| Instructions for "ROUNDWOOD RECEIVED FOR PROCESSING" | 
		
	
		
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		| This instruction sheet is provided to help you fill out the "ROUNDWOOD RECEIVED FOR PROCESSING" survey form. | 
		
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		| This form has been designed to determine the location, size, and composition of the primary wood-using mills in your State, | 
		
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		| the volume of roundwood harvested by product, species, and geographic location, and the volume and disposition of wood | 
		
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		| residues generated during primary processing for the calendar year indicated. Your cooperation completing this form for your | 
		
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		| mill will make the results of this survey comprehensive, accurate, and timely. All information is held in confidentiality and | 
		
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		| used only for statistical reports. No individual mill production data will be released. Your cooperation is appreciated. | 
		
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		| ROUNDWOOD is defined as any log, bolt, or other round section (including chips from roundwood)  | 
		
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		| cut from trees for industrial or consumer use. This includes  saw logs, veneer logs, cooperage logs | 
		
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		| and bolts, pilings, poles, posts, hewn ties, and various other round, split, or hewn products. | 
		
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		| Page 1 -- Mill Information (This page only needs to be completed once per mill location.) | 
		
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		| *  Fill in the Business/Company name and mailing address. Also record the name and phone number of the owner, manager, | 
		
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		or person that can be contacted if there are any questions concerning the information on the survey form. | 
	
	
		| *  Record the address of the actual mill location if different from the business/company mailing address. | 
		
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		| *  Record the name of the County in which the mill is located. If Latitude and Longitude of mill location are available, they may be entered. | 
		
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		| *  If the mill is part of a larger, Parent company, record the Parent company name and address. | 
		
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		| *  Check the box if No wood was received at this mill location during the calender year of the survey. | 
		
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		If no wood was received, no further information is needed. Please return the form in the enclosed envelope. | 
	
	
		| *  Check the box under "Type of Roundwood Processed" that indicates the type of roundwood received at the mill | 
		
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		for processing. If the mill processes more than one type of roundwood, complete a separate form for each. | 
	
	
		| *  Enter the annual capacity of the mill when operating at full capacity, and indicate the unit of measure. | 
		
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		| *  Indicate if the mill is a portable mill, the number of employees, when the mill was established, and the mill status during the survey year. | 
		
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		| *  Check the box if you want the mill name and address to be withheld from "Regional/Statewide Industry" directories. | 
		
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		| *  Check the box to be to notified about the report resulting from this study. | 
		
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		| Page 2 -- SECTION 2. ORIGINS AND SPECIES OF ROUNDWOOD PROCESSED | 
		
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		| (This page should be completed for each 'Type of Roundwood Processed' in section 2.1) | 
		
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		| *  Check the box under "Type of Roundwood Processed" that indicates the type of roundwood received at the mill | 
		
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		for processing. If the mill processes more than one type of roundwood, complete a separate form for each. | 
	
	
		| *  Enter the total volume of roundwood received at the mill for the 'Type of Roundwood Processed' checked in Section 2.1, the unit of measure | 
		
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		for softwood and hardwood, and the average log length and top diameter of logs processed at the mill. If the Unit of Mearsure is a | 
	
	
		
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		weight measurement, please indicate the conversion factor the mill uses for pounds per board foot or cord. | 
	
	
		| *  Indicate if the mill processes any logs from cities or towns (urban areas), and if so, what percent of the reported | 
		
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		 total volume of roundwood received came from cities or towns (urban areas). | 
	
	
		| *  Indicate what percent of the reported of the total volume of roundwood received came from salvaged dead trees. | 
		
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		| *  Enter the amount or percent of each species group processed at the mill for the Raw Material (Logs/Roundwood) | 
		
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		checked in Section 2.1. Across the columns at the top of the table, enter the State and county, and foreign | 
	
	
		
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		Country that the Raw Material (Logs/Roundwood) came from. Then fill in the table entering the amount | 
	
	
		
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		or percent of each species that came from each county. If the species is not listed, enter it into the last three | 
	
	
		
