New Pest Response Guidelines - aphis - US Department of Agriculture

Table B-1 Instructions for Completing PPQ Form 391, Specimens for
Determination
Block Description Instructions
Forms
1 COLLECTION NUMBER 1. ASSIGN a collection number for each collection
as follows: 2-letter State code–5-digit sample
number (Survey Identification Number in
Parentheses)
Example: PA-1234 (04202010001)
2. CONTINUE consecutive numbering for each
subsequent collection
3. ENTER the collection number
2 DATE ENTER the date of the collection
3 SUBMITTING AGENCY PLACE an X in the PPQ block
4 NAME OF SENDER ENTER the sender’s or collector’s name
5 TYPE OF PROPERTY ENTER the type of property where the specimen
was collected (farm, feed mill, nursery, etc.)
6 ADDRESS OF SENDER ENTER the sender’s or collector’s address
7 NAME AND ADDRESS OF
PROPERTY OR OWNER
8A-8H REASONS FOR
IDENTIFICATION
9 IF PROMPT OR URGENT
IDENTIFICATION IS
REQUESTED, PLEASE
GIVE A BRIEF
EXPLANATION UNDER
"REMARKS"
ENTER the name and address of the property
where the specimen was collected
PLACE an X in the correct block
LEAVE blank; ENTER remarks in Block 22
10 HOST INFORMATION
NAME OF HOST
If known, ENTER the scientific name of the host
11 QUANTITY OF HOST If applicable, ENTER the number of acres planted
with the host
12 PLANT DISTRIBUTION PLACE an X in the applicable box
13 PLANT PARTS AFFECTED PLACE an X in the applicable box
14 PEST DISTRIBUTION
FEW/COMMON/
ABUNDANT/EXTREME
PLACE an X in the appropriate block
15 INSECTS/NEMATODES/
MOLLUSKS
PLACE an X in the applicable box to indicate type
of specimen
NUMBER SUBMITTED ENTER the number of specimens submitted as
ALIVE or DEAD under the appropriate stage
16 SAMPLING METHOD ENTER the type of sample
17 TYPE OF TRAP AND LURE ENTER the type of sample
18 TRAP NUMBER ENTER the sample numbers
19 PLANT PATHOLOGY-
PLANT SYMPTOMS
If applicable, check the appropriate box;
otherwise LEAVE blank
20 WEED DENSITY If applicable, check the appropriate box;
otherwise LEAVE blank
12/2012-01 Dendrolimus Pine Moths B-5