| 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" | 
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		| survey form. This form has been designed to determine the location, size, and composition of the primary | 
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		| wood-using mills in your state, the volume of roundwood harvested by product, species, and geographic | 
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		| location, and the volume and disposition of wood residues generated during primary processing for the | 
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		| calendar year indicated. Your cooperation completing this form for you mill will make the results of this | 
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		| survey comprehensive, accurate, and timely. All information is held in confidentiality and used only for | 
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		| statistical reports. No individual mill production data will be released. Your cooperation is appreciated. | 
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		| Page 1 -- Mill Information | 
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		| *  Fill in the 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 name of the County in which the mill is located and the city or town the mill is nearest to. | 
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 | Note: If Latitude and Longitude of mill location are available, they may be entered instead of city or town. | 
	
		| *  Indicate the amount of wood the mill is capable of processing in a year when operating at full capacity. | 
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 | Please indicate unit of measure if other than thousand board feet per year. | 
	
		| *  Under "Total volume of product produced:" ,indicate the amount of wood the mill actually processed during the | 
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 | calendar year. This number should equal the sum of volumes entered on pages 2 and 3. | 
	
		| *  Check the box under "Mill Type" that best describes the mill. If none of the types listed suit the mill, write | 
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 | in the type of mill after "99-Other: (Specify) __________". | 
	
		| *  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. | 
	
		| *  Under "Primary Product Produced", check the main product produced at the mill. | 
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		| *  Check whether the mill operated full-time or part-time, and the mill status for the calendar year indicated. | 
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		| Pages 2 and 3 -- SECTION I. ORIGINS AND SPECIES OF ROUNDWOOD PROCESSED | 
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		| *  In the column heading "State or foreign country", record the name or the State or country from which roundwood | 
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 | was received (abbreviate as needed). In "County name " column, enter the name of the county or province | 
	
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 | from which roundwood  was received (abbreviate as needed). For each species, enter the volume that came | 
	
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 | from each State/Country and County/Province. If the species is not listed, enter it into the last three columns | 
	
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 | labeled "Other:" (a species list is at the bottom of page 3). An example is shown on the first line. If you need | 
	
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 | more space, please duplicate this form. | 
	
		| *  At the bottom of page 2 under "UNIT OF MEASURE…", check the scaling unit for the roundwood volumes | 
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 | reported under the species columns of the form. If the scaling unit is not listed, use the code | 
	
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 | "17-Other (Specify)_________" and write in the unit of measure the volume is reported in. If a weight scale is | 
	
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 | used, please indicate the weight per thousand board feet or cords in the instruction section on page 3. | 
	
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		| Pages 4 -- SECTION II. DISPOSAL OF BARK AND WOOD RESIDUES GENERATED | 
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		| *  Indicate how the wood and bark residues generated at the mill are disposed of by placing percentages in the | 
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 | boxes under the appropriate wood-residue type columns. Only produce disposition information for the types | 
	
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 | of residue generated at the mill. Columns should sum to 100%. | 
	
		| *  Indicate if a debarker is operated. | 
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		| *  Indicate if any logs are resold outside the United States. A separate form should be filled out with Mill Type | 
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 | of "24 - Export logs" check on page 1. Only record the volume logs exported out of the country on the Export | 
	
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 | logs form. SECTION II. DISPOSAL OF BARK AND WOOD RESIDUES GENERATED does not need to be | 
	
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 | completed for any logs that are shipped out of the Country. | 
	
	
	
	
	
	
	
	
	
	
	
	
		| 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: | 
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		| St. Paul, Minnesota 55108 | 
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		| ROUNDWOOD RECEIVED FOR PROCESSING | 
	
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		| Company Name: | 
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		| Mailing Address: | 
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		| City/State/Zip code | 
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 | (City) | 
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 | Person to contact regarding this report, their title, and telephone number. | 
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		| County mill is located in: _________________________ | 
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 | Latitude of mill: ______________________ | 
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		| Name of city or town mills is located nearest to: ______________________          or | 
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 | Longitude of mill: _____________________ | 
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		| Annual mill capacity (volume per year when operating at full capacity): __________ | 
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 | Number of Employees: __________ | 
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		| Please complete this form and return it promptly. If complete records are not available, please give your best estimates. | 
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		| DO NOT INCLUDE LOGS OR BOLTS SOLD OR TRANSFERRED TO ANOTHER PRIMARY PROCESSING PLANT. | 
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		| ALL VOLUMES REPORTED WILL BE HELD CONFIDENTIAL AND WILL ONLY BE USED TO AGGREGATE TO THE | 
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		| COUNTY AND STATE LEVEL. Other information may be used to compile "Regional/Statewide Industry" directories. | 
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		| Please check the box to be omitted from "Regional/Statewide Industry" directories. | 
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		| For Official Use Only. | 
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 | Mill #:__1_____     State:_38__     County:_____     Product:______     Total volume:_____________ | 
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 | XXXX                       XX                   XXX                       XX                                  XXXXXXX | 
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		| Mill Type | 
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 | Type of Roundwood Processed | 
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 | Primary Product Produced | 
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		| Check only one | 
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 | (Check only one kind of product. If more than one | 
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 | (Check only one Major product produced | 
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 | kind was processed, fill out a separate form for each) | 
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 | from the roundwood received at the mill) | 
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 | 11-Band sawmill | 
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 | XX | 
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 | XX | 
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 | 12-Circular sawmill | 
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 | 01-Saw logs and bolts | 
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 | 11-Lumber | 
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 | 13-Chip-n-saw | 
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 | 02-Veneer logs and bolts | 
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 | 12-Ties | 
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 | 14-Gang sawmill | 
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 | 04-Cabin logs | 
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 | 13-Pallet lumber | 
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 | 15-Scragg sawmill | 
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 | 05-Charcoal wood | 
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 | 14-Lath | 
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 | 16-Portable band saw | 
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 | 06-Cooperage logs and bolts | 
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 | 21-Veneer-sheathing | 
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 | 21-Commercial veneer mill | 
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 | 07-Excelsior/shaving bolts | 
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 | 22-Veneer-matches | 
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 | 22-Container/packaging | 
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 | 08-Handle bolts | 
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 | 23-Veneer-plywood | 
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 | veneer mill | 
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 | 09-Industrial fuelwood | 
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 | 24-Veneer-sticks | 
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 | 23-Face veneer mill | 
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 | 10-Mine timbers | 
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 | 25-Veneer-boxes | 
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 | 24-Export logs | 
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 | 11-Other (Specify): ___________________ | 
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 | 51-Handles/blanks | 
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 | 50-Handle mill | 
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 | 12-Pilings | 
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 | 61-Barrels/stocks | 
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 | 61-Tight cooperage | 
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 | 13-Poles | 
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 | 62-Container/stocks | 
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 | 62-Slack cooperage | 
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 | 14-Posts | 
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 | 71-Posts - fencing | 
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 | 71-Untreated post, pole, | 
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 | Operating time: | 
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 | Mill status: | 
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 | 72-Posts - Other:__________ | 
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 | or piling mill | 
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 | 73-Poles - utility | 
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 | 72-Treated post, pole, | 
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 | 1-Full time | 
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 | 1-New | 
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 | 74-Poles - Other:__________ | 
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 | or piling mill | 
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 | 2-Part time | 
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 | 2-Existing | 
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 | 75-Pilings | 
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 | 81-Cabin log mill | 
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 | 3-Closed | 
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 | 81-Cabin logs | 
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 | 82-Charcoal kiln | 
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 | 4-Reopened | 
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 | 82-Charcoal briquettes/lumps | 
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 | 83-Excelsior/shavings mill | 
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 | 5-Inactive | 
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 | 83-Excelsior/bedding | 
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 | 84-Mine timbers | 
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 | 6-Sold | 
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 | 84-Packing material | 
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 | 85-Shingles mill | 
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 | Check here if "NO" wood was processed during | 
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 | 85-Shingles/shakes | 
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 | 99-Other: | 
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 | calendar year and return form. | 
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 | 86-Mine supports | 
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 | (Specify) ______________ | 
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 | Check here if you wish to receive a copy of | 
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 | 94-Industrial fuelwood | 
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 | the report resulting from this study. | 
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 | 99-Other: (Specify) ___________ | 
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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 | 
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		| instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of | 
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		| information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions | 
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		| for reducing this burden, to 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 I. ORIGINS AND SPECIES OF ROUNDWOOD PROCESSED | 
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 | Report the origins, species, and volume of roundwood processed during the calendar year. Do not include the volume of roundwood | 
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 | sold or transferred to other companies. At the bottom of the page, check the Unit of Measure used to scale roundwood at your mill. | 
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		| For Official Use Only. | 
 | If green tons or dry tons are checked, please specify pounds per thousand board feet _________ or pounds per cord __________. | 
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 | Mill #:__2_____     State:_____     County:_____     Product:______     Prodout:_____ | 
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 | XXX                       XX                   XXX                        XX                             XX | 
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 | In the columns labeled "Origins of Roundwood", identify the State and Counties, or Countries from which roundwood was received. | 
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 | Then, identify the species harvested from each location by entering the harvest volume under each appropriate species. If a | 
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		| Note: Check the box next to the unit of measure at the bottom of this page for the volumes reported. | 
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 | species is not listed, print the species name in the empty columns labeled "Other Sp.". A species list is provided at the bottom | 
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 | of the page, but please include any species that are processed at your plant that are not included in the list. | 
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		| Origin of Roundwood | Volume of species harvested from each location. | Volume of species harvested from each location. | (Please list) | 
	
		| State | Code | 
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 | Larch/ | 
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 | Aspen/ | 
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 | White | 
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 | Others | Others | 
	
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 | Balsam | Hem- | Tama- | Jack | Red | White | Other | 
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 | balsam | Bass- | 
 | Yellow | (Paper) | Black | 
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 | Hard | Soft | Red | White | 
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		| foreign | 
 | Code | Cedar | fir | lock | rack | pine | pine | pine | pines | Spruce | Ash | poplar | wood | Beech | birch | birch | cherry | Elm | Hickory | maple | maple | oaks | oaks | 
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		| county | XX | County | XXX | 60 | 12 | 260 | 70 | 105 | 125 | 129 | 100 | 90 | 540 | 747 | 950 | 531 | 371 | 375 | 762 | 970 | 400 | 320 | 310 | 814 | 815 | 
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		| IN(ex.) | 
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 | 35 | 46 | 
 | 27 | 
 | 10 | 46 | 52 | 
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 | Species List | 
	
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 | Unit of Measure (Check one): BF = board feet and MBF = 1,000 board feet | 
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 | 220 - Cypress | 
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 | 370 - Other birch | 
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 | 731 - Sycamore | 
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 | 1-Doyle MBF | 
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 | 5-Green tons | 
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 | 202 - Douglas fir | 
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 | 740 - Cottonwood | 
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 | 999 - Other hardwoods not listed | 
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 | 10-Doyle BF | 
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 | 6-Dry tons | 
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 | 8-M(1,000) Linear feet | 
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 | 110 - Loblolly-shortleaf pines | 
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 | 602 - Black walnut | 
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 | 2-Scribner MBF | 
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 | 7-M(1,000) pieces | 
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 | 14-Linear feet | 
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 | 108 - Lodgepole pine | 
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 | 611 - Sweetgum | 
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 | Other: ______________ | 
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 | 11-Scribner BF | 
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 | 13-Pieces | 
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 | 9-M(1,000) Cubic feet | 
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 | 121 - Longleaf-slash pines | 
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 | 621 - Yellow-poplar | 
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 | 3-International MBF | 
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 | 4-Standard cord (4'X4'X8') | 
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 | 15-Cubic feet | 
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 | 122 - Ponderosa-Jeffrey pines | 
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 | 690 - Tupelo/black gum | 
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 | Other: ______________ | 
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 | 12-International BF | 
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 | 16-Lake States cord (4'X4'X100") | 
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 | 99-Other (specify)__________________ | 
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 | 3-Lumber tally MBF | 
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 | 12-Lumber tally-bf | 
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		| Page 2 | 
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 | Page 3 | 
 | 
	
	
	
	
	
		| SECTION II. DISPOSAL OF BARK AND WOOD RESIDUES GENERATED | 
	
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		| For Official Use Only. | 
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		| Mill #:__3_____     State:_____     County:_____     Product:______ | 
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		| XXXX                       XX                   XXX                       XX | 
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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 | FINE | 
	
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 | RESIDUES | RESIDUES | 
	
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 | (Suitable for chipping | (Sawdust, veneer | 
	
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 | such as slabs, | clippings, etc. not | 
	
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 | edgings, etc.) | suitable for chipping) | 
	
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 | Conifer | Hardwood | Conifer | Hardwood | Conifer | Hardwood | 
	
		| DISPOSITION OF RESIDUES | 11 | 12 | 21 | 22 | 31 | 32 | 
	
		| XXX | XXX | XXX | XXX | XXX | XXX | 
	
		| 1. USED FOR: | 
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 | X | 
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		| a. Manufacture of fiber products and or composite | 
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 | products such as pulp, hardboard, | 
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 | particleboard, or OSB | 
 | 1 | 
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		| b. Charcoal or chemical wood. | 
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 | 2 | 
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		| c. Industrial fuel at this plant. | 
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 | 3 | 
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		| d. Industrial fuel at other plants. | 
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 | 4 | 
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		| e. Domestic household fuel -- | 
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 | sold or given away | 
 | 5 | 
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		| f. Other Bio-energy products such as | 
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 | Pellets, biodiesel, ethanol | 
 | 8 | 
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		| g. Mulch | 
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		| h. Miscellaneous uses such as livestock | 
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 | bedding, small dimension, | 
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		| 
 | and specialty items | 
 | 6 | 
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		| 2. NOT USED (including land fill and | 
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 | bark burned as waste) | 
 | 7 | 
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		| 3. TOTAL | 
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 | 100% | 100% | 100% | 100% | 100% | 100% | 
	
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		| Do you own or operate a debarker? | 
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 | Yes | 
 | No | 
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		| Do you resell any logs OUTSIDE the U.S.? | 
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 | Yes | 
 | No | 
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		| 
 | (If you resell logs that are sold to other Countries, a separate form should be completed. Record the volume, | 
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		| 
 | species, and State and county of origin for the volume that was exported. DO NOT include the export volume | 
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		| 
 | on the form for roundwood that was processed at your mill. 'Section III. Disposal of Bark and | 
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		| 
 | Wood Residues Generated' does not need to be completed for logs exported outside the U.S.) | 
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		| Page 4 | 
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