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		rows labeled "Other:" A species list is at the bottom of page. If you need more space, please duplicate this form. | 
	
	
		
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		| Page 3-- SECTION 3. Mill equipment, products produced, production amounts, and boiler/hog fuel, amounts. | 
		
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		| (This page only needs to be completed once per mill location.) | 
		
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		| *  Check the main head rig at the mill, and any resaws or other equipment. | 
		
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		| *  Enter the percent of the group for each type of product produced at the mill. Example: 50% rough lumber, 25% pallets/pallet lumber | 
		
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		25% cants, and 100% Posts - fencing. Sums to 100% for the 'Saw logs' group and 100% for the 'Post, poles, and pilings' group. | 
	
	
		| *  Enter the total amount produced for each 'Type of Roundwood Processed' in section 2.1, the unit of measure, the | 
		
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		 percent dressed for lumber, and the amount of finished product exported out of the United States. | 
	
	
		| *  If the mill receives roundwood, in-woods chips, whole-tree chips, and/or tops and limbwood used for | 
		
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		 Boiler/hog fuel/industrial fuel, Please record the total amount by State of origin, and softwoods and hardwood. | 
	
	
		
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		Indicate the unit of measure. | 
	
	
		
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		| Pages 4 -- SECTION II. DISPOSAL OF BARK AND WOOD RESIDUES GENERATED | 
		
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		| (This page should be completed for each 'Type of Roundwood Processed' in section 2.1, except for Roundwood exported out of the United States.) | 
		
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		| *  Check the box under "Type of Roundwood Processed" that indicates the type of roundwood received at the mill | 
		
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		for processing. If the mill processes more than one type of roundwood, complete a separate form for each. | 
	
	
		| *  Enter the amount of mill residues that were generated by processing the type of Raw Material (Logs/Roundwood)  | 
		
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		Section 4.1 for each type of mill residue and for Softwoods and Hardwoods. Indicate the "Unit of Measure." | 
	
	
		| *  Enter the percent for each type of "USE OF MILL RESIDUE" by the type of mill residue, and Softwoods and Hardwoods. | 
		
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		The columns should sum to 100%. | 
	
	
	
	
		| FOREST SERVICE, U.S. DEPARTMENT OF AGRICULTURE | 
		
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		Form Approved | 
		
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		| Northern Research Station | 
		
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		OMB No. 0596-0010 | 
		
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		| 1992 Folwell Avenue | 
		
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		Expires: date | 
		
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		| St. Paul, Minnesota 55108 | 
		
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		| ROUNDWOOD RECEIVED FOR PROCESSING, STATE, year | 
		
	
		
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		| Section 1.1 | 
		
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		Business/Company Name: | 
		
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		Mailing Address: | 
		
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		City/State/Zip code: | 
		
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		Phone number: | 
		
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		Fax number: | 
		
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		Company website: | 
		
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		Company e-mail: | 
		
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		Contact Name and Title: | 
		
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		Title:  | 
		
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		Mailing Address: | 
		
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		City/State/Zip code: | 
		
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		Phone number: | 
		
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		e-mail address: | 
		
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		| Mill physical location if different from mill mailing address | 
		
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		Mill physical address: | 
		
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		City/State/Zip code: | 
		
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		| County mill is located in: _____________________ | 
		
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		Latitude of mill: _______________ | 
		
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		Longitude of mill: _______________ | 
		
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		| Parent Company Name (if different from Mill Name): | 
		
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		Mailing Address: | 
		
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		Phone number: | 
		
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		Fax number: | 
		
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		  Check here if "NO" wood was processed during the calendar year and return form. No further information is needed. | 
		
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		| Instructions: This form is for reporting the quantities and types of logs received by this mill in, and the disposal of plant residues | 
		
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		| resulting from the manufacturing or processing of wood products. Please complete this form and return it promptly. If complete | 
		
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		| records are not available, please give your best estimates. Do not include logs or bolts sold or treansferred to another | 
		
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		| primary processing plant. Complete page 2 and 4 for each 'Type of Roundwood Processed' checked in Section 1.2 | 
		
