

Grapefruit

325

Oranges, All

336

Tangelos

339

Tangerines

OREGON
NEW JERSEY

101

Apples

305

Blueberries

304

Blackberries

330

Peaches

305

Blueberries

307

Cherries, Sweet

331

Pears

335

Raspberries

GEORGIA

NEW YORK

305

Blueberries

101

Apples

330

Peaches

308

Cherries, Tart

314

Grapes, All

MICHIGAN

SOUTH CAROLINA
330

101

Apples

305

Blueberries

307

Cherries, Sweet

101

Apples

308

Cherries, Tart

305

Blueberries

330

Peaches

Peaches

NORTH CAROLINA
TEXAS
313

Grapefruit

330

Peaches

-4-

CHANGE IN OPERATING STATUS
[ENUMERATOR NOTE: Skip this section if there is no change in operation name or operator.]

1. Has there been a change in operation name or operator?
NO - [Go to Enumerator Note below.]
CODE

YES - [Enter code 1, complete name and address information below for new operator,
and read Enumerator Note.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

023

______________________________________

Operation Name __________________________________

______________________________________

Operator Name __________________________________

______________________________________

Address ________________________________________

______________________________________

________________________________________

______________________________________

[ENUMERATOR NOTE:

Phone (

) ________________________________

If the operation on the face page was in business part of the 2015 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?
Yes - [Go to "Conclusion".]
No - [Continue.]

-5-

CALIFORNIA SCREENING
1. What ID (pesticide permit number) does this operation use
for reporting pesticide applications on the target crops’
bearing acres to the County Agricultural Commissioners?. . . . . . . . . . . . . . . . . . . .

COUNTY

NUMBER

2. Is this ID used to report pesticide applications for any other operations?
YES - [Continue.]

NO - [Go to item 3.]

a. What other operation(s) is this ID used to report for?
Name_____________________________________________________

Name______________________________________________________

Address___________________________________________________

Address____________________________________________________

Phone (

Phone (

) ____________________________________________

) _____________________________________________

3. Does this operation use any OTHER ID’s to report pesticide applications
on the target crops’ bearing acres to the County Agricultural Commissioners?
YES - [Continue.]

NO - [Go to Section A, page 5.]
COUNTY

NUMBER

a. What are these other ID numbers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Do you use any of these ID’s to report pesticide applications
for any other operation(s)?
YES - [Continue.]

NO - [Go to Section A, page 5.]

(i) What other operation(s) use this ID for reporting? [Identify operation and ID.]
Name_____________________________________________________

Name______________________________________________________

Reporting ID_______________________________________________

Reporting ID_______________________________________________

Address___________________________________________________

Address____________________________________________________

Phone (

Phone (

) _____________________________________________

) ______________________________________________

4. Do you employ a fruit management company to care for any of the targeted fruit crops?
YES - [Continue.]

NO - [Go to Section A, page 5.]

a. What fruit management company do you employ?
Name _____________________________________________________

Name _____________________________________________________

Address ___________________________________________________

Address ___________________________________________________

Phone (______) ____________________________________________

Phone (______) ____________________________________________

-6-

A

LAND OPERATED

A

ACRES OPERATED
CODE

[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.] . . . . . . . .

801

Now I would like to ask about the total acres operated under this land arrangement.
1. How many acres does this operation--ACRES
901

. ___

a. Own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
b. Rent or lease from others or use rent free?

902

. ___

(Exclude land used on an animal unit month (AUM) basis.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +

905

c.

Rent to others?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -

. ___

900

2. [Calculate item 1a + 1b - 1c.] Then the total acres operated are:. . . . . . . . . . . . . . . . . . . . . . . . . . =

. ___

a. Does this include the farmstead, all cropland, woodland, pasture land,
wasteland, and government program land?
YES - [Continue.]

NO - [Make corrections, then continue.]

The remaining questions in this survey refer to these [item 2] acres.
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

802

4. Of the total acres operated, how many acres are in fruit?

803

(Include bearing and non-bearing acreage in trees, vineyards and bushes.) . . . . . . . . . . . . . . . . . . . . . . . . . .

.___

. ___

-7-

B

FRUIT ACREAGE

B

1. What target fruit crops were on these [Section A, item 4] acres
during the 2015 crop year? (Exclude new plantings and other
plantings which are not yet bearing.)

1

2

3
How many
BEARING
acres of [crop]
did this
operation
have?

L
I
N

CROP

OFFICE USE
LINES IN TABLE

TABLE
001

LINE
99

6

7

8

Were any
herbicides,
insecticides,
fungicides, etc.
applied to
this crop?

On what date
did you complete
harvest of your
2014 crop year
[crop]?

On what date
did you complete
harvest of your
2015 crop year
[crop]?

CROP CODE

E

ACRES

[YES = 1]

11

01

MM DD YY

MM DD YY

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

13

14

15

. ___
11

02

. ___
11

03

. ___
11

04

. ___
11

05

. ___
11

06

. ___
11

07

. ___
11

08

. ___
11

09

. ___
11

10

. ___
11

11

. ___
11

12

. ___
11

13

. ___
11

14

. ___
11

15

. ___

CALIFORNIA CROP CODES
301

APPLES

303

APRICOTS

305

AVOCADOS

199

GRAPES
424

330

KIWIFRUIT

341

PEARS

RAISIN TYPE VARIEITES

331

LEMONS

342

PLUMS

(include all uses for

333

NECTARINES

343

PRUNES

334

OLIVES

349

TANGERINES

Thompson Seedless variety)

312

CHERRIES, SWEET

316

DATES

524

TABLE TYPE VARIETIES

435

NAVEL ORANGES

318

FIGS

624

WINE TYPE VARIETIES

535

VALENCIA ORANGES

320

GRAPEFRUIT

340

PEACHES

-8-

B

L
I
N
E

FRUIT ACREAGE

CAL – EPA SITE LOCATION NUMBER
(if required)

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15

INCLUDES AND EXCLUDES
INCLUDE:

EXCLUDE:

TARGET CROPS ONLY.

