FRUIT CHEMICAL USE SURVEY |
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OMB No. 0535-0218 Approval Expires: xx/xx/xxxx Project Code: 141 QID: 002009 SMetaKey: 1241
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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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] |
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VERSION 01 |
POID ___ ___ ___ ___ ___ ___ ___ ___ ___ |
SUBTRACT ___ ___ |
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CONTACT RECORD |
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DATE |
TIME |
NOTES |
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INTRODUCTION: [Introduce yourself, and ask for the operator. Rephrase in your own words.]
We are collecting information on chemical use and need your help to make the information as accurate as possible. The information you provide will be used for statistical purposes only. Your responses will be kept confidential and any person who willfully discloses ANY identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey is conducted in accordance with the Confidential Information Protection provisions of Title V, Subtitle A, Public Law 107-347 and other applicable Federal laws. For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality. Response to this survey 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 45 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
We encourage you to refer to your records during the interview. |
BEGINNING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
004 __ __ __ __ |
[Name, address and partners verified and updated if necessary.] |
1.
During 20XX,
were any crops (including
new
plantings), |
YES – [Go to item 5, page 2.] |
NO-[Continue.] |
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2.
During 20XX,
did this operation sell any agricultural products |
YES - [Go to item 5, page 2.] |
NO-[Continue.] |
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3. During 20XX, were any crops stored on the total acres operated? (Exclude crops produced by a tenant if [target] operator is landlord only.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES - [Go to item 5, page 2.] |
NO-[Continue.] |
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4. During 20XX, did this operation have any fruit acres which were operated by a management firm?. . . . . . . . . . . . |
YES - [Go to item 5, page 2.] |
NO-[Go to page 4.] |
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SCREENING |
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1. Did this operation have any of the target crops during the 20XX crop year? |
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YES - [Continue.] |
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NO - [Write notes explaining situation then go to “Conclusion” on back page.] |
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____________________________________________________________________________________________ |
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____________________________________________________________________________________________ |
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____________________________________________________________________________________________ |
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2. Are the day-to-day
decisions for this operation (name on label) made by
– |
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partners? [Continue.] |
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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.] (Partners jointly operate land and share in decision making. Do not include landlords and tenants as partners.). . . . . . . . . . |
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NUMBER |
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PARTNERS |
POID__ __ __ __ __ __ __ __ __ |
PARTNERS |
POID__ __ __ __ __ __ __ __ __ |
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PARTNER NAME |
PARTNER NAME |
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ADDRESS |
ADDRESS |
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CITY |
STATE |
ZIP |
PHONE NUMBER |
CITY |
STATE |
ZIP |
PHONE NUMBER |
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PARTNERS |
POID__ __ __ __ __ __ __ __ __ |
PARTNERS |
POID__ __ __ __ __ __ __ __ __ |
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PARTNER NAME |
PARTNER NAME |
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ADDRESS |
ADDRESS |
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CITY |
STATE |
ZIP |
PHONE NUMBER |
CITY |
STATE |
ZIP |
PHONE NUMBER |
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TARGET CROPS & CODES |
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FLORIDA |
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OREGON |
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313 |
Grapefruit |
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NEW JERSEY |
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101 |
Apples |
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325 |
Oranges, All |
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305 |
Blueberries |
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304 |
Blackberries |
339 |
Tangerines |
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330 |
Peaches |
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305 |
Blueberries |
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Other crops |
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Other crops |
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307 |
Cherries, Sweet |
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331 |
Pears |
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335 |
Raspberries |
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GEORGIA |
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NEW YORK |
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305 |
Blueberries |
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101 |
Apples |
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330 |
Peaches |
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308 |
Cherries, Tart |
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Other crops |
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314 |
Grapes, All |
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Other crops |
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SOUTH CAROLINA |
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MICHIGAN |
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330 |
Peaches |
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Other crops |
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Other crops |
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101 |
Apples |
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305 |
Blueberries |
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NORTH CAROLINA |
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307 |
Cherries, Sweet |
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101 |
Apples |
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TEXAS |
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308 |
Cherries, Tart |
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305 |
Blueberries |
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Other cropst |
330 |
Peaches |
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Other crops |
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313 |
Grapefruit |
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330 |
Peaches |
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OTHER STATES |
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Other Crops |
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CHANGE IN OPERATING STATUS |