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		| below. Only 1 page 1 and 3 need to be completed for each mill. This survey is voluntary. While you are not required to respond | 
		
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		| your cooperation is needed to make the results of the survey comprehensive, accurate, and timely. ALL VOLUMES REPORTED | 
		
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		| WILL BE HELD CONFIDENTIAL AND WILL ONLY BE USED TO AGGREGATE TO THE COUNTY AND STATE LEVEL.  | 
		
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		| Section 1.2 | 
		
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		| Type of Roundwood Processed: | 
		
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		Sawmill | 
		
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		Piling mill | 
		
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		Miscellaneous/other mill (Example: Excelsior/shavings, | 
		
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		Veneer mill | 
		
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		Pole mill | 
		
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		handle bolts, etc.) (specify): __________________________ | 
		
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		House/cabin logs mill | 
		
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		Post mill | 
		
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		Roundwood exported out of the United States | 
		
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		| Annual mill capacity (volume per year when operating at full capacity): _____________     Unit of measure: ___________________ | 
		
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		| Is this a portable mill? | 
		
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		YES | 
		
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		| Number of employees: __________          Year mill established: __________ | 
		
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		| Mill status (check one):  ____ Active        ____ New        ____ Idle        ____ Closed/Out of Business        ____ Dismantled | 
		
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		Check here if you want the mill's name and address to be withheld from "Regional/Statewide Industry" directories. | 
		
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		Check here if you wish to notified about the report resulting from this study. | 
		
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		| For Official Use Only. | 
		
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		Interviewer's Name and Title:__________________________________________     Phone: ___________________     Date of Interview: ___________ | 
		
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		Interview type: mail _____     phone _____     personal contact _____     e-mail _____ | 
		
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		MILL_NBR:_______     State:____     County:_____     Product:______     Total volume:_____________ | 
		
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		| Public reporting burden for this collection of information is estimated to average 50 minutes per response, including the time for reviewing instructions, searching existing | 
		
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		| data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden | 
		
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		| estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, OIRM, | 
		
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		| Room 404-W. Washington, DC 20250; and to the Office of Management and Budget, Paperwork Reduction Project (OMB# 0596-0010), Washington, DC 20503.  | 
		
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		| Section 2. ORIGINS AND SPECIES OF ROUNDWOOD PROCESSED | 
		
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		| ROUNDWOOD is defined as any log, bolt, or other round section (including chips from roundwood) cut from trees for industrial or consumer use. | 
		
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		This includes saw logs, veneer logs, cooperage logs and bolts, pilings, poles, posts, hewn ties, and various other round, split, or hewn products. | 
		
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		| 2.1. Type of Roundwood Processed (check one). From Section 1.2 | 
		
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		Sawmill | 
		
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		House/cabin logs mill | 
		
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		Pole mill | 
		
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		Miscellaneous/other mill (specify): _______________________________ | 
		
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		Veneer mill | 
		
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		Piling mill | 
		
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		Post mill | 
		
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		Roundwood exported out of the United States | 
		
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		| 2.2. Amount of Roundwood received and processed at the mill. | 
		
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		| Enter the TOTAL amount of Raw Material (Logs/Roundwood) received and processed at the mill for the 'Type of Rooundwood Processed' checked in 2.1 above.  | 
		Softwood Unit of Measure (from list at right) | 
		Hardwood Unit of Measure (from list at right) | 
		If Unit of measure is a weight, enter Softwood Weight conversion factor | 
		If Unit of measure is a weight, enter Hardwood Weight conversion factor | 
		
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		Average | 
		
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		Average | 
		
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		Units of Measure: | 
		
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		16 - MBF Lumber talley | 
		
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		Log | 
		
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		Log Top | 
		
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		11 - MBF Doyle | 
		
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		 6 - BF Lumber Tally | 
		
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		Length | 
		
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		Diameter | 
		
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		 1 - BF Doyle | 
		
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		21 - Standard cord | 
		
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		(in feet) | 
		
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		(in inches) | 
		
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		13 - MBF Scribner Decimal C | 
		
