Forest Service, U.S. Department of Agriculture |
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Form Approved |
Northern Research Station |
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OMB 0596-0010 |
1992 Folwell Ave. |
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Expires: XX/XX/XXX |
St. Paul, MN 55108 |
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Phone Number: (651) 649-5150; Fax: (651) 649-5140 |
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PRIMARY MILL QUESTIONNAIRE - 2021 |
Section 1-Mill Information |
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Mill Name |
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Mill mailing address |
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City, ST Zip |
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Phone |
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Fax |
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Mill/Company Website |
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Company e-mail |
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Contact Name and Title |
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Contact Phone |
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Contact mailing address |
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City, ST Zip |
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Contact Fax |
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Contact e-mail |
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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, ST Zip |
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Mill type (please check) |
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3-Pulp or pulp/paper mill |
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4-Composite panel/Engineered wood product mill |
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Number of employees-All: |
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Annual mill capacity (volume per year when operating at full capacity): _____________ Unit of measure: ___________________ |
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Do this mill process any logs from cities or towns (urban areas)? |
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YES |
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NO |
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If YES, what percent of the total roundwood received was from urban wood? ________ % |
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Company Name (if different from Mill Name): |
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Company mailing address (if different from Mill): |
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City, ST Zip |
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Phone |
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Fax |
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Instructions: |
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This form is for reporting the quantities and types of logs received by this mill and the disposal of plant residues |
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resulting from the manufacturing or processing of wood products. COMPLETE SECTIONS 2, 3 AND 4 FOR |
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EACH TYPE OF RAW MATERIAL RECEIVED THAT IS NOT EXPORTED OUT OF THE U.S. |
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COMPLETE SECTION 2 FOR EACH TYPE OF RAW MATERIAL EXPORTED OUT OF THE U.S. |
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If records are not available, please give your best estimates. This survey is voluntary. While you are not required to |
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respond your cooperation is needed to make the results of the survey comprehensive, accurate, and timely. |
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ALL VOLUMES REPORTED WILL BE HELD CONFIDENTIAL AND WILL ONLY BE USED TO AGGREGATE |
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TO THE COUNTY AND STATE LEVEL. NO INDIVIDUAL MILL PRODUCTION DATA WILL BE RELEASED. |
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Check box to omit the above information from "Regional/Statewide Industry" Directories |
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Check box if you wish to receive a copy of the report resulting from this study |
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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, |
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instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. |
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Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: |
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Department of Agriculture, Clearance Officer, OIRM, Room 404-W. Washington, DC 20250; and to the |
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Office of Management and Budget, Paperwork Reduction Project (OMB# 0596-0010), Washington, DC 20503. |
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Section 2 - Raw Material (Logs/Roundwood) Received and Processed at Mill in 2021 |
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2.1. Amount of Roundwood received and processed at the mill. |
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Enter the TOTAL amount of Raw |
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Please Check the Unit of Measure: |
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Average |
Average |
Material (Logs/Roundwood, chipped |
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Standard cord (4' X 4' X 8') |
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If Unit of measure is a weight, |
Log |
Log Top |
roundwood, or whole tree chips) |
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Lake States cord (4' X 4' X 100") |
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enter a weight conversion factor |
Length |
Diameter |
received and processed at the mill. |
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Green tons (short, 2,000 lbs) |
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(in feet) |
(in inches) |
Do not include mill residues that were |
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Green metric tonnes |
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used to produce the mill's product. |
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Thousand cubic feet |
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Softwoods ________lbs. per cord |
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Thousand cubic meters |
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Amount: ________________ |
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Other : (specify):_____________________ |
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Hardwoods ________lbs. per cord |
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2.2. Enter the AMOUNT/PERCENT of the Species Group and the Origin of Raw Material (Logs/Roundwood) Received and Processed. |
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Enter the total amount, or the percent of the total, for each Species received and processed for the mill product. |
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Across the columns at the top of the table, enter the State and county, or Country and Province that the Raw Material (Logs/Roundwood) came from. |
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Enter the amount or percent of each species that came from each State and County/Country and Province. The Row should sum to 100% if percent is entered. |
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Separate bark on roundwood/logs, Whole tree chips, peeled/flail debarked roundwood/logs by: |
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Enter "W" after the amount/volume that come into the mill as whole tree chips. |
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Enter a "P" after the amount/volume that come into the mill as peeled or flail debarked roundwood or chips. |
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No identifier is required for bark on Roundwood/logs, or chipped bark on roundwood/logs. |
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Amount |
Enter County name, State abbrev., or Country and Province of species group received from each county/state or foreign country |
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or |
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Total |
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Percent |
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All |
Species Group Name |
Code |
by Species |
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Counties |
Cedar/juniper |
1 |
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100% |
Balsam fir |
4 |
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100% |
Hemlock |
5 |
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100% |
Jack pine |
7 |
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100% |
Red pine |
12 |
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100% |
White pine |
14 |
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100% |
Other pines |
15 |
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100% |
Spruce |
17 |
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100% |
Tamarack |
6 |
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100% |
Ash |
19 |
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100% |
Aspen/balsam poplar |
20 |
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100% |
Basswood |
21 |
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100% |
White/paper birch |
124 |
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100% |
Yellow birch |
23 |
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100% |
Other birch |
24 |
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100% |
Elm |
27 |
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100% |
Maple - Hard maple |
29 |
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100% |
Maple - Soft maple |
30 |
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100% |
Oak - Red oak |
131 |
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100% |
Oak - White oak |
133 |
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100% |
Yellow-poplar |
39 |
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Other: from list below |
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100% |
Other: from list below |
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100% |
Other hardwoods not listed |
40 |
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100% |
Total All Spp Volumes OR 100% |
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Other species |
