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Golden Nematode Program Manual - Phytosanitary Resources

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Appendix A: Forms and Worksheets<br />

PPQ Form 312, <strong>Golden</strong> <strong>Nematode</strong> Survey<br />

TABLE A-1-16 Instructions for Completing PPQ Form 312, <strong>Golden</strong> <strong>Nematode</strong> Survey (continued)<br />

Block Completed by Instructions<br />

18 REMARKS Crew Leader or LIST any remarks related to the area survey area<br />

Tractor Driver<br />

19 DETERMINED BY PPQ Identifier Identifier with official golden nematode identification<br />

authority completes this block<br />

POSITIVE SAMPLE<br />

NUMBER<br />

NO. OF CYSTS<br />

IDENTIFICATION OF<br />

SLIDES AND VIALS FILED<br />

POSTIVE SAMPLE NO.<br />

PPQ Officer or Lab<br />

Supervisor<br />

PPQ Officer or Lab<br />

Supervisor<br />

PPQ Officer or Lab<br />

Supervisor<br />

PPQ Identifier<br />

NO. OF CYSTS<br />

PPQ Identifier<br />

IDENTIFICATION OF<br />

SLIDES AND VIALS FILED<br />

DETERMINED BY<br />

PPQ Identifier<br />

PPQ Officer or Lab<br />

Supervisor<br />

20 DATE PPQ Officer or Lab<br />

Supervisor<br />

PPQ Officer or Lab Supervisor signs after samples have<br />

been processed<br />

ENTER date PPQ Officer or Lab Supervisor signed the form<br />

Distribution<br />

Distribute PPQ Form 312 as follows:<br />

1. File the original in the program folder.<br />

2. If the field is confirmed as infested, then file a copy in the<br />

Infested Field Folder.<br />

3. Send a copy to the Supervisor: (how?)<br />

<br />

xx need Supervisor’s name<br />

address<br />

FAX<br />

07/2008-01 <strong>Golden</strong> <strong>Nematode</strong> <strong>Program</strong> <strong>Manual</strong> A-1-23<br />

PPQ

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