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		22 - Lake States cord (100 in.) | 
		
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		 3 - BF Scribner Decimal C | 
		
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		61 - Pieces | 
		
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		_____lbs. per MBF | 
		
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		_____lbs. per MBF | 
		
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		12 - MBF Scribner | 
		
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		63 - Thousand pieces | 
		
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		|      Amount: ________________ | 
		
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		or | 
		
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		2 - BF Scribner | 
		
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		31 - Green tons | 
		
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		_____lbs. per cord | 
		
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		_____lbs. per cord | 
		
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		15 - MBF International ¼-inch rule | 
		
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		43 - Thousand cubic feet | 
		
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		 5 - BF International ¼-inch rule | 
		
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		99 - Other (specify):_____________________ | 
		
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		| Do you process any logs from cities or towns (urban areas) at your mill? | 
		
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		YES | 
		
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		NO | 
		
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		If YES, what percent of the total roundwood received was urban wood in year?  ___________% | 
		
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		% | 
		
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		| What percent of the total roundwood received was from salvaged dead trees from forested areas?  ___________% | 
		
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		| 2.3.Species and Origin of roundwood received at mill. | 
		
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		| Please complete the matrix to the best of your knowledge. If you don't know the exact origin please give approximate values for the top counties within the mill's procurement zone | 
		
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		Provide county name as headings for column below. If out of state or foreign origin please specify state or Country. Add additional sheets as needed. | 
		
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		| Species Group Name | 
		
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		Amount or Percentage received by spp | 
		
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		Total All Counties | 
		
	
		| Cedar/juniper | 
		
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		100% | 
		
	
		| Balsam fir | 
		
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		100% | 
		
	
		| Jack pine | 
		
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		100% | 
		
	
		| Red pine | 
		
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		100% | 
		
	
		| White pine | 
		
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		100% | 
		
	
		| Other pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Ash | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Aspen/balsam poplar | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Basswood | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Yellow birch | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| White (paper) birch | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Other birch | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Black cherry | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Black walnut | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Cottonwood | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Elm | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Hickory | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Hard maple | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Soft maple | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Yellow-poplar | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Red oak | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| White oak | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Other: from list below ________________ | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		| Other: from list below ________________ | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		100% | 
		
	
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Other species | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Cypres | 
		
  | 
		
  | 
		
  | 
		Hemlock | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Ponderosa/Jeffrey pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Longleaf/slash pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		Sugar pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		Redwood | 
		
  | 
		
  | 
		
  | 
		Alder | 
		
  | 
		
  | 
		
  | 
		Beech | 
		
  | 
		
  | 
		
  | 
		
  | 
		Tupelo/black gum | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Douglas-fir | 
		
  | 
		
  | 
		
  | 
		Loblolly/shortleaf pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Lodgepole pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Lodgepole pine | 
		
  | 
		
  | 
		
  | 
		
  | 
		Tamarack/larch | 
		
  | 
		
  | 
		
  | 
		
  | 
		Spruce | 
		
  | 
		
  | 
		
  | 
		Sweetgum | 
		
  | 
		
  | 
		
  | 
		Sycamore | 
		
  | 
		
  | 
		
  | 
		
  | 
		Other hardwoods not listed | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
	
	
	
	
	
	
	
	
		| Section 3 - Mill equipment, products produced, production amounts, and boiler/hog fuel, amounts. | 
		
  | 
		
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  | 
	
	
		
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  | 
		
  | 
		
  | 
		
  | 
	
	
		| 3.1.  Check type of equipment in use. | 
		
  | 
		
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  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Headsaw | 
		
  | 
		
  | 
		Resaw  | 
		
  | 
		
  | 
		
  | 
		Other | 
		
  | 
		
  | 
		
  | 
		Other  | 
		
  | 
		
  | 
	
	
		
  | 
		Band saw - Twin | 
		
  | 
		
  | 
		Band saw | 
		
  | 
		
  | 
		
  | 
		Slab chipper | 
		
  | 
		
  | 
		
  | 
		Shaving machine | 
		
  | 
	
	
		
  | 
		Band saw - Single | 
		
  | 
		
  | 
		Band saw - horizontal | 
		
  | 
		
  | 
		
  | 
		Chipper | 
		
  | 
		
  | 
		
  | 
		Hammer mill | 
		
  | 
	
	
		
  | 
		Band saw - Quad | 
		
  | 
		
  | 
		Band saw - vertical | 
		
  | 
		
  | 
		
  | 
		Planer | 
		
  | 
		
  | 
		
  | 
		Firewood Processor | 
		
  | 
	
	
		
  | 
		Band saw - Other (specify) | 
		
  | 
		
  | 
		Band saw - gang | 
		
  | 
		
  | 
		
  | 
		Edger | 
		
  | 
		
  | 
		
  | 
		Wood-fired boiler | 
		
  | 
	
	
		
  | 
		     Specify:  ________________ | 
		
  | 
		
  | 
		Circular saw | 
		
  | 
		
  | 
		
  | 
		Debarker | 
		
  | 
		
  | 
		
  | 
		Optimizer equipment | 
		
  | 
	
	
		
  | 
		Circular saw - Carriage | 
		
  | 
		
  | 
		Circular saw - horizontal | 
		
  | 
		
  | 
		
  | 
		Sliced veneer equipment | 
		
  | 
		
  | 
		
  | 
		Machine stress-rating | 
		
  | 
	
	
		
  | 
		Circular saw - Scragg | 
		
  | 
		
  | 
		Circular saw - vertical | 
		
  | 
		
  | 
		
  | 
		Peeled veneer equipment | 
		
  | 
		
  | 
		
  | 
		Other - please specify | 
		
  | 
	
	
		
  | 
		Circular saw - Over-under | 
		
  | 
		
  | 
		Circular saw - gang | 
		
  | 
		
  | 
		
  | 
		Dry kiln | 
		
  | 
		
  | 
		
  | 
		Specify:  ______________ | 
		
  | 
	
	
		
  | 
		Circular saw - Other (specify) | 
		
  | 
		
  | 
		Splitter | 
		
  | 
		
  | 
		
  | 
		Treating equipment | 
		
  | 
		
  | 
		
  | 
		
  | 
		______________ | 
	
	
		
  | 
		     Specify:  ________________ | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Chip Canter | 
		
  | 
		
  | 
		
  | 
		Other - please specify | 
		
  | 
	
	
		
  | 
		Chipping saw - Chip-n-saw | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Container | 
		
  | 
		
  | 
		
  | 
		Specify:  ______________ | 
		
  | 
	
	
		
  | 
		Chipping saw - Side chipping | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		Post/Pole Peeler | 
		
  | 
		
  | 
		
  | 
		
  | 
		______________ | 
	
	
		
  | 
		
  | 
		
  | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Section 3.2 -- Products produced from logs received in year. | 
		
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  | 
		
  | 
	
	
		| Enter the percent of the total for each group of products produced from logs, or chipped logs. | 
		
  | 
		
  | 
		
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  | 
		
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  | 
		
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  | 
		
  | 
		
  | 
	
	
		
  | 
		Do not include products that are produced from mill residues such as bark, sawdust, planer shavings, slabs, etc. | 
		
  | 
		
  | 
		
  | 
		
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		| Saw logs | 
		
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		Veneer logs | 
		
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		Post, poles, and pilings | 
		
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		| % | 
		 101 - Rough lumber | 
		
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		% | 
		 201 - Sheathing | 
		
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		% | 
		 701 - Pilings | 
		
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		| % | 
		 102 - Dimension or stud lumber | 
		
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		% | 
		 202 - Matches | 
		
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		% | 
		 801 - Poles-utility | 
		
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		| % | 
		 103 - Board and shop lumber | 
		
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		% | 
		 203 - Plywood | 
		
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		% | 
		 802 - Poles-other | 
		
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		| % | 
		 104 - Molding or select lumber | 
		
