Wood Received for Pulp Manufacturing - North

Forest Industries, Residential Fuel Wood, and Post Data Collection Systems

Pulpwood Received Questionaire - North.xls

Private Sector: Forest Industries Questionnaire

OMB: 0596-0010

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0596-0010 can be found here:

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Overview

Instructions
Page 1
Page 2-3
Page 4

Sheet 1: Instructions

SUPPLEMENTAL INSTRUCTIONS AND DEFINITIONS FORM:

General:
· Do not include logs, bolts, or chips sold or transferred from your mill/plant to another mill/plant.
	We want to eliminate double reporting of wood used in pulp and particleboard manufacturing.
· If reporting for more than one mill/plant, please use a separate form for each mill/plant.

Page 1:
· Fill in the name of the plant or company and its mailing address. Also, the name and
	telephone number of a person that can be contacted if there are any questions concerning the data.
· Under the section labeled "MILL TYPE/PROCESS" please check the box that best describes your mill.
	Use "Other:_____" if your type of mill is not listed and print the type of mill in the space provided.
· Under the title "Product produced", please check the box that best indicates the major product
	the mill produces from the roundwood received for the year. To the right of the box is a list of
	the primary products, if the mill produces anything other than what is on the list please check box
	code 39 for pulp products, or 49 for particleboard products, and print the name of the major
	product produced.
· Fill in the amount in tons per day for pulp mills or hundreds square feet 3/4-inch basis for particleboard
	plants of the average production at your plant after the label "Average production:_____."
· The Note section can be used to comment on events that may have effected the mills production,
	such as extended down time or mill expansions.

Page 2&3: Section I ROUNDWOOD AND CHIPS FROM ROUNDWOOD RECEIVED
· In the section labeled "Check unit of measure" check the box that describes the scale used
	to measure the wood at the mill yard.
· Under the "Origin of Pulpwood" show the state and county or foreign country where
	the timber was harvested.
· Chips from roundwood are chips produced from logs, bolts, tops, limb wood, and whole trees
	that have been completely chipped.
· When whole tree chip receipts are recorded, please write (W) after the quantity.
	When peeled roundwood receipts are recorded, please write (P) after the quantity.
	(Debarked chips should be recorded as peeled roundwood - (P) )
· Receipts of chips from roundwood should be recorded in section I, never in Section II. Receipt
	of chips from mill residues (slabs, edgings, veneer cores, and other byproducts) are
	recorded in Section II.

Page 4: Section II PLANT BYPRODUCTS RECEIVED FOR USE AS PULPWOOD
· Check the appropriate box under "Unit of Measure".
· The Origin of Byproducts is the state or foreign country where the mill producing the byproduct
	is located. County of origin of byproducts does not need to be reported.
· Receipts of mill residues or chipped mill residues (slabs, edgings, veneer cores, sawdust, and
	other byproducts) should be recorded in Section II, never in Section I.
· Do not record receipts of mill residues (slabs, edgings, veneer cores, sawdust, and
	other byproducts) that are burned for fuel.
· Chips receipts from chip-n-saw operations are recorded in Section II, if the chips came from
	logs and bolts used to produce both lumber and chips as joint products. Here, the
	chips are arbitrarily considered a byproduct.

Section III DISPOSITION OF BARK RESIDUE AND FINES
· Enter your best estimate of the percentage of bark and fines that was used for the various
	purposes indicated.
· The percentages for each species of bark and fines should each add to 100%.

Sheet 2: Page 1

FOREST SERVICE, U.S. DEPARTMENT OF AGRICULTURE

Form Approved

Northern Research Station

OMB No. 0596-0010

1992 Folwell Avenue

Expires:

St. Paul, Minnesota 55108

WOOD RECEIVED FOR PULP MANUFACTURING

Calendar Year ____

Company Name:

Mailing Address:

(Street or Box)

(City)

(ST)

(Zip)

Person to contact regarding this report

Title

Phone number

e-mail

Instructions: This form is for reporting the quantity of pulpwood (roundwood, chips, sawdust, and other byproducts)

received by this plant during 2007, and the disposition of bark and fines produced. This survey is authorized

by PL 93-378 as amended by PL 94-588. Your cooperation is appreciated and needed to make this survey

complete, accurate, and timely, although you are not required to respond

Please complete this form and return it promptly. If complete records are not available, please give your best estimates.

DO NOT INCLUDE LOGS, BOLTS, OR CHIPS SOLD OR TRANSFERRED TO ANOTHER PLANT.

ALL REPLIES WILL BE HELD CONFIDENTIAL AND WILL BE USED ONLY FOR STATISTICAL REPORTS

For Official Use Only.

Mill #:__1_____ State:_____ County:_____ Product:__03__ Total volume:_____________

XXX XX XXX XX XXXXXXX

MILL TYPE/PROCESS

PRODUCT PRODUCED

Notes:

Check only one

31 - Sulfite

31 - Wood pulp/paper

______________________

32 - Kraft

32 - Medium density fiberboard

______________________

33 - Groundwood/Mechanical

33 - Corrugated medium

______________________

34 - Semichemical

34 - Hardboard

______________________

35 - Kraft/Groundwood

35 - Roofing material

______________________

36 - Thermochemical

36 - Insulation board

37 - Thermomecnanical

39 - Other:___________________

39 - Other:

Average production

(in tons of pulp per day):__________

41 - OSB (Oriented Strand Board)

41 - Reconstituted panel

43 - Particleboard

42 - Reconstituted lumber

44 - Engineered Wood Products

49 - Other:____________________

49 - Other:

Average production (in thousand square

feet 3/4-inch basis per year):__________

Public reporting burden for this collection of information is estimated to average 30 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions

for reducing this burden, to Department of Agriculture, Clearance Officer, OIRM, Room 404-W. Washington, DC 20250; and to the

Office of Management and Budget, Paperwork Reduction Project (OMB# 0596-0010), Washington, DC 20503.

Sheet 3: Page 2-3

For Official Use Only.

Instructions:

Select the unit of measure the volume is reported in. Indicate the State and County of origin,

Mill #:__2_____ State:_____ County:_____ Product:__03__ Product form:__1__ Prodout:_____

and the volume of roundwood (logs or whole tree chips) for each species group.

XXX XX XXX XX X XX

For whole tree chip volumes, enter a "W" after the volume.

For peeled, or flail debarked roundwood, enter a "P" after the volume.

SECTION I. ROUNDWOOD AND CHIPS FROM ROUNDWOOD RECEIVED

Check unit of measure: xx

04 - Standard cord (4'X4'X96" or 128 cubic feet)

05 - Green tons

16 - Lake States cord (4'X4'X100")

____ - Other (specify)______________________

If peeled roundwood or debarked chips, write (P) after quantity. Example: 123(P)

If whole tree chips, write (W) after quantity. Example: 456(W)

Species

Origin of pulpwood

Loblolly/

Other

Aspen/

Black

Other

State

Code

Balsam

Hem-

Jack

Shortleaf

Red

Sugar

White

Other

soft-

balsam

Bass-

Yellow

Other

cherry

Cotton-

Hard

Soft

Red

White

Sweet-

Syca-

Yellow-

hard-

Cedar

fir

lock

Larch

pine

Spruce

woods

Ash

poplar

wood

Beech

birch

(only)

wood

Elm

Hickory

maple

oak

gum

poplar

woods

foreign

Code

county

County

XXX

XXXXXX

Page 2

Page 3

Sheet 4: Page 4

SECTION II. PLANT BYPRODUCTS RECEIVED FOR USE AS PULPWOOD

For Official Use Only.
	Mill #:__2_____ State:_____ County:_____ Product:__03__ Product form:__2__ Prodout:_____
	XXX XX XXX XX X XX

	Instructions:	Select the unit of measure the volume is reported in.
		Indicate the State of origin, plant byproduct, and the volume each species group received.
		Wood chips are chips from coarse mill residues. Whole tree chip volumes should be
		recorded as roundwood on pages 2-3.
		Do not record residues brought in for use as industrial fuel.

			Origin of byproduct		4 Wood chips		5 Sawdust		6 Other byproducts
Check only one			State or	Code	1 Conifer	2 Hardwood	1 Conifer	2 Hardwood	1 Conifer	2 Hardwood
Unit of Measure			foreign country	XX	XXXXXX	XXXXXX	XXXXXX	XXXXXX	XXXXXX	XXXXXX
	XX
	04 - Standard cord

	06 - Dry tons

	05 - Green tons

	__ - Other (specify):
	________________





SECTION III. DISPOSITION OF BARK RESIDUE AND FINES

For Official Use Only.
	Mill #:__3_____ State:_____ County:_____ Product:__03__
	XXX XX XXX XX

	Instructions:	Please enter your best estimate of the percentage of bark and fines that were used for the
		various purposes indicated.
		Each column should sum to 100% for each species group recorded.

							BARK		FINES
							BARK		FINES
							Conifer	Hardwood	Conifer	Hardwood
	DISPOSITION OF RESIDUES						11	12	31	32
	DISPOSITION OF RESIDUES						XXX	XXX	XXX	XXX
	1. USED FOR:					X
	a. Manufacture of fiber products such as pulp or particle board.					1

	b. Industrial fuel at this plant.					3

	c. Industrial fuel at other plants.					4

	d. Domestic household fuel -- sold or given away					5
	e. Miscellaneous uses such as livestock bedding, mulch,
	small dimension, and specialty items					6

	2. NOT USED (including bark burned as waste)					7

	3. TOTAL						100%	100%	100%	100%

File Type	application/vnd.ms-office
Author	Ronald J. Piva
Last Modified By	cmwoolley
File Modified	2009-11-19
File Created	2000-11-20