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[ENUMERATOR NOTE: Skip this section if there is no change in operation name or operator.] |
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1. Has there been a change in operation name or operator? |
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NO - [Go to Enumerator Note below.] |
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YES - [Enter code 1, complete name and address information below for new operator, and read Enumerator Note.]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
CODE |
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023 |
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______________________________________ |
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Operation Name __________________________________ |
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______________________________________ |
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Operator Name __________________________________ |
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______________________________________ |
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Address ________________________________________ |
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______________________________________ |
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________________________________________ |
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______________________________________ |
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Phone ( ) ________________________________ |
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[ENUMERATOR NOTE: |
If the operation on the face page was in business part of the 20XX 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.] |
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CALIFORNIA SCREENING |
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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 |
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NUMBER |
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2. Is this ID used to report pesticide applications for any other operations? |
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YES - [Continue.] |
NO - [Go to item 3.] |
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a. What other operation(s) is this ID used to report for? |
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Name_____________________________________________________ |
Name______________________________________________________ |
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Address___________________________________________________ |
Address____________________________________________________ |
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Phone ( ) ____________________________________________ |
Phone ( ) _____________________________________________ |
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3. Does this operation use any OTHER ID’s to report pesticide applications on the target crops’ bearing acres to the County Agricultural Commissioners? |
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YES - [Continue.] |
NO - [Go to Section A, page 5.] |
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COUNTY |
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NUMBER |
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a. What are these other ID numbers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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b. Do you use any of these ID’s to report pesticide applications for any other operation(s)? |
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YES - [Continue.] |
NO - [Go to Section A, page 5.] |
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(i) What other operation(s) use this ID for reporting? [Identify operation and ID.] |
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Name_____________________________________________________ |
Name______________________________________________________ |
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Reporting ID_______________________________________________ |
Reporting ID_______________________________________________ |
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Address___________________________________________________ |
Address____________________________________________________ |
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Phone ( ) _____________________________________________ |
Phone ( ) ______________________________________________ |
4. Do you employ a fruit management company to care for any of the targeted fruit crops? |
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YES - [Continue.] |
NO - [Go to Section A, page 5.] |
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a. What fruit management company do you employ? |
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Name _____________________________________________________ |
Name _____________________________________________________ |
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Address ___________________________________________________ |
Address ___________________________________________________ |
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Phone (______) ____________________________________________ |
Phone (______) ____________________________________________ |
A |
LAND OPERATED |
A |
ACRES OPERATED |
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CODE |
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[Enumerator Action: If acreage on the insert is verified as correct, enter code 1 in box 801, then skip to Section B. If acreage has changed, ask ALL questions.] . . . . . . . . |
801 |
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Now I would like to ask about the total acres operated under this land arrangement. |
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1. How many acres does this operation--- |
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ACRES |
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a. Own?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + |
901 |
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b. Rent or lease from others or use rent free? (Exclude land used on an animal unit month (AUM) basis.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . + |
902 |
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c. Rent to others?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - |
905 |
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2. [Calculate item 1a + 1b - 1c.] Then the total acres operated are:. . . . . . . . . . . . . . . . . . . . . . . . . . = |
900 . ___ |
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a. Does this include the farmstead, all cropland, woodland, pasture land, wasteland, and government program land?
YES - [Continue.] NO - [Make corrections, then continue.] |
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The remaining questions in this survey refer to these [item 2] acres. |
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3. Of the total acres operated, how many acres are considered cropland, including land in hay, summer fallow, cropland idle, cropland used for pasture and cropland in government programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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802 |
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4. Of the total acres operated, how many acres are in fruit? (Include bearing and non-bearing acreage in trees, vineyards and bushes.) . . . . . . . . . . . . . . . . . . . . . . . . . . |
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B |
FRUIT ACREAGE |
B |
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1. What target fruit crops were on these [Section A, item 4] acres during the 20XX crop year? (Exclude new plantings and other plantings which are not yet bearing.)
