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OMB No. 0535-0218 Approval Expires: XX/XX/XXXX Project Code: 905 QID: 082001 SMetaKey: 3102
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NATIONAL AGRICULTURAL STATISTICS SERVICE |
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U.S Department of Agriculture National Operations Division 9700 Page Avenue, Suite 400 St. Louis, MO 63132-1547 Phone: 1-888-424-7828 Fax: 855-415-3687 E-mail: nass@nass.usda.gov |
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The information you provide will be used for statistical purposes only. Your responses will be kept confidential and any person who willfully discloses ANY identifiable information about you or your operation is subject to a jail term, a fine, or both. This survey is conducted in accordance with the e Confidential Information Protection and Statistical Efficiency Act of 2018, Title III of Pub. L. No. 115-435, codified in 44 U.S.C. Ch. 35 and other applicable Federal laws. Response to this survey is voluntary. For more information on how we protect your information please visit: https://www.nass.usda.gov/confidentiality.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0535-0218. The time required to complete this information collection is estimated to average 15 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. |
1. Please make any needed corrections to the name, including the correct operation name, and mailing address on the label. |
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2. During 2024, will this operation (name on label):
Exclude crops planted on land rented/leased to others. |
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YES – [Continue on next page.] |
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NO – [Complete items a and b, then go to CONCLUSION on back page.] |
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a. Has the operation name on the label been sold, rented, or turned over to someone else? |
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YES |
NO |
Will the land be used for any agricultural purpose by you (the individual listed on the label), or anyone else in the next year? |
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YES NO DON’T KNOW |
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b. What is the name and address of the new operator? |
Please explain, then go to CONCLUSION on back page. |
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Operation Name: ____________________________________ |
__________________________________________________ |
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Operator Name: ____________________________________ |
__________________________________________________ |
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Address: __________________________________________ |
__________________________________________________ |
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City: ________________ |
State: ________ |
Zip: ______ |
__________________________________________________ |
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Phone: ( ) ________________________ |
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SECTION 1 - 2024 TOTAL ACRES OPERATED |
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1. Including the farmstead, all cropland, woodland, pasture land, wasteland, and government program land, how many total acres does this operation – |
Acres |
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a. own? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
+ |
901 |
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b. rent or lease from others, including for cash, shares or rent free? (Exclude land used on an animal unit month (AUM) or fee per head basis under a grazing permit.) . . . . . . . . . . . |
+ |
902 |
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c. rent to others, including for cash, shares or rent free? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
– |
905 |
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2. Total Acres Operated: [item 1a + 1b - 1c] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
= |
900 |
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3. Of the total [item 2] acres operated, how many acres are considered cropland? (Include hay land, summer fallow, idle cropland, cropland used for pasture, and cropland in government programs.) . . . . . |
802 |
SECTION 2 - 2024 CROPS |
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1. For the crop listed below, please report acres planted and to be planted for all purposes for the 2024 crop year. (Include acres planted and to be planted, even if the crop will not be harvested (for instance, used for cover crop, plowed under or abandoned). Also report acres harvested and to be harvested for grain in the 2024 crop year. Exclude crops planted on land rented/leased to others.) |
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Check Here if NONE |
TBD Acres Planted and to be Planted for All Purposes |
TBD Acres Harvested and to be Harvested
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PPCR CROPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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530 |
531 |
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2. For the crop listed below, please report acres planted and to be planted for harvest in 2024. Also, report the acres to be harvested in 2024. (Include acres planted and to be planted, even if the crop will not be harvested (for instance, used for cover crop, plowed under or abandoned). Exclude crops planted on land rented/leased to others.) |