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		% | 
		 204 - Sticks | 
		
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		% | 
		 901 - Posts-fencing | 
		
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		| % | 
		 124 - Treated lumber | 
		
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		% | 
		 205 - Boxes | 
		
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		% | 
		 902 - Posts-other | 
		
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		| % | 
		 105 - Siding and trim | 
		
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		% | 
		 206 - Veneer/Face veneer | 
		
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		% | 
		 903 - Round railings | 
		
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		| % | 
		 106 - Lumber (unspecified) | 
		
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		% | 
		 207 - Other veneer - | 
		
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		% | 
		 904 - Grape stakes | 
		
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		| % | 
		 107 - Pallets/pallet lumber | 
		
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		  Specify:  __________________ | 
		
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		% | 
		 905 - Log furniture | 
		
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		| % | 
		 108 - Timbers/supports | 
		
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		% | 
		 307 - Other post, pole, piling product | 
		
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		| % | 
		 109 - Ties (railroad ties) | 
		
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		House logs | 
		
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		Specify:  _______________________ | 
		
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		| % | 
		 110 - Landscape timbers | 
		
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		% | 
		 601 - Cabins/house logs | 
		
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		| % | 
		 111 - Furniture stock | 
		
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		% | 
		 602 - Sawn house logs | 
		
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		Other miscellaneous products | 
		
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		| % | 
		 112 - Crane mats | 
		
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		% | 
		 603 - Turned house logs | 
		
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		% | 
		 1101 - Mulch, soil additives, compost | 
		
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		| % | 
		 113 - Lath/stakes | 
		
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		% | 
		 604 - Hand-peeled house logs | 
		
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		% | 
		 1102 - Chemical extractives | 
		
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		| % | 
		 114 - Cants | 
		
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		% | 
		 605 - Finished log homes - sawn | 
		
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		% | 
		 1103 - Split rail fencing | 
		
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		| % | 
		 115 - Flooring | 
		
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		% | 
		 606 - Finished log homes - turned | 
		
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		% | 
		 1104 - Shingles/shakes | 
		
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		| % | 
		 116 - Blocking/dunnage | 
		
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		% | 
		 607 - Finished log homes - Hand peeled | 
		
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		% | 
		 1105 - Shavings/excelsior (packing | 
		
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		| % | 
		 117 - Handles/blanks | 
		
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		% | 
		 608 - Vigas | 
		
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		material, bedding, etc.) | 
		
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		| % | 
		 118 - Dowels/blanks | 
		
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		% | 
		 609 - Latillas | 
		
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		% | 
		 1106 - Novelty | 
		
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		| % | 
		 120 - Containers/boxes | 
		
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		% | 
		 610 - Trusses and other house log products | 
		
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		% | 
		 1107 - Foreign Export logs | 
		
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		| % | 
		 122 - Tight cooperage/staves | 
		
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		% | 
		 1108 - Other -  | 
		
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		| % | 
		 123 - Slack cooperage/staves | 
		
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		Specify:  _______________________ | 
		
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		| % | 
		 121 - Other sawn products - | 
		
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		  Specify:  __________________ | 
		
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		| Section 3.3 -- Volume of product produced from Raw Material (Logs/Roundwood) Processed in year. | 
		
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		| Please enter amount of mill product produced in year from each type of RAW MATERIAL (Logs/roundwood) by softwoods and hardwoods. | 
		
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		Softwoods | 
		Hardwoods | 
		
	
		
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		Percent Dressed/ | 
		
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		Percent Dressed/ | 
		
	
		
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		Unit of Measure | 
		Planed | 
		
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		Unit of Measure | 
		Planed | 
		
	
		| Product Produced | 
		
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		Amount | 
		(codes below) | 
		(If sawn product)  | 
		Amount | 
		(codes below) | 
		(If sawn product)  | 
		
	
		| Saw log products | 
		
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		| Veneer log products | 
		
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		| House logs | 
		
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		| Posts, poles, and pilings | 
		
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		Other -  specify: ___________ | 
		
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		Units of Measure | 
		
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		16 - Lumber Tally (MBF) | 
		
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		61 - Pieces | 
		
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		71 - Square Feet | 
		
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		99 - Other (specify):  | 
		
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		| Do you export finished product out of the Country? ____ NO     ____YES. Percent of finished product exported out of the United States: ________%. | 
		
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		| Section 3.4 -- Volume of hog fuel/industrial fuelwood received in year. | 
		
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		| Please record the volume/amount of in-woods chips, whole-tree chips, and/or tops and limbwood used for Boiler/hog fuel/industrial fuelwood | 
		
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		that you received at the mill in year. | 
		
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		Origin of byproduct | 
		
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		ST code (for office use) | 
		 Boiler/hog fuel volume  | 
		
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		State or foreign country | 
		
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		Softwood | 
		Hardwood | 
		
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		Check the unit of Measure used (only one) | 
		
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		Dry tons | 
		
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		Green tons | 
		
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		Thousand cu. ft. | 
		
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		Other (specify): | 
		
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		| Section 4—MILL RESIDUE and MILL RESIDUE USE for (year) | 
		
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		| NOTE: Complete a sepeate Section 4 for each 'Type of Roundwood Processed' checked in Section 1.2, except for logs | 
		
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		|      exported out of the United States. Section 4 does not need to be completed for logs exported out of the United States. | 
		
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		| 4.1. Type of Roundwood Processed (check one). From Section 1.2 | 
		
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		|         1 - Saw logs | 
		
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		7 - Pilings | 
		
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		11 - Miscellaneous | 
		
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		|         2 - Veneer/plywood logs | 
		
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		8 - Poles | 
		
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		         Specify:  _____________ | 
		
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		|         6 - House/ cabin logs | 
		
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		9 - Posts | 
		
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		| 4.2. Please enter the amount of mill residue produced by this mill. | 
		
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		Softwood | 
		Hardwood | 
		Unit of Measure (example: green tons, dry tons, thousand cubic feet, etc.) | 
		
	
		| Type of Residue | 
		
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		| Bark | 
		
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		| Coarse (chips, slabs, edgings, trims, cores, etc.) | 
		
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		| Fine - Shavings (Planer or Lathe) | 
		
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		| Fine - Sawdust | 
		
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		| Whole logs or short sections chipped or not processed as mills primary product | 
		
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		| 4.3. Disposal of mill residues | 
		
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		| Instructions: | 
		For each type of wood residue generated at your mill, enter the percentage that was disposed of by | 
		
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		the various means. Each column should sum to 100% for each species group recorded. | 
		
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		BARK | 
		COARSE (chips, slabs, edgings, trims, cores, etc.) | 
		FINE | 
		WHOLE LOGS/SHORT SECTIONS | 
		
	
		
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		Shavings  (Planer or Lathe) | 
		Sawdust | 
		
	
		| Disposal of | 
		Softwood | 
		Hardwood | 
		Softwood | 
		Hardwood | 
		Softwood | 
		Hardwood | 
		Softwood | 
		Hardwood | 
		Softwood | 
		Hardwood | 
	
	
		| Mill Residues | 
		% | 
		% | 
		% | 
		% | 
		% | 
		% | 
		% | 
		% | 
		% | 
		% | 
	
	
		| Manufacture of fiber/composite products | 
		
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		| Small dimension and other sawn products | 
		
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		| Charcoal or chemical wood | 
		
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		| Industrial fuel at this plant (on-site) | 
		
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		| Industrial fuel at other plants | 
		
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		| Bio-energy pellets | 
		
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		| Other Bio-energy products (biodiesel,etc) | 
		
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		| Residential fuelwood | 
		
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		| Mulch/Soil additive (includes biochar) | 
		
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		| Animal bedding | 
		
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		| Other misc. uses- please specify:  _______________ | 
		
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		| NOT USED (land fill, burned, etc.) | 
		
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		| TOTAL | 
		100% | 
		100% | 
		100% | 
		100% | 
		100% | 
		100% | 
		100% | 
		100% | 
		100% | 
		100% |