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OFFICE USE LINES IN TABLE |
TABLE 001 |
LINE 99 |
199 |
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1 |
2 |
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5 |
6 |
7 |
8 |
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L I N E |
CROP |
CROP CODE |
How many BEARING acres of [crop] did this operation have?
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Were any commercial fertilizers applied to this crop |
Were any herbicides, insecticides, fungicides, etc. applied to this crop?
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On what date did you complete harvest of your 20XX crop year [crop]?
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On what date did you complete harvest of your 20XX crop year [crop]?
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ACRES |
[YES = 1] |
[YES = 1] |
MM DD YY |
MM DD YY |
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01 |
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11 . ___ |
12 |
13 |
14 |
15 |
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02 |
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11 . ___ |
12 |
13 |
14 |
15 |
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03 |
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11 . ___ |
12 |
13 |
14 |
15 |
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04 |
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11 . ___ |
12 |
13 |
14 |
15 |
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05 |
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11 . ___ |
12 |
13 |
14 |
15 |
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06 |
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11 . ___ |
12 |
13 |
14 |
15 |
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07 |
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11 . ___ |
12 |
13 |
14 |
15 |
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08 |
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11 . ___ |
12 |
13 |
14 |
15 |
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09 |
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11 . ___ |
12 |
13 |
14 |
15 |
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10 |
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11 . ___ |
12 |
13 |
14 |
15 |
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11 |
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11 . ___ |
12 |
13 |
14 |
15 |
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12 |
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11 . ___ |
12 |
13 |
14 |
15 |
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13 |
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11 . ___ |
12 |
13 |
14 |
15 |
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14 |
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11 . ___ |
12 |
13 |
14 |
15 |
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15 |
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11 . ___ |
12 |
13 |
14 |
15 |
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CALIFORNIA CROP CODES |
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301 |
APPLES |
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GRAPES |
330 |
KIWIFRUIT |
341 |
PEARS |
303
305 |
APRICOTS
AVOCADOS |
424
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RAISIN TYPE VARIEITES (include all uses for Thompson Seedless variety) |
331
333 |
LEMONS
NECTARINES |
342
343 |
PLUMS
PRUNES |
312 |
CHERRIES, SWEET |
334 |
OLIVES |
349 |
TANGERINES |
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316 |
DATES |
524 |
TABLE TYPE VARIETIES |
435 |
NAVEL ORANGES |
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OTHER CROPS |
318 |
FIGS |
624 |
WINE TYPE VARIETIES |
535 |
VALENCIA ORANGES |
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320 |
GRAPEFRUIT |
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340 |
PEACHES |
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B |
FRUIT ACREAGE |
B |
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L I N E |
CAL – EPA SITE LOCATION NUMBER (if required) |
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01 |
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02 |
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03 |
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04 |
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05 |
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06 |
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07 |
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08 |
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09 |
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10 |
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11 |
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12 |
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13 |
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14 |
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15 |
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INCLUDES AND EXCLUDES |
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INCLUDE: |
EXCLUDE: |
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TARGET CROPS ONLY. |
All crops grown in another state. |
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All commercial acreage equal to or greater than one tenth of a bearing acre. |
Non-commercial orchard and vineyard acreage (home garden). |
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All bearing acreage for processing or fresh market. |
All TARGET CROPS grown by institutional, experimental, research and university farms. |
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All bearing acreage for roadside stands, farmer’s markets or U-pick sales. |
Non-target fruits. |
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Bearing acreage not harvested due to weather, economic or other reasons. |
Abandoned orchards and vineyards. |
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Crops planted in the fall of 20XX if they were part of the 20XX crop. |
New plantings and other plantings which are not yet bearing. |
B |
FRUIT ACREAGE |
B |
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1. What target fruit crops were on these [Section A, item 4] acres during the 20XX crop year? (Exclude new plantings and other plantings which are not yet bearing.)
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TABLE
001 |
OFFICE USE LINES IN TABLE |
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LINE 99 |
199 |
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1 |
2 |
3 |
5 |
6 |
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L I N E |
CROP |
CROP CODE |
How many BEARING acres of [crop] did this operation have?