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Check Here if NONE |
TBD Acres Planted and to be Planted for All Purposes |
TBD Acres Harvested and to be Harvested
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PPR CROPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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xxx |
xxx |
SECTION 3 - 2024 VEGETABLE CROPS |
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1. In 2024, did or will this operation grow vegetable crops in any of the following states? |
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Yes – [Continue] No – [Go to SECTION 4] |
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ACRES |
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2. Of the total cropland acres reported, how many acres are or will be planted to vegetable crops? (Include double or other multiple croppings.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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803 |
.____ |
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3. For each vegetable crop named, please give the total acres planted or intended to plant during the 2024 crop year. (Include any acres already planted and harvested in the 2024 crop year. For double or other multiple croppings, count each planting. Exclude “home garden”.) |
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Check here if NONE |
ACRES |
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Check here if NONE |
ACRES |
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Asparagus. . . . . . . . . . . . |
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300 |
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Lettuce, Head. . . . . . . . . . |
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420 |
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Beans, Snap. . . . . . . . . . |
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321 |
.____ |
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Lettuce, Other. . . . . . . . . |
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423 |
.____ |
Broccoli. . . . . . . . . . . . . . |
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339 |
.____ |
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Onions. . . . . . . . . . . . . . . |
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101 |
.____ |
Cabbage. . . . . . . . . . . . . |
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202 |
.____ |
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Pea, Green. . . . . . . . . . . . |
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551 |
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Cantaloupes. . . . . . . . . . |
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354 |
.____ |
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Peppers, Bell. . . . . . . . . . |
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453 |
.____ |
Carrots. . . . . . . . . . . . . . . |
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363 |
.____ |
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Pumpkins. . . . . . . . . . . . . |
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456 |
.____ |
Cauliflower. . . . . . . . . . . . |
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366 |
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Spinach. . . . . . . . . . . . . . |
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715 |
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Celery. . . . . . . . . . . . . . . |
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369 |
.____ |
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Squash. . . . . . . . . . . . . . . |
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474 |
.____ |
Corn, Sweet. . . . . . . . . . . |
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381 |
.____ |
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Strawberries. . . . . . . . . . . |
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477 |
.____ |
Cucumbers. . . . . . . . . . . |
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390 |
.____ |
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Tomatoes. . . . . . . . . . . . . |
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486 |
.____ |
Garlic. . . . . . . . . . . . . . . . |
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396 |
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Watermelons. . . . . . . . . . |
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489 |
.____ |
Honeydews. . . . . . . . . . . . |
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414 |
.____ |
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SECTION 4 - 2023 VALUE OF SALES |
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1. Considering: |
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a. What code represents the total gross value of sales, including government agricultural payments? |
Total Value |
GVS Code |
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‘None’ during 2017. . . . . . . . . . . . . |
99 |
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$ $ $ $ $ $ $ $ $ $ $ $ |
1 1,000 2,500 5,000 10,000 25,000 50,000 100,000 250,000 500,000 1,000,000 2,500,000 |
– – – – – – – – – – – – |
$ $ $ $ $ $ $ $ $ $ $ $ |
999 ….. 2,499 ….. 4,999 ….. 9,999 ….. 24,999 ….. 49,999 ….. 99,999 ….. 249,999 ….. 499,999 ….. 999,999 ….. 2,499,999 ….. 4,999,999 ….. |
1 2 3 4 5 6 7 8 9 10 11 12 |
GVS Code |
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860 |
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$ |
5,000,000 and over. . . . . . . . . . . . |
13 |
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b. Is the GVS Code in box 860 equal to ‘1’ or ‘99’?