All crops grown in another state.

All commercial acreage equal to or greater than one tenth of a bearing acre.

Non-commercial orchard and vineyard acreage (home garden).

All bearing acreage for processing or fresh market.

All TARGET CROPS grown by institutional, experimental, research and
university farms.

All bearing acreage for roadside stands, farmer’s markets or U-pick sales.

Non-target fruits.

Bearing acreage not harvested due to weather, economic or other reasons.

Abandoned orchards and vineyards.

Crops planted in the fall of 2014 if they were part of the 2015 crop.

New plantings and other plantings which are not yet bearing.

B

-9-

B

FRUIT ACREAGE

B
TABLE
001
OFFICE USE
LINES IN TABLE

1. What target fruit crops were on these [Section A, item 4] acres
during the 2015 crop year? (Exclude new plantings and other
plantings which are not yet bearing.)

1

L
I
N
E

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15

CROP

2

CROP
CODE

3

6

How many
BEARING
acres of [crop]
did this
operation
have?

Were any
herbicides,
insecticides,
fungicides, etc.
applied to this
crop?

ACRES

[YES = 1]

11

13
. ___

11

LINE 99

199

INCLUDE
 TARGET CROPS ONLY.
 All commercial bearing acreage equal to
or greater than one tenth of an acre.
 All bearing acreage of TARGET CROPS
for processing or fresh market.

13
. ___

11

13
. ___

11

13
. ___

11

13
. ___

11

13

 All bearing acreage of TARGET CROPS
for roadside stands, farmer’s markets or
U-pick sales.
 Bearing acreage not harvested due to
weather, economic or other reasons.
 Crops planted in the fall of 2008 if they
were part of the 2009 crop.

. ___
11

13
. ___

11

13

 All crops grown in another state.

13

 Non-commercial orchard and vineyard
acreage (home garden).

13

 Non-target fruits.

13

 New plantings and other plantings which
are not yet bearing.

. ___
11
. ___
11

EXCLUDE

. ___
11
. ___
11

13
. ___

11

13
. ___

11

13

 ALL TARGET CROPS grown by
institutional, experimental, research and
university farms (abnormal farms).
 Abandoned orchards and vineyards.

. ___
11

13
. ___

NOTES: ________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

- 10 WASHINGTON CROP CODES
301

APPLES

622 GRAPES, JUICE

309

BLUEBERRIES

624 GRAPES, WINE

312

CHERRIES, SWEET

341 PEARS

314

CHERRIES, TART

345 RASPBERRIES

- 11 -

C

FERTILIZER APPLICATIONS

C

Enumerator Note--If column 4 of the table in Section B is YES for any crops, continue with item 1.
If column 4 of the table in Section B is NO for all crops, go to Section, page 10.
1. I need to record complete information on all commercial fertilizers applied
to the bearing acres of target fruit grown during the 2015 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.]
1

2

L
I
N
E

CROP

CROP
CODE

OFFICE USE
LINES IN TABLE

3

4

5

6

7

8

N
I
T
R
O
G
E
N

P
H
O
S
P
H
A
T
E

P
O
T
A
S
H

S
U
L
F
U
R

How much
was applied
per acre per
application?

UNIT CODES

N

P205

K20

S

[Leave this
column blank
if actual
nutrients
were
reported.]

1
12
13
15
28
19

Pounds
Gallons
Quarts
Liquid Oz.
Dry Oz.
Actual
Nutrients

299

TABLE
001

9

10

How many
acres was this
applied to?

How
many
times
was it
applied?

[Include bearing
acres only]

ACRES

NUMBER

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

31

32

33

34

36

37

40

41

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

- 12 -

C

FERTILIZER APPLICATIONS
1

2

L
I
N
E

CROP

CROP
CODE
31

3

4

5

6

N
I
T
R
O
G
E
N

P
H
O
S
P
H
A
T
E

P
O
T
A
S
H

S
U
L
F
U
R

N

P205

K20

S

32

33

34

7

9

10

How many
acres was this
applied to?

How
many
times
was it
applied?

8

How much
was applied
per acre per
application?
[Leave this
column blank
if actual
nutrients
were
reported.]

UNIT CODES
1
12
13
15
28
19

Pounds
Gallons
Quarts
Liquid Oz.
Dry Oz.
Actual
Nutrients

[Include bearing
acres only]

ACRES
36

18

37

31

32

33

34

36

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

31

32

33

34

37

36

40

32

33

34

37

36

40

41
. ___

37
. ___

41
. ___

. ___
31

41
. ___

. ___

39

41
. ___

. ___

38

41
. ___

. ___

37

41
. ___

. ___

36

41
. ___

. ___

35

41
. ___

. ___

34

41
. ___

. ___

33

41
. ___

. ___

32

41
. ___

. ___

31

41
. ___

. ___

30

41
. ___

. ___

29

41
. ___

. ___

28

41
. ___

. ___

27

41
. ___

. ___

26

41
. ___

. ___

25

41
. ___

. ___

24

41
. ___

. ___

23

41
. ___

. ___

22

41
. ___

. ___

21

41
. ___

. ___

20

NUMBER

40

. ___

19

40

C

40

41
. ___

- 13 -

D

PESTICIDE APPLICATIONS

D

Now I have some questions about pesticide and chemical applications to your bearing fruit acreage
before harvest. Please consider all applications made to trees, vineyards or bushes which occurred
after last season’s harvest.
1. Since last year’s (2014) harvest, did you use herbicides
on any of your bearing fruit acreage?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES

NO

2. Since last year’s (2014) harvest, did you use insecticides, nematicides
or miticides on any of your bearing fruit acreage?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES

NO

3. Since last year’s (2014) harvest, did you use any fungicides on any
of your bearing fruit acreage?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES

NO

4. Since last year’s (2014) harvest, did you use any other chemicals such as
chemical thinners, growth regulators, microbial agents, pheromones, rodenticides,
soil fumigants, etc. on any of your bearing fruit acreage?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES

NO

5. [ENUMERATION ACTION: If ALL items 1 – 4 are NO, go to Section E, page 14; else continue.]

- 14 -

D

PESTICIDE APPLICATIONS

D

[ENUMERATOR NOTE: If pesticides were reported in Section B, column 6, continue. Otherwise, skip to Section E.]
6. 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 2015 crop year to each of the target fruit crops you grew. Let’s start with the first
application to your [crop] since the 2014 crop year harvest.
[Complete the table for all chemical applications to the target fruit crops. Use supplemental tables if necessary.]
(Include herbicides, insecticides, nematicides, miticides, fungicides, chemical thinners, growth regulators, microbial agents, pheromones,
rodenticides, and soil fumigants. Exclude seed treatments, foliar applications of nutrients, and applications made to fruits after harvest.)
OFFICE USE
LINES IN TABLE
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

TABLE

001

LINE
99

399

3

4

5

What products
were applied
to the [crop]?

Was this
product
bought in
liquid or
dry form?

Was this
part of a
tank mix?

[Enter product code.]

[Enter L or D.]

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

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

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.

- 15 -

D

PESTICIDE APPLICATIONS

D

CODES FOR COLUMN 8
1 POUNDS

OR

6

L
I
N
E

How much
was applied
per acre
per application?

30 GRAMS

12 GALLONS

40 KILOGRAMS

13 QUARTS

41 LITERS

14 PINTS

46 SPIRALS

15 OUNCES, LIQUID

47 PACKETS

28 OUNCES, DRY

50 OTHER (Specify: ___________ )

7

8

What was the
total amount
applied
per application?

[Enter
unit code
from above.]

CODE

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15

65

73
. ___ ___

65

74

73

75

77

83

75

77

83

75

77

83

75

77

83
. ___

74

75

77

83

. ___ ___
73

. ___ ___

. ___
74

75

77

83

. ___ ___
73

. ___ ___

. ___
74

75

77

83

. ___ ___
73

. ___ ___

. ___
74

75

77

83

. ___ ___
73

. ___ ___

. ___
74

75

77

83

. ___ ___
73

. ___ ___

. ___
74

75

77

83

. ___ ___
73

. ___ ___

. ___
74

75

77

83

. ___ ___
73

. ___ ___

83

. ___
74

73

65

77

. ___ ___

. ___ ___

65

75

. ___
74

73

65

83

. ___ ___

. ___ ___

65

77

. ___
74

73

65

75

. ___ ___

. ___ ___

65

83

. ___
74

73

65

77

. ___ ___

. ___ ___

65

75

. ___
74

73

65

MM DD YY

[Enter percent covered.]

. ___ ___

. ___ ___

65

BEARING ACRES

100 All Rows
50 Every Other Row
--- Other

. ___
74

73

65

11
When was
it applied?

. ___ ___

. ___ ___
65

10
How many acres
were treated
with this product?
[Include bearing
acres only.]

. ___ ___

. ___ ___
65

9
What percent of the
rows were covered?

. ___
74

75

77

83

. ___ ___

. ___

[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.

____________

__________________________

_____________________________

________________

_________________

____________

__________________________

_____________________________

________________

_________________

____________

__________________________

_____________________________

________________

_________________

- 16 -

D

PESTICIDE APPLICATIONS

D

[ENUMERATOR ACTION: If pesticides were reported in Section B, column 5, continue. Otherwise, skip to Section E.]
6. 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 2015 crop year to each of the target vegetable crops you grew. Let’s start with the
first application to your [crop] since the 2014 crop year harvest.
[Complete the table for all chemical applications to the target vegetable crops. Use supplemental tables if necessary. ]
(Include herbicides, insecticides, nematicides, miticides, fungicides, chemical thinners, growth regulators, microbial agents, pheromones,
rodenticides, and soil fumigants. Exclude seed treatments, foliar applications of nutrients, and applications made to vegetables after harvest.)
OFFICE USE
LINES IN TABLE
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

TABLE
001

399

3

4

5

What products
were applied
to the [crop]?

Was this
product
bought in
liquid or
dry form?

Was this
part of a
tank mix?

[Enter product code.]

[Enter L or D.]

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

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

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.

- 17 -

D

PESTICIDE APPLICATIONS

D

CODES FOR COLUMN 8
1 POUNDS

OR

6

L
I
N
E

How much
was applied
per acre
per application?

30 GRAMS

12 GALLONS

40 KILOGRAMS

13 QUARTS

41 LITERS

14 PINTS

46 SPIRALS

15 OUNCES, LIQUID

47 PACKETS

28 OUNCES, DRY

50 OTHER (Specify: ________ )

7

8

What was the
total amount
applied
per application?

[Enter
unit code
from above.]

CODE

01
02
03
04
05
06
07
08
09
10
11
12
13
14
15

65

73
. ___ ___

65

74

73

75

77

79

75

77

79

75

77

79

75

77

79

75

77

79
. ___

74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

79

. ___
74

73

65

77

. ___ ___

. ___ ___

65

75

. ___
74

73

65

79

. ___ ___

. ___ ___

65

77

. ___
74

73

65

75

. ___ ___

. ___ ___

65

NUMBER

[Enter percent covered.]

. ___
74

73

65

BEARING ACRES

100 All Rows
50 Every Other Row
--- Other

. ___ ___

. ___ ___

65

How many times
was it applied?

. ___
74

73

65

How many acres
were treated
with this product?
[Include bearing
acres only.]

. ___ ___

. ___ ___

65

What percent of the
rows were covered?

. ___
74

73

65

11

. ___ ___

. ___ ___
65

10

. ___ ___

. ___ ___
65

9

. ___
74

75

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 No.

________

__________________

______________________

__________

____________

________

__________________

______________________

__________

____________

________

__________________

______________________

__________

____________

- 18 -

D

PESTICIDE APPLICATIONS

1

2

3
What products
were applied
to the [crop]?

L
I
N
E
CHEMICAL
PRODUCT NAME

D

CROP

CROP
CODE

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

[Enter product code.]

4
Was this
product
bought in
liquid or
dry form?
[Enter L or D.]

5
Was this
part of a
tank mix?
[If tank mix, enter
line number
of first product
in mix.]

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

63

61

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.

- 19 -

D

PESTICIDE APPLICATIONS

D

CODES FOR COLUMN 8
1
12
13
14
15
28

L
I
N
E

POUNDS
GALLONS
QUARTS
PINTS
OUNCES, LIQUID
OUNCES, DRY

OR
6
7
How much
What was the
was applied
total amount
per acre
applied
per application?
per application?

8
[Enter
unit code
from above.]

CODE

16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

65

73
. ___ ___

65

74

73

75

77

79

75

77

79

75

77

79

75

77

79

75

77

79
. ___

74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

. ___
74

75

77

79

. ___ ___
73

. ___ ___

79

. ___
74

73

65

77

. ___ ___

. ___ ___

65

75

. ___
74

73

65

79

. ___ ___

. ___ ___

65

77

. ___
74

73

65

75

. ___ ___

. ___ ___

65

79

. ___
74

73

65

77

. ___ ___

. ___ ___

65

75

. ___
74

73

NUMBER
79

. ___ ___

. ___ ___

65

BEARING ACRES
77

. ___
74

73

65

75

. ___ ___

. ___ ___

65

[Enter percent covered.]

11
How many times
was it applied?

. ___
74

73

65

100 All Rows
50 Every Other Row
--- Other

. ___ ___

. ___ ___

65

10
How many acres
were treated
with this product?
[Include bearing
acres only.]

. ___
74

73

65

9
What percent of the
rows were covered?

. ___ ___

. ___ ___
65

GRAMS
KILOGRAMS
LITERS
SPIRALS
PACKETS
OTHER (Specify: ________ )

. ___ ___

. ___ ___
65

30
40
41
46
47
50

. ___
74

75

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 No.

________

__________________

______________________

__________

____________

________

__________________

______________________

__________

____________

________

__________________

______________________

__________

____________

- 20 -

E

PEST MANAGEMENT PRACTICES

E

Now I have some questions about pest management practices
you may have used on any of the total fruit acres
on this operation. (Include bearing and non-bearing acreage of both target and non-target fruit crops grown.)
By pests, we mean insects, weeds, and diseases.
YES - [Continue.]

No - [Go to item 5.]
CODE

1. Was weather data used to assist in determining either the need or
when to make pesticide applications?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

2. Were any biological pesticides such as Bt (Bacillus thuringiensis),
insect growth regulators (Courier, intrepid, etc.), neem or other
natural/biological based products sprayed or applied to manage pests?. . . . . . . . . . . . . . . . .

YES = 1

3. Were pesticides with different mechanisms of action rotated or tank
mixed for the primary purpose of keeping pests from becoming
resistant to pesticides?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

4. In 2015, how were your
fruit acres primarily scouted
for insects, weeds, diseases
and/or beneficial organisms?
.............................

600

601

602

1 By deliberately going to the fruit 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.)

608

.............

3 The fruit acres were not scouted.
(Enter code 3 and go to item 11.)

5. Was an established scouting process used (systemic sampling,
recording counts, insect traps, etc.) on any fruit acres?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

609
YES = 1

6. Was scouting for pests done on these fruit acres due to--610

a. a pest advisory warning?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

b. a pest development model?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

611

- 21 -

E

PEST MANAGEMENT PRACTICES

E
2

1

[If column 1 is YES, ask---]
Who did the majority
of the scouting for [column 1]—
1
2
3
4

7. Were your fruit acres scouted for –--

Operator, partner or family member
An employee
Farm supply or chemical dealer
Independent crop consultant or commercial scout

YES = 1

a. weeds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. insects or mites?. . . . . . . . . . . . . . . . . . . . . .
c.

disease?. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CODE

612

614

615

617

618

620

CODE
623

8. Were written or electronic records kept to track the activity or
numbers of weeds, insects or diseases?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

9. Was scouting data compared to published information on infestation
thresholds to determine when to take measures to manage pests?. . . . . . . . . . . . . . . . . . . . .

YES = 1

10. Was field mapping data used for making pest management decisions?. . . . . . . . . . . . . . . . . .

YES = 1

11. Were the services of a diagnostic laboratory used for pest identification or
soil or plant tissue pest analysis?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

624
625

626

627

12. Were crop residues (including drops, rotting fruit and/or debris)
removed to manage pests?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

13. Were ground covers, mulches, or other physical barriers
maintained to manage pest problems?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

14. Were any beneficial organisms (insects, nematodes, fungi)
applied or released to manage pests?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

15. Were floral lures, attractants, repellants, pheromone traps or
other biological pest controls used on any fruit acres?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

16. Were any fruit acres cultivated for weed control during the growing season?. . . . . . . . . . . . .

YES = 1

17. Were field edges, lanes, ditches, roadways or fence lines chopped,
mowed, plowed, or burned to manage pests on any fruit acres?. . . . . . . . . . . . . . . . . . . . . . .

YES = 1

629

636

637
640

642

643

18. Were equipment and implements cleaned after completing
field work to reduce the spread of pests?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

19. Were any fruit acres irrigated for the 2015 crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

YES = 1

644

a. [If item 20 is YES, ask---]
Were water management practices (excluding chemigation)
such as irrigation scheduling, controlled drainage, or treatment
of retention water used to manage pests?. . . . . .
COMPLETION CODE for
FERTILIZER APPLICATIONS

. . . . . .1.Incomp/R
. . . . . . . . . . . 200
.............
3 Valid Zero

COMPLETION CODE for
PESTICIDE APPLICATIONS
1 Incomp/R
3 Valid Zero

300

645
YES = 1
COMPLETION CODE for
PEST MANAGEMENT PRACTICES
1 Incomp/R

500

- 22 -

F

MICROBIAL FOOD SAFETY PRACTICES

F

The next few pages contain questions that ask about your operation’s total produce acreage, in addition to the fruit covered
previously, regardless of the state where that acreage is located. Exclude any acreage outside of the U.S. For the
purposes of this part of the survey, produce includes: fruit, berries, vegetables, herbs, tree nuts, dry beans, peas and
lentils, peanuts, sprouts, and mushrooms. These questions only ask about food safety practices with respect to microbial
contamination.
Acres

1. In 2015, how many acres on your operation were used to grow produce? (Include each acre only
once even if multiple crops were grown on it.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

2. Including multi-cropped acres, how many total acres of produce were grown on your operation
in 2015?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

.__
.__

3. What produce crops grown on your operation made up the most acreage in 2015, and how were they sold? Report the
top five crops starting first with the one that made up the most acreage in row (a).
1

Crop

2

3

Acres

Direct-toConsumer
Sales

4

5

6

Fresh market

Fresh-cut
market

Processed
market

(Percent)

(Percent)

(Percent)

(Percent)

(include multicropped acres)
(Number)

xxx

Non Direct-to-Consumer Sales

xxx

xxx

a.

xxx

xxx

%

xxx

xxx

xxx

b.

xxx

xxx

xxx

c.
xxx

xxx

xxx

xxx

d.

xxx

e.

%

% 100%

xxx

xxx

%
xxx

%

% 100%

xxx

%

xxx

% 100%
xxx

%

%

xxx

%
xxx

%

xxx

xxx

%

xxx

%
xxx

%

% 100%

xxx

%

xxx

%

%

% 100%

4. Over the last three years, 2012-2014, what was your operation’s average annual gross value of all produce sales?
xxx

1

Less than $25,000

4

$500,000 to $999,999

7

$10,000,000 to $19,999,999

2

$25,000 to $249,999

5

$1,000,000 to $4,999,999 8

$20,000,000 to $39,999,999

3

$250,000 to $499,999

6

$5,000,000 to $9,999,999 9

$40,000,000 and above

[If the value of sales reported in Item 4 is less than $500,000, continue; otherwise go to Item 6]
5. Over the last three years, 2012-2014, was your operation’s average annual gross value of
food sales (including your produce sales) less than $500,000? Food includes articles used
for food or drink for humans or other animals. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .

xxx
1

None

6. In 2015, how many of your operation’s produce acres were either certified organic or in
transition to become certified?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

3

No

Acres
xxx

.__

7. In 2015, were commercial livestock located adjacent to your produce acreage on land:
a. You operate? (Include livestock on your produce acreage) . . . . . . . . . . . . . . . . . . . . . . .
b. Someone else operates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx
1

Yes

3

No

1

Yes

3

No

xxx

- 23 -

F

MICROBIAL FOOD SAFETY PRACTICES

F

8. In 2015, which of the following activities were completed for your operation’s produce and where were they done?
1

2

3

4

On your produce
operation

Off your produce
operation

Did you have an
ownership interest in this
activity?

Activity

YES = 1

a. U-Pick
b. Harvest
c.

Field Pack

d. Pack (other than field pack)
e. Cool
f.

Wash

g. Hold/Store/Warehouse
h. Fresh Cut
i.

Other processing (freezing,
canning, juicing)

YES = 1

YES = 1

YES = 1

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

9. Excluding any direct-to-consumer sales, do you sell your own produce to retailers,
foodservice, wholesalers, terminal markets, etc, instead of letting another firm (shipper, sales
agent, marketer, etc.) sell for you? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx
1

Yes

3

No

1

Yes

3

No

10. Do you have a food safety plan that covers your produce operation in 2015?
xxx
1

Yes – Continue

3

No – Go to Item 12
xxx

a. Is the food safety plan written?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. In 2015, did your food safety plan cover all of your produce commodities?
xxx

1

2

Yes – Go to Item 12
No – Continue

Plans
xxx

a. How many different food safety plans did you have for your produce commodities in 2015?. . . . . . . .
12. Did you have any third party food safety audits that covered your produce operation in 2015?
xxx

1

Yes – Go to Item 13

3

No – Continue
N/A

a. What was the most recent year you had a third party food safety audit
that covered your produce operation? Then go to Item 16 . . ..

Year (YYYY)
xxx

- 24 -

F

MICROBIAL FOOD SAFETY PRACTICES

F

13. Which of the following types of microbial third party food safety audits covered your
produce operation in 2015?
xxx

a. Produce farm/ranch (field) audit. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

Yes

3

No

1

Yes

3

No

1

Yes

3

No

1

Yes

3

No

1

Yes

3

No

xxx

b. Produce harvesting crew. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
xxx

c. Produce packinghouse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
xxx

d. Produce cooler. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
xxx

e. Other (Specify: xxx _________________________________________________). . . . . .
14. How many of the following types of third party food safety audits covered your produce operation in
2015?

None

Number

a. Global Food Safety Initiative benchmark audit (Primus GFS, Safe Quality Food (SQF),
Global Gaps, Canada Gap, British Retail Consortium (BRC)). . . . . . . . . . . . . . . . . . . . . .

xxx

b. Other general private audit that is not benchmarked to the Global Food Safety Initiative
(Primus, AIB, SCS, etc.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

xxx

c.

Addendum to standard audit for a particular buyer or processor. . . . . . . . . . . . . . . . . . . . . .
xxx

d. Stand-alone buyer-specific audit you pay for (excluding addendum). . . . . . . .. . . . . . . . . . .
xxx

e. California or Arizona Leafy Greens Marketing Agreement audit . . . . . . . . . . . . . . . . . . . . . .
xxx

f.

California Cantaloupe Advisory Board food safety standard audit . . . . . . .. . . . . . . . . . . . .
xxx

g. Tomato Food Safety Audit Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
xxx

h. USDA audit service which may be administered by a State Department of Agriculture
(GAP’s, GHP’s, Harmonized Gaps, or others). . . . . . . . . . . . . .. . . ………………………….

xxx

i.

Other (Specify: xxx ____________________________________________________). . . .
Dollars

15. What was the total amount you paid for the third party food safety audits that covered your
produce operation in 2015? (Include costs of belonging to CA and AZ LGMA and the CA
Cantaloupe Advisory Board. Exclude the costs of preparing for audits and the costs of
implementing changes afterwards. Exclude organic certification audits) . . . . . . . . . . . . . . . . . . . .

xxx

- 25 -

F

MICROBIAL FOOD SAFETYPRACTICES

F

16. Which of the following types of water were used during the production, harvest, and post-harvest activities of your
operation’s produce in 2015? Use the response codes listed in the table at the bottom of the page.
1

2

3

4

5

How often did you test
the water from this
source in 2015 for
microbial content
(generic E. coli or other
indicator)? If code 7 or
8, go to column 5.

What water
standard did you
consider
acceptable?

What did you
use to treat this
water in 2015?

Water Use

What was the
largest source (in
terms of volume) of
water used for this
activity?

(See
column 4 code
below)

(See
column 5 code
below)

YES = 1

(See column 2 code
below)

(See column 3 code below)

a. Water used during production xxx
that does not touch the
harvested part of the crop
(furrow, drip, flood irrigation,
etc.)

xxx

xxx

xxx

xxx

b. Water used during production xxx
that touches the harvested
part of the crop (overhead
irrigation; pesticide/fungicide
applications; frost protection,
etc.)

xxx

xxx

xxx

xxx

xxx
Water used for harvest and
post-harvest activities
(including packing) where
water touches the produce or
a food contact surface
(hydrating, washing or cooling
produce; cleaning food
contact surfaces on tools or
machinery)

xxx

xxx

xxx

xxx

c.

RESPONSE CODES

1
2

3
4
5
6
7
8

Column 2

Column 3

Column 4

Column 5

Water Source Code

Frequency of Testing
During 2015 Code

Water Test Standard Code

Water Treatment
Code

Standing surface water
(ponds, lakes, reservoirs)
Flowing surface water (rivers,
canals, streams, irrigation
ditches)
Ground water (wells)
Public water system with
potable water
Treated waste water
Reclaimed tail water
Don’t know
Other: (Specify:
(___________________)

1
2

Once a year
Once every four
months
3 Once every three
Months
4 Once every two
months
5 Once every month
6 More often than once
a month
7 Water is never tested
8 N/A – Rely on
someone else’s tests
of this operation’s
water
9. Don’t know
10 Other: (Specify:
________________)

1

Normal or expected range based
on historic water samples
2 EPA Recreational Water Standard
(1986 or 2012 standard)
3 Leafy Greens Marketing Agreement
(LGMA) standard for water that
does not touch the harvested part of
the crop
4 Maximum of 1,000 E. coli CFU/mL
5 Maximum of 500 E. coli CFU/mL
6 EPA drinking water standard which is
no generic E. coli
7 Reclaimed water standard
8. Don’t know
9. Other: (Specify:
____________________)

1
2
3
4
5
6

Chemical
Ultra violet light
Filtration
N/A – didn’t treat
Don’t know
Other (Specify:
_______________)

- 26 -

F

MICROBIAL FOOD SAFETY PRACTICES

F

[If water tests were reported in Item 16, column 3 (codes 1, 2, 3, 4, 5, 6, 10), or water treatments in column 5
(codes, 1, 2, 3, 6) continue; otherwise go to Item 20]
For Items 17, 18, and 19, please consider all of the water sources used on your produce operation,
not just the largest source of water.
Number

17. How many total water tests for microbial contamination were conducted, or do you expect to have,
conducted, on your produce operation in 2015? (Include all tests on all water sources). . . . . . . . . .

xxx

18. What will be the total cost of all water tests on all water sources conducted for microbial
contamination on your produce operation in 2015? (Include lab costs, material costs (vials, etc.),
labor, and transportation costs.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

Dollars

None

Dollars
xxx

19. What will be the total costs in 2015 for water treatments? Include supplies, other
treatment costs, and labor.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20. Were any of the following animal manure products applied to the produce acreage on your operation in 2015?
1

2

3

Manure Product

Is the compost made using a
method validated by a
scientifically recognized,
controlled microbial process that
is actively managed and meets
time/temperature requirements
from EPA?

What documentation do you have to
indicate the microbial content of your
manure products or the process used
to produce it?

YES = 1
xxx

xxx

a. Composted manure made on
your farm

1
3
2

xxx

xxx
1

b. Composted manure
purchased from others

Yes
No
Don’t know

3
2

Yes
No
Don’t know

Check all that apply
xxx
xxx
xxx
xxx

Time/temperature measurements
Microbial testing results
Other
None

xxx
xxx
xxx
xxx
xxx

Time/temperature measurements
Microbial testing results
Certificate of Conformance
Certificate of Analysis
Approved by an organic certifying
agent
Other
None

xxx
xxx
xxx

c.

xxx
xxx

Time/temperature measurements
Microbial testing results
Certificate of Conformance
Certificate of Analysis
Approved by an organic certifying
agent
Other
None

xxx

xxx
xxx
xxx

Microbial testing results
Other
None

xxx

xxx
xxx
xxx

Microbial testing results
Other
None

Manure treated with a physical
or chemical process
(pasteurization, heat drying,
alkali stabilization, etc.)

d. Decomposed manure (stored
or aged in stacks)

e. Raw manure

xxx
xxx
xxx
xxx
xxx

21. In 2015, was a pre-harvest assessment of the produce acres done within 3 days of harvest
in order to identify potential microbial contamination problems?. . . . . . . . . . . . . . . . . . . . . .

xxx
1

Yes 3

No

- 27 -

F

MICROBIAL FOOD SAFETY PRACTICES

F
xxx

22. How many days long was the produce harvest season in 2015? . . . . . . . . . . . . . . . . . . . . . . .
23. In 2015, did this operation pack or package any produce?
xxx

Yes - Continue 3

1

No – Go to Item 24

Days
xxx

a. How many days long was the produce packing season in 2015? . . . . . . . . . . . . . . . . . . . . . . . . .
xxx

b. In 2015, did this operation pack or package produce in the field? . . . . . . . . .. . . . . . . . . . ..
c.

1

Yes 3

No

In 2015, did this operation pack or package produce in a packing house or packing shed?
xxx

1

Yes – Continue

3

No – Go to item 24

d. Which of the following best describes the structures where this operation packed or packaged fresh produce
in 2015? (Check all that apply)
xxx
1
2
3
4
5
6

A floor, such as a concrete slab, driveway, parking lot, etc.
A roof and a floor, such as a concrete slab
A floor, roof, and some walls or screening but not an enclosed structure
Enclosed structure with openings, such as unscreened doors or windows
Completely enclosed structure
Other (Specify: xxx_______________________________________)

24. Which of the following types of items that touched this crop during the 2015 season were used on this produce
operation? How often were the items cleaned and sanitized? Exclude items used during harvest or postharvest if this
crop was custom harvested or packed by someone else.
1

2

3

4

How often is this
item cleaned?

How often is this item Does this item contain any
sanitized
food contact surface made
(disinfected)?
of foam, paper, cardboard,
[Use Frequency [Use Frequency Code wood, carpeting, or canvas?
Code table below]
table below]

Item that TOUCHES the crop

(Code)

YES = 1
a.

b.

c.
d.

e.
f.

Tools used for harvesting and/or field
packing
Machinery used for harvesting and/or field
packing
Tools used during packing or handling in a
packing house
Fixed machinery and work surfaces in postharvest handling (mechanical sorter, work
surface, dunk tanks, flumes, etc.)
Reusable containers or bins used during
harvest
Reusable containers or bins used only to
transport the crop from the field to a
packinghouse

xxx

xxx

(Code)

xxx

xxx

1
3
2

xxx

xxx

xxx

xxx

1
3
2

xxx

xxx

xxx

xxx

1
3
2

xxx

xxx

xxx

xxx

1
3
2

xxx

xxx

xxx

xxx

1
3
2

xxx

xxx

xxx

xxx

1
3
2

Yes
No
Don’t know
Yes
No
Don’t know
Yes
No
Don’t know
Yes
No
Don’t know
Yes
No
Don’t know
Yes
No
Don’t know

Frequency Code
1 - Daily

2 - Weekly

3 - Monthly

4 - Once a season

5 - N/A

6 - Never

7 – Other: (Specify ______________)

- 28 -

F

MICROBIAL FOOSD SAFETY PRACTICES

F
None

Dollars
xxx

25. In 2015, what will be the total cost of cleaning and sanitizing the items in Item 25?
Include supplies and labor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. In 2015, did your operation have a designated person with the primary responsibility for microbial
food safety?
xxx

1

Yes - Continue 3

No – Go to Item 27
Percent
xxx

a. What percent of this person’s daily time was spent on food safety in 2015? . . . . . . . . . . . . . . . . . .

27. In 2015, how many other people (excluding the one reported in Item 26) were on your microbial food
Number
safety staff? Exclude managers and others who have only a small share of their time on food safety
and are not primarily responsible for day-to-day food safety on your operation. Exclude people only xxx
involved in food quality or quality assurance activities.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[If Item 27 equals zero, go to Item 28; otherwise continue.]

Number

a. Of the (item 27) people on your food safety staff, how many were working full time on microbial
food safety during the season?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28. In 2015, did you hire an outside microbial food safety consultant to develop or implement
your food safety plan? . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xxx

xxx
1

Yes 3

No

29. Which of the following types of people were used to harvest produce on your operation in 2015?
1

People

2

3

4

5

How many of
these people
were used to
harvest produce
on your
operation in
2015?

How many of these
people were trained
on microbial food
safety by your
operation in 2015? If
contract crews are
trained by someone
else, exclude them.

What was the
average number of
minutes of microbial
food safety training
that your operation
provided for these
people in 2015?

What were the total
training costs for visual
aids, signage,
notebooks, software
packages, and hired
trainers (instead of your
own staff trainers), etc.
for these people?
Include costs to instruct
customers at u-pick
operations about safety
while on your operation.

[If zero, go to
column 5]
YES = 1

(Number)

(Number)

(Number)

(Dollars)

a. Customer
(e.g. Pick-your-own)

xxx

xxx

xxx

xxx

xxx

b. Unpaid labor including
family and volunteers

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

c.

Direct hire

d. Contract harvest crew

- 29 -

F

MICROBIAL FOOD SAFETY PRACTICES

F

30. During the 2015 produce harvest season, did your operation provide toilets or handwashing sinks within one-quarter
mile of the produce field for those harvesting produce? Include portable facilities in the field, access to facilities in
nearby buildings, and facilities for u-pick operations.
1

Facility

2

3

During the 2015 produce harvest season,
how many of each facility were provided
to harvesters within one-quarter mile of
the produce field?

For how many days were these
facilities provided to people
harvesting produce?

YES = 1

(Number)

(Number)

xxx

xxx

xxx

xxx

xxx

xxx

a. Toilet/Port-a-potty
b. Hand washing sink
31. Which of the following methods were used on your produce operation to reduce the potential of uncontrolled water
runoff into the produce fields in 2015? Check all that apply.
xxx
xxx
xxx
xxx
xxx
xxx
xxx

Ditch
Berm
Vegetative buffer strip
Evaporation pond
Retention system or retention pond
Drainage system
Other (Specify: xxx_______________________________________)
xxx

32. In 2015, did you monitor your field to check for potential animal intrusion? . . . . . . . . . . . . . .

1

Yes

3

No

33. Which of the following methods were used on your produce operation to reduce potential animal intrusion into the
produce fields in 2015? Check all that apply.
xxx
xxx
xxx
xxx
xxx
xxx
xxx

Put up fencing around the fields
Put up fencing around standing surface water
Remove animal harborage and attractants (removing excess brush, old equipment, and cull piles)
Trap or shoot animals
Employ animal deterrents such as noise makers (including gunfire), Mylar strips, fake owls or coyotes, and
repellants
Clear a buffer zone around your field to increase your ability to detect animal intrusion
Other (Specify: xxx_______________________________________)

34. Have you heard of the Food Safety Modernization Act (FSMA) Proposed Rule for Produce Safety?
xxx
1

Yes - Continue 3

No – Go to Section G

35. Which of the following sources have you used for information on the Food Safety Modernization Act (FSMA) Proposed
Rule for Produce Safety? Check all that apply.
xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx

Produce/agricultural news
The FSMA legislation or proposed rules
FDA listening sessions, public meetings, webinar, or FSMA website
Produce Safety Alliance
University training/extension/education meetings
Commodity organization training/education meetings.
Neighbors or other growers
Other (Specify: xxx_______________________________________)

- 30 -

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
9990
YES = 1

[Thank the respondent, then review this questionnaire.]
005

ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

___ ___ ___ ___

OFFICE USE
TIME IN HOURS
006
. ___

SUPPLEMENT USE
Record the total number of supplements used to complete this interview.

NUMBER
067

Fertilizer Supplements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
068

Pesticide Supplements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9911

9910

Reported by: ________________________________
Response
1-Comp
2-R
3-Inac
4-Office Hold

S/E Name

9901

Respondent
1- Op/Mgr
2-Sp
3-Acct/Bkpr

9902

Mode
2-Tel

9903

___ ___ ___ ___ ___ ___
M

Enum
9998

M

D

Eval
9900

D

Y

Y

Telephone: ________________________

Date
MM DD YY
9910

9921

3-Face-to Face

Change
9985

Optional
9906

Office Use for POID

4-Partner
9-Other

R Unit

99789
__ __ __ __ 15

__ __ __ - __ __ __ - __ __ __