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Were any commercial fertilizers applied to this crop |
Were any herbicides, insecticides, fungicides, etc. applied to this crop?
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INCLUDE
or greater than one tenth of an acre.
for processing or fresh market.
for roadside stands, farmer’s markets or U-pick sales.
were part of the 20XX crop.
EXCLUDE
are not yet bearing.
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ACRES |
[YES = 1 |
[YES = 1] |
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01 |
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11 . ___ |
12 |
13 |
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02 |
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11 . ___ |
12 |
13 |
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03 |
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11 . ___ |
12 |
13 |
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04 |
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11 . ___ |
12 |
13 |
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05 |
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11 . ___ |
12 |
13 |
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06 |
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11 . ___ |
12 |
13 |
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07 |
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11 . ___ |
12 |
13 |
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08 |
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11 . ___ |
12 |
13 |
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09 |
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11 . ___ |
12 |
13 |
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10 |
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11 . ___ |
12 |
13 |
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11 |
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11 . ___ |
12 |
13 |
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12 |
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11 . ___ |
12 |
13 |
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13 |
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11 . ___ |
12 |
13 |
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14 |
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11 . ___ |
12 |
13 |
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15 |
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11 . ___ |
12 |
13 |
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NOTES: ________________________________________________________________________________________ |
________________________________________________________________________________________________ |
________________________________________________________________________________________________ |
________________________________________________________________________________________________ |
________________________________________________________________________________________________ |
________________________________________________________________________________________________ |
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WASHINGTON CROP CODES |
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301 |
APPLES |
622 |
GRAPES, JUICE |
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309 |
BLUEBERRIES |
624 |
GRAPES, WINE |
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312 |
CHERRIES, SWEET |
341 |
PEARS |
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314 |
CHERRIES, TART |
345 |
RASPBERRIES |
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OTHER CROPS |
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C |
FERTILIZER APPLICATIONS |
C |
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Enumerator Note--- If
column 4 of the table in Section B is
YES for any crops, continue with item 1. |
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1. I need to record complete information on all commercial fertilizers applied to the bearing acres of target fruit grown during the 20XX 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.] |
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OFFICE USE LINES IN TABLE |
TABLE 001 |
299 |
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1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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L I N E
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CROP |
CROP CODE |
N I T R O G E N
N |
P H O S P H A T E
P205 |
P O T A S H
K20 |
S U L F U R
S |
How much was applied per acre per application?
[Leave this column blank if actual nutrients were reported.]
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UNIT CODES
1 Pounds 12 Gallons 13 Quarts 15 Liquid Oz. 28 Dry Oz. 19 Actual Nutrients
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How many acres was this applied to?
[Include bearing acres only]
ACRES |
How many times was it applied?
NUMBER |
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01 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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02 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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03 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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04 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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05 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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06 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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07 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
08 |
|
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
09 |
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|
31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
10 |
|
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
11 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
12 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
13 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
14 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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15 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
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16 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
|||||
17 |
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31 |
32 |
33 |
34 |
36 |
37 |
40 |
41 |
D |
PESTICIDE APPLICATIONS |
D |
|
||
Now I have some questions
about pesticide and chemical applications to your bearing fruit
acreage |
||
|
||
1.
Since last year’s (20XX)
harvest, did you use herbicides
|
YES |
NO |
|
|
|
2.
Since last year’s (20XX)
harvest, did you use insecticides,
nematicides |
YES |
NO |
|
|
|
3.
Since last year’s (20XX)
harvest, did you use any fungicides
on any |
YES |
NO |
|
|
|
4.
Since last year’s (20XX)
harvest, did you use any other chemicals such as |
YES |
NO |
|
|
|
5. [ENUMERATION ACTION: If ALL items 1 – 4 are NO, go to Section E, page 14; else continue.] |
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 20XX
crop year to each of the target
fruit
crops
you grew. Let’s
start with the first application to your [crop]
since the 20XX
crop year
harvest. |
||||||||||||||||||
|
||||||||||||||||||
|
OFFICE USE LINES IN TABLE |
TABLE |
001 |
LINE 99 |
399 |
|||||||||||||
|
||||||||||||||||||
|
|
1 |
2 |
3 |
4 |
5 |
||||||||||||
CHEMICAL PRODUCT NAME |
L I N E
|
CROP |
CROP CODE |
What products were applied to the [crop]?