YES – [Continue] NO – [Go to item 2.] |
SECTION 4 - 2023 VALUE OF SALES (Continued) |
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c. Record all 2024 crops, land uses, and livestock or poultry now on the total acres operated. |
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Land Use |
ACRES |
Field Crops Intended For Harvest |
ACRES |
Other Crops |
ACRES |
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CRP/WRP. . . . . . . . . . . . . |
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Cut Christmas Trees. . . . . . . . . . . . . . |
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Idle Cropland. . . . . . . . . . . |
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Nursery & Greenhouse. . . . . . . . . |
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Summer Fallow. . . . . . . . . |
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_________________. . . . . |
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Government Payments |
WHOLE DOLLARS |
Fruits/Nuts |
ACRES |
Livestock |
NUMBER |
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CRP/WRP Payments. . . . . |
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Cattle - Dairy. . . . . . . . |
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Other Gov’t Payments. . . . |
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Cattle - Other. . . . . . . . |
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_______________. . . . |
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Chickens. . . . . . . . . . . |
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Pasture/Rangeland |
ACRES |
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Hogs. . . . . . . . . . . . . . . |
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Cropland Used Only For Pasture. . . . . . . . . . |
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_______________. . . . |
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Horses. . . . . . . . . . . . . |
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Permanent Pasture. . . . . . |
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Mules/Burros. . . . . . . . |
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Woodland Pasture. . . . . . . |
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Vegetables/Melons |
ACRES |
Sheep & Goats. . . . . . . |
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_______________. . . . |
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Aquaculture |
NUMBER |
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Acres of Ponds in Use. . . . |
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_______________. . . . |
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Foodsize/Stockers. . . . . . . |
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Berries |
ACRES |
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OFFICE USE |
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Fingerlings/Broodfish. . . . . |
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Total Points |
Pasture Points |
Trout Eggs. . . . . . . . . . . . . |
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_______________. . . . |
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861 |
869 |
Other Aquaculture. . . . . . . |
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_______________. . . . |
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SECTION 4 - 2021 VALUE OF SALES (Continued) |
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2. Which of these categories represents the largest portion of the gross income from the operation in 2023? Farm Type Code |
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1 Grains, Oilseeds, Dry Beans, and Dry Peas ……………….…………………..…….. (corn, flaxseed, grain silage and forage, grains and oilseeds, popcorn, rice, small grains, sorghum, soybeans, sunflowers, straw, etc.) 2 Tobacco ………………………………………………………………….……………...….. 3 Cotton and Cottonseed ……………………………………………………….…...…….. 4 Vegetables, Melons, Potatoes, and Sweet Potatoes ……………………………….. (beets, cabbage, cantaloupes, pumpkins, sweet corn, tomatoes, watermelons, vegetable seeds, etc.) 5 Fruit, Tree Nuts, and Berries ……………………………………………………...….. (almonds, apples, blueberries, cherries, grapes, hazelnuts, kiwifruit, oranges, pears, pecans, strawberries, walnuts, etc.) 6 Nursery, Greenhouse, Floriculture, and Sod ……………………………….............. (bedding plants, bulbs, cut flowers, flower seeds, foliage plants, mushrooms, nursery potted plants, shrubbery, sod, etc.) 7 Cut Christmas Trees and Short Rotation Woody Crops ……………………….….. 8 Other Crops, Hay, CRP, and Pasture …………………………………….................. (grass seed, hay and grass silage, hops, maple syrup, mint, peanuts, sugarcane, sugarbeets, CRP, etc.) 9 Hogs and Pigs …………………………………………………………………….……….. 10 Milk and Other Dairy Products from Cows …………………………………………… 11 Cattle and Calves ………………………………………………………………................ (beef and dairy cattle for breeding stock, fed cattle, beef and dairy cull animals, stockers and feeders, veal calves, etc.) 12 Sheep, Goats, and their Products …………………………………………………..…. (wool, mohair, milk and cheese) 13 Horses, Ponies, and Mules ………………………………………………………...……. (burros and donkeys) 14 Poultry and Eggs ………………..……………………………………………...……….... (broilers, chickens, turkeys, ducks, eggs, emus, geese, hatchlings, ostriches, pigeons, pheasants, quail, poultry products, etc.) 15 Aquaculture ………………………..…………..………………………………………...... (catfish, trout, ornamental and other fish, mollusks, crustaceans, etc.) 16 Other Animals and Other Animal Products ………………..………………............... (bees, honey, rabbits, fur-bearing animals, semen, manure, other animal specialties, etc.) |
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2 3 4
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7 8
9 10 11
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16 |
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Farm Type Code |
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862 |
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SECTION 5 – ARIZONA PESTICIDE GROWER PERMITS |
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1. Is this operation in Arizona?
Yes - [Continue] NO - [Go to SECTION 7]
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2. Does this operation have a Pesticide Grower Permit number from the National Department of Agriculture Environmental Services Division?
Yes - [Continue] NO - [Go to SECTION 7] |
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3. What Pesticide Grower Permit number does this
operation use for reporting Agriculture – Environmental Services Division? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
PGP 10 NUMBER |
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810 |
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4. Is this permit number used to report chemical applications for acres other than these [item 2] acres? |
OFFICE USE |
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YES - [Continue] |
NO - [Go to SECTION 7] |
012 |
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a. What other operation(s) is this permit number used to report for? |
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Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Phone ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Phone ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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5. Does this operation use any OTHER Pesticide Grower Permit number to report chemical applications to ADA–ESD for these [item 2] acres? |
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YES - [Continue] |
NO - [Go to SECTION 7] |
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PGP 10 NUMBER |
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a. What are these PGP numbers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
811 |
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812 |
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813 |
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b. Do you use any of these ID’s to report chemical applications for any other operation(s)? |
814 |
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815 |
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YES - [Continue] |
NO - [Go to SECTION 7] |
OFFICE USE |
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(i) What other operation(s) use this Pesticide Grower Permit for reporting? [Identify operation and ID] |
013 |
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Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Reporting ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Reporting ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Phone ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
Phone ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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SECTION 6 - OPERATION TYPE |
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1. Are the day-to-day decisions for this operation made by one individual, a hired manager, or partners? [Check one]
One individual – [Go to CONCLUSION.] A hired manager – [Go to CONCLUSION.] Partners – [Complete items a and b, then go to CONCLUSION.] |
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Number |
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decisions for this operation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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o |
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b. Please record partners’ names and addresses, then go to SECTION 8. [Enter names and addresses of partners, including partners who jointly operate land and share in decision making. Do not include landlords and tenants as partners.] |
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PARTNER 1 |
PARTNER 2 |
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Partner name: ________________________________________ |
Partner name: ________________________________________ |
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Address: ____________________________________________ |
Address: ____________________________________________ |
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City: ________________ |
State: ________ |
Zip: ________ |
City: ________________ |
State: ________ |
Zip: ________ |
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Phone: (______) __________________________ |
Phone: (______) __________________________ |
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PARTNER 3 |
PARTNER 4 |
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Partner name: ________________________________________ |
Partner name: ________________________________________ |
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Address: ____________________________________________ |
Address: ____________________________________________ |
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City: ________________ |
State: ________ |
Zip: ________ |
City: ________________ |
State: ________ |
Zip: ________ |
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Phone: (______) __________________________ |
Phone: (______) __________________________ |
SECTION 8 - CONCLUSION |
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1. Do you (the operator named on the label) make any day-to-day decisions for another farm or ranch?
YES – Please list the other operation(s):__________________________________________________________
NO – [Continue.] |
This completes the survey. Thank you for your help. |
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Reported by: __________________________________ |
9910 ____ ____ ____ ____ 20 M M D D |
9911
Telephone: ________________ |
OFFICE USE |
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R. Unit |
Ptr 1 Str |
Ptr 2 Str |
Ptr 3 Str |
Ptr 4 Str |
OPS |
SSO 1 |
ADJ |
Optional Use |
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9921 |
9922 |
9923 |
9927 |
9928 |
923 |
9907 |
922 |
9906 |
9916 |
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Response |
Respondent |
Mode |
Enum. |
POID |
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1-Comp 2-R 3-Inac 4-Office Hold 5-R – Est 6-Inac – Est 7-Off Hold – Est
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9901 |
1-Op/Mgr 2-Sp 3-Acct/Bkpr 4-Partner 9-Other |
9902 |
1-PASI (Mail) 2-PATI (tel) 3-PAPI (Face-to- Face) 4-CATI 5-Web 6-E-mail 7-Fax 8-CAPI 19-Other |
9903 |
9998 |
9989 ___ ___ ___ ___ ___ ___ ___ ___ ___ |
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Eval. |
Change |
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9900 |
9985 |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |