Golden Nematode Program Manual - Phytosanitary Resources

Appendix A: Forms and Worksheets
PPQ Form 333, Cyst Nematode Field Survey Log
Purpose
The The Forms appendix provides examples of the Golden Nematode
Program logs and worksheets; PPQ forms, certificates, and permits; and
instructions for completing and distributing the worksheets and forms.
is a summary of survey collections made by county during a specific
period of time. A separate log is maintained weekly for each county in
which surveys were conducted.
Instructions
The Cyst Nematode Field Survey Log is completed by the crew leader or
the tractor driver. For each county, gather the completed Golden
Nematode Laboratory Sample Processing Daily sheets for the specified
time period and the completed PPQ Form 312, Golden Nematode
Survey sheets for the specified time period, and see Table A-1-18 to
complete the Cyst Nematode Field Survey Log,
TABLE A-1-18 Instructions for Completing Cyst Nematode Field Survey Log
Block Completed by Instructions
County
State
Period
Inspector
Collection Number
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
SEE PPQ Form 312 and LIST the county
where the surveys have been conducted
SEE PPQ Form 312 and LIST the State where
the survey have been conducted
LIST the begin and end dates covered on the
log
LIST the name of the PPQ inspector
LIST the collection number from each PPQ
Form 312
Collection Date
Operator
Field number
Mechanical
Samples/Acres
Manual
Samples/Acres
TOTAL
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
Crew Leader or
Tractor Driver
LIST the date each collection was made
LIST the name of the tractor operator (if
mechanical survey) or the name of the
person(s) conducting the manual survey
LIST each field number in the survey
If a mechanical survey, then LIST the number
of samples collected and acres sampled
from each field number for each collection;
otherwise leave blank
If a manual survey, then LIST the number of
samples collected and acres sampled from
each field number for each collection;
otherwise leave blank
ADD the number of samples collected and
LIST the total; and ADD the acres surveyed
for all the collections, and LIST the total
07/2008-01 Golden Nematode Program Manual A-1-25
PPQ