Form FDACS-08001 "Nursery, Stock Dealer and Special Inspection Report" - Florida

Form FDACS-08001 is a Florida Department of Agriculture and Consumer Services form also known as the "Nursery, Stock Dealer And Special Inspection Report". The latest edition of the form was released in March 1, 2016 and is available for digital filing.

Download a PDF version of the Form FDACS-08001 down below or find it on Florida Department of Agriculture and Consumer Services Forms website.

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Download Form FDACS-08001 "Nursery, Stock Dealer and Special Inspection Report" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Plant Industry
NURSERY, STOCK DEALER AND SPECIAL INSPECTION REPORT
ADAM H. PUTNAM
Section 581.031 (15)(a)(18), F.S. / Rule 5B-2.010, F.A.C.
COMMISSIONER
FOR DPS USE ONLY
 NEW LOCATION
 CH RISK TO____
th
1911 S.W. 34
St. / P.O. Box 147100, Gainesville, FL 32614-7100
 OB FIRM
 CH DPS TO_____
Phone: (352) 395-4700 / Fax (352) 395-4619
 OB LOCATION
 QUARANTINE
 NAME
CHANGE/UPDATE:
DATE: _________________________
 MAILING ADDRESS  LOCATION
NURSERY ( ) STOCK DEALER ( )** SPECIAL INSPECTION ( )
( )
**STOCK DEALER INVENTORY OF 5000 OR MORE PLANTS
GARDEN CENTER
REGISTRATION NUMBER:
BLOCK/OUTLET NUMBER:
NUMBER OF INSPECTIONS:
EXPIRATION DATE:
COUNTY:
NAME:
MAILING ADDRESS:
PHYSICAL LOCATION:
FORMERLY:
1.
Nursery stock passes inspection and meets certificate requirements.
2.
Nursery stock listed below was found infested or infected with plant pests needing immediate attention.
INFESTED OR INFECTED NURSERY STOCK
Name of Plant
Plant Pest
Location in Establishment
 NEW
 CONTINUE
 RELEASE
 DESTROY
 GRASS & WEED
QUARANTINE ACTION:
NUMBER OF
LOCATION OF QUARANTINED
ACRES
PLANT NAME
PEST
PLANTS
PLANTS IN NURSERY
SPECIAL INSPECTIONS
3.
OTHER THAN NURSERY STOCK
NUMBER OF PLANTS
NUMBER OF ACRES
NO. INSPECTIONS
REMARKS
REPORT
PLANT PROTECTION
DISTRICT
RECEIVED BY:
SPECIALIST
NUMBER
(Owner, Manager, Person in Charge)
(Division of Plant Industry
District Office Phone #
(Please Print)
FDACS-08001 Rev. 3/16
White – Gainesville Office, Yellow – Inspector, Pink - Nursery
Florida Department of Agriculture and Consumer Services
Division of Plant Industry
NURSERY, STOCK DEALER AND SPECIAL INSPECTION REPORT
ADAM H. PUTNAM
Section 581.031 (15)(a)(18), F.S. / Rule 5B-2.010, F.A.C.
COMMISSIONER
FOR DPS USE ONLY
 NEW LOCATION
 CH RISK TO____
th
1911 S.W. 34
St. / P.O. Box 147100, Gainesville, FL 32614-7100
 OB FIRM
 CH DPS TO_____
Phone: (352) 395-4700 / Fax (352) 395-4619
 OB LOCATION
 QUARANTINE
 NAME
CHANGE/UPDATE:
DATE: _________________________
 MAILING ADDRESS  LOCATION
NURSERY ( ) STOCK DEALER ( )** SPECIAL INSPECTION ( )
( )
**STOCK DEALER INVENTORY OF 5000 OR MORE PLANTS
GARDEN CENTER
REGISTRATION NUMBER:
BLOCK/OUTLET NUMBER:
NUMBER OF INSPECTIONS:
EXPIRATION DATE:
COUNTY:
NAME:
MAILING ADDRESS:
PHYSICAL LOCATION:
FORMERLY:
1.
Nursery stock passes inspection and meets certificate requirements.
2.
Nursery stock listed below was found infested or infected with plant pests needing immediate attention.
INFESTED OR INFECTED NURSERY STOCK
Name of Plant
Plant Pest
Location in Establishment
 NEW
 CONTINUE
 RELEASE
 DESTROY
 GRASS & WEED
QUARANTINE ACTION:
NUMBER OF
LOCATION OF QUARANTINED
ACRES
PLANT NAME
PEST
PLANTS
PLANTS IN NURSERY
SPECIAL INSPECTIONS
3.
OTHER THAN NURSERY STOCK
NUMBER OF PLANTS
NUMBER OF ACRES
NO. INSPECTIONS
REMARKS
REPORT
PLANT PROTECTION
DISTRICT
RECEIVED BY:
SPECIALIST
NUMBER
(Owner, Manager, Person in Charge)
(Division of Plant Industry
District Office Phone #
(Please Print)
FDACS-08001 Rev. 3/16
White – Gainesville Office, Yellow – Inspector, Pink - Nursery
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