[Enter product code.] |
Was this product bought in liquid or dry form?
[Enter L or D.] |
Was this part of a tank mix?
[If tank mix, enter line number of first product in mix.] |
||||||||||||
|
01 |
|
|
61 |
|
63 |
||||||||||||
|
02 |
|
|
61 |
|
63 |
||||||||||||
|
03 |
|
|
61 |
|
63 |
||||||||||||
|
04 |
|
|
61 |
|
63 |
||||||||||||
|
05 |
|
|
61 |
|
63 |
||||||||||||
|
06 |
|
|
61 |
|
63 |
||||||||||||
|
07 |
|
|
61 |
|
63 |
||||||||||||
|
08 |
|
|
61 |
|
63 |
||||||||||||
|
09 |
|
|
61 |
|
63 |
||||||||||||
|
10 |
|
|
61 |
|
63 |
||||||||||||
|
11 |
|
|
61 |
|
63 |
||||||||||||
|
12 |
|
|
61 |
|
63 |
||||||||||||
|
13 |
|
|
61 |
|
63 |
||||||||||||
|
14 |
|
|
61 |
|
63 |
||||||||||||
|
15 |
|
|
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. |
||||||||||
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
D |
PESTICIDE APPLICATIONS |
D |
|
|||||||||||||||||||
|
CODES FOR COLUMN 8 |
|
|||||||||||||||||
|
1 POUNDS |
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: ___________ ) |
|
|
|||||||||||||||
|
|||||||||||||||||||
L I N E
|
6 |
OR |
7 |
8 |
9 |
10 |
11 |
||||||||||||
How much was applied per acre per application?
|
What was the total amount applied per application?
|
[Enter unit code from above.]
CODE |
What percent of the rows were covered?
100 All Rows 50 Every Other Row --- Other
[Enter percent covered.] |
How many acres were treated with this product? [Include bearing acres only.]
BEARING ACRES |
When was it applied?
MM DD YY |
||||||||||||||
01 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
02 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
03 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
04 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
05 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
06 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
07 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
08 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
09 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
10 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
11 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
12 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
13 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
14 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
15 |
65 . ___ ___ |
73 . ___ ___ |
74 |
75 |
77 . ___ |
83 |
|||||||||||||
[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. |
|||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
|||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
|||||||||||
____________ |
|
__________________________ |
|
_____________________________ |
|
________________ |
|
_________________ |
E |
PEST MANAGEMENT PRACTICES |
E |
Now I have some questions
about pest management practices 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.] |
|||||
|
||||||
1. Was weather data used to
assist in determining either the need or |
|
CODE |
||||
YES = 1 |
600 |
|||||
|
|
|
||||
2. Were any biological
pesticides such as Bt (Bacillus thuringiensis), |
|
|
||||
YES = 1 |
601 |
|||||
|
|
|
||||
3. Were pesticides with
different mechanisms of action rotated or tank |
|
|
||||
YES = 1 |
602 |
|||||
|
|
|||||
4. In 20XX, how were your fruit acres primarily scouted for insects, weeds, diseases and/or beneficial organisms? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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.) 3 The fruit acres were not scouted. (Enter code 3 and go to item 11.)
|
. . . . . . . . . . . . . |
|
|||
608 |
||||||
|
|
|||||
5. Was an established
scouting process used (systemic sampling, |
|
|
||||
YES = 1 |
609 |
|||||
|
|
|||||
6. Was scouting for pests done on these fruit acres due to--- |
|
|||||
a. a pest advisory warning?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
610 |
||||
b. a pest development model?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
611 |
E |
PEST MANAGEMENT PRACTICES |
E |
|
|||||||||||||
1 |
2 |
||||||||||||
7. Were your fruit acres scouted for –-- |
[If column 1 is YES, ask---]
Who did the majority of the scouting for [column 1]—
1 Operator, partner or family member 2 An employee 3 Farm supply or chemical dealer 4 Independent crop consultant or commercial scout |
||||||||||||
|
YES = 1 |
CODE |
|||||||||||
a. weeds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
612 |
614 |
|||||||||||
b. insects or mites?. . . . . . . . . . . . . . . . . . . . . . |
615 |
617 |
|||||||||||
c. disease?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
618 |
620 |
|||||||||||
|
CODE |
||||||||||||
8. Were written or
electronic records kept to track the activity or |
YES = 1 |
623 |
|||||||||||
|
|
|
|||||||||||
9. Was scouting data
compared to published information on infestation |
YES = 1 |
624 |
|||||||||||
10. Was field mapping data used for making pest management decisions?. . . . . . . . . . . . . . . . . . |
YES = 1 |
625 |
|||||||||||
|
|
|
|||||||||||
11. Were the services of a
diagnostic laboratory used for pest identification or |
YES = 1 |
626 |
|||||||||||
|
|
|
|||||||||||
12. Were crop residues (including drops, rotting fruit and/or debris) removed to manage pests?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
627 |
|||||||||||
|
|
|
|||||||||||
13. Were ground covers,
mulches, or other physical barriers |
YES = 1 |
629 |
|||||||||||
|
|
|
|||||||||||
14. Were any beneficial
organisms (insects, nematodes, fungi) |
YES = 1 |
636 |
|||||||||||
|
|
|
|||||||||||
15. Were floral lures,
attractants, repellants, pheromone traps or |
YES = 1 |
637 |
|||||||||||
16. Were any fruit acres cultivated for weed control during the growing season?. . . . . . . . . . . . . |
YES = 1 |
640 |
|||||||||||
|
|
|
|||||||||||
17. Were field edges,
lanes, ditches, roadways or fence lines chopped, |
YES = 1 |
642 |
|||||||||||
|
|
|
|||||||||||
18. Were equipment and
implements cleaned after completing |
YES = 1 |
643 |
|||||||||||
19. Were any fruit acres irrigated for the 20XX crops?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
YES = 1 |
644 |
|||||||||||
a. [If item 20 is YES, ask---]
Were water management
practices (excluding chemigation)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
|
|
|||||||||||
YES = 1 |
645 |
||||||||||||
|
COMPLETION
CODE for |
|
COMPLETION
CODE for |
|
COMPLETION CODE for PEST MANAGEMENT PRACTICES |
|
|||||||
|
1 Incomp/R 3 Valid Zero |
200 |
|
1 Incomp/R 3 Valid Zero |
300 |
|
1 Incomp/R
|
500 |
|
||||
|
|
CONCLUSION |
|
SURVEY RESULTS |
||
1. To receive the complete results of this survey on the release date, go to www.nass.usda.gov/results/. Would you rather have a brief summary mailed to you at a later date? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
|
CODE |
YES = 1 |
9990 |
|
[Thank the respondent, then review this questionnaire.] |
||
|
|
|
ENDING TIME [MILITARY]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
005
___ ___ ___ ___ |
|
|
OFFICE USE TIME IN HOURS |
|
|
006
. ___ |
SUPPLEMENT USE |
|
Record the total number of supplements used to complete this interview. |
NUMBER |
Fertilizer Supplements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
067 |
Pesticide Supplements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
068 |
|
|
|
|
|
||
Reported by: ________________________________ |
9910
___ ___ ___ ___ ___ ___ M M D D Y Y |
9911
Telephone: ________________________ |
Response |
Respondent |
Mode |
Enum |
Eval |
Date MM DD YY |
R Unit |
Change |
Optional |
|||
1-Comp 2-R 3-Inac 4-Office Hold |
9901 |
1- Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Other |
9902 |
2-Tel 3-Face-to - Face
|
9903 |
9998 |
9900 |
9910
__ __ __ __ 15 |
9921 |
9985 |
9906 |
Office Use for POID |
|||||||||||
99789
__ __ __ - __ __ __ - __ __ __ |
|||||||||||
S/E Name |
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | millbr |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |