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Previous Land Use RA
Part 1 Farm Review (1-23 through 1-25)
Part 2 Field Harvest and Field Packing Activities (2-1 through 2-2)
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Field [ac](old field name in ( ) )
*
Choose
3 Mile [140]
Bielema E [43]
Bielema W [74]
Brown Tow [129]
Brown Wiper [110]
Bruckner #3 [61]
Brunner [36]
C-1-1 [155](C-1-N)
C-1-2 [250](C-1-S&W)
C-1-3 [235](South Hills)
C-1-4 200](Medema)
C-1-5 [70](Mencarow)
C-1-6N [134](Rutherford N)
C-1-6S [76](Rutherford S)
C-1-7 [75](Airport)
C-1-8 [215](Nelson/Hanson)
C-1-9 [230](Humphrey)
C-2-1 [150](Nitrin E)
C-2-2 [150](Nitrin W)
C-2-3 [130](C-2-E)
C-2-4 [185](C-2-W)
C-2-5 [300](C-2-S)
C-2-6 [97](Cord Bottoms)
C-2-7 [170](Dragstrip)
Carroll [164]
Erie 1 [150](E-1-W)
Erie 2 [160](E-1-E)
Erie 3 [180](E-2-W)
Erie 4 [203](E-2-E)
Erie 5 [130](Nowers W)
Erie 6 [130](Nowers E)
Hanover Bottom [57]
Hanover E [170]
Hanover W [138]
Jody W [70]
Riverview [165]
Sandburr N [21]
Sandburr S [25]
Sandridge 1 [71]
Sandridge 2 [117]
Sandridge 3 [170]
Sandridge 4 [151]
Sandridge 5 [34]
Sandridge 6 [114]
Sandridge 7 [80]
Sandridge 8 [135]
Sandridge 9 [107]
Sandridge 10 [40]
Savanna 1 [165]
Savanna 2&3 [130]
Savanna 4 [129]
Savanna 5&6 [242]
Savanna Bottom [80]
SC Sub East [191]
Tree Farm [36]
Are there any conditions in or adjacent to the field that may be reasonably likely to result in PHYSICAL (
Field has been used as crop land or fallow land for many years prior),
CHEMICAL or BIOLOGICAL (
no recent dumping, use as a dairy, livestock, or poultry feedlot or any evidence of improper use of animal wastes)
contamination?
(If yes, then there must be something written in the comments section)
*
No
Yes
Are you aware of flooding of the field in recent years?
Flood waters can carry potential contamination from areas outside the crop production areas and spread it over a wide area. You should observe the field for signs of flooding or locations where flooding could easily occur such as along stream beds, swamps, etc., and ask if/when flooding last occurred.
No
Yes
Clear selection
Is there evidence of unauthorized entry in the crop area and if so, has it been investigated?
*
Yes
No
Are toilet and wash facilities properly located?
*
Yes
No
Is potable water available for workers?
*
Yes
No
Are harvest containers available, clean, well located and protected?
Yes
No
Clear selection
Is harvest equipment available and in good condition?
Yes
No
Clear selection
Is there evidence of domestic or wild animal crop damage?
Yes
No
Clear selection
Is there evidence of physical contamination in the crop area?
Yes
No
Clear selection
Are fuel and chemicals which might contaminate crop areas isolated?
Yes
No
Clear selection
If areas are contaminated are they isolated for “no-harvest”?
Yes
No
Clear selection
Are there any other notable sources of biological or physical contamination such
as dump sites, manure, burning debris, water that may affect food safety?
Yes
No
Clear selection
Is transportation equipment clean and available?
Yes
No
Clear selection
Date of Assessment
*
MM
/
DD
/
YYYY
Assessor
*
Tom
Katie
Matt
Alfonso
Gustavo
jwb
Jose O
Tony
Tess
Other:
Comments about assessment or notes to Office
(MUST have comments for any Yes answer)
Your answer
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