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8 - Loblolly-Shortleaf pine |
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10 - Longleaf and slash pine |
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22 - Beech |
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26 - Cottonwood |
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35 - Sweetgum |
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38 - Black walnut |
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9 - Lodgepole pine |
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11 - Ponderosa and Jeffrey pine |
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25 - Black cherry |
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28 - Hickory |
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36 - Sycamore |
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3.1. Check type of process and equipment in use. |
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Wood process type |
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Equipment |
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Sulfite |
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Chipper |
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Kraft |
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Debarker |
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Groundwood/Mechanical |
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Chip Canter |
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Semichemical |
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Hammer mill |
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Kraft/Groundwood |
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Other - specify ___________________________________ |
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Thermochemical |
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Thermomecnanical |
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Other - specify ___________________________________ |
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Other - specify _________________ |
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Section 3.2 -- Products produced from logs received in 2021. |
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Please check the types of products produced from logs, or chipped logs. |
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Composite products |
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Pulpwood products |
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Oriented Strand Board (OSB) |
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Wood pulp |
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Particle board |
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Paper |
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Wafer board |
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Corrugated medium |
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Hardboard |
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Roofing material |
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Medium density fiber board (MDF) |
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Insulation board |
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Other engineered product - |
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Other pulp product - |
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Specify: ______________ |
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Specify: ______________ |
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Section 3.3 -- Volume of product produced from Raw Material (Logs/Roundwood) Processed in 2021. |
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Please enter amount of mill product produced in 2021 by softwoods and hardwoods. |
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Softwoods |
Hardwoods |
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Unit of Measure |
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Unit of Measure |
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Amount |
(codes below) |
Amount |
(codes below) |
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Pulp products |
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Composite products |
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Units of Measure |
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31 - Green tons |
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32 - Dry tons |
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99 - Other (specify) |
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72 - Thousand Square Feet |
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98 - Thousand Tons of pulp |
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Specify: _________________ |
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Percent of finished product exported out of the United States: ________%. |
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Section 3.4 -- Volume of mill residues used to produce product in 2021. |
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Select the unit of measure the volume is reported in. Indicate the State of origin, mill byproduct, and the volume each species group received. |
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Wood chips are chips from coarse mill residues. Whole tree chip volumes should be recorded as roundwood on page 2. |
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Origin of byproduct |
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Other byproducts |
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Check only one |
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ST code |
Wood chips |
Sawdust |
List: ____________ |
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Unit of Measure |
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State or |
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(office |
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XX |
foreign Country |
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use) |
Softwood |
Hardwood |
Softwood |
Hardwood |
Softwood |
Hardwood |
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Standard cord |
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Dry tons |
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Green tons |
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Other (specify): |
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________________ |
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Section 3.5 -- Volume of hog fuel/industrial fuelwood received in 2021. |
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Please record the volume/amount of roundwood, 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. Do not include mill residues (example, bark or sawmill chips) |
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State or |
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ST code |
Boiler/hog fuel volume |
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foreign Country |
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(office use) |
Softwood |
Hardwood |
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Check the unit of Measure used |
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(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: |
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(specify): _____________ |
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Section 4—MILL RESIDUE and MILL RESIDUE USE for 2021 |
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4.1. Please enter the amount of mill residue produced by this mill. |
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Enter the amount of mill residues that were generated at the mill by processing Roundwood or whole tree chips, |
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for each type of mill residue generated, by Softwood and Hardwood. Indicate the "Unit of Measure". |
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Unit of Measure |
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(example: green tons, dry tons, |
Type of Residue |
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Softwood |
Hardwood |
thousand cubic feet, etc.) |
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 that are not |
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processed as mills primary product |
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4.2. Disposal of mill residues |
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Enter the percent for how each type of mill residue was used by the mill ("USE OF MILL RESIDUE:") in the production of the |
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primary product, by type of Residue, and Softwood and Hardwood. If no mill residues were generated, leave blank. |
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COARSE |
FINE |
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(chips, slabs, edgings, |
Shavings |
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BARK |
trims, cores, etc) |
(Planer or Lathe) |
Sawdust |
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Softwood |
Hardwood |
Softwood |
Hardwood |
Softwood |
Hardwood |
Softwood |
Hardwood |
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USE OF MILL RESIDUE: |
Code |
% |
% |
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% |
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Manufacture of fiber/composite products |
1 |
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Small dimension and other sawn products |
2 |
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Charcoal or chemical wood |
3 |
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Industrial fuel at this plant (on-site) |
4 |
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Industrial fuel at other plants |
5 |
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Bio-energy pellets |
6 |
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Other Bio-energy products(biodiesel,etc) |
7 |
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Residential fuelwood |
8 |
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Mulch/Soil additive (includes biochar) |
9 |
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Animal bedding |
10 |
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Other misc. uses- please specify: _______________ |
88 |
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NOT USED (land fill, burned, etc) |
99 |
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TOTAL |
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100% |
100% |
100% |
100% |
100% |
100% |
100% |
100% |
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