Form FDACS-13666 "Operational Work Plan for Mosquito Control" - Florida

Form FDACS-13666 is a Florida Department of Agriculture and Consumer Services form also known as the "Operational Work Plan For Mosquito Control". The latest edition of the form was released in July 1, 2013 and is available for digital filing.

Download a PDF version of the Form FDACS-13666 down below or find it on Florida Department of Agriculture and Consumer Services Forms website.

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Download Form FDACS-13666 "Operational Work Plan for Mosquito Control" - Florida

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Florida Department of Agriculture and Consumer Services
Submit to:
Division of Agricultural Environmental Services
Mosquito Control Program
3125 Conner Blvd, Suite E
OPERATIONAL WORK PLAN FOR MOSQUITO CONTROL
Tallahassee, FL 32399-1650
FISCAL YEAR 20___ / 20___
ADAM H. PUTNAM
Rule 5E-13.022, F.A.C.
COMMISSIONER
Telephone: (850) 617-7911; FAX: (850) 617-7939
I. COUNTY OR DISTRICT
II. CHEMICAL
Ground Dispersal
Aerial Dispersal
U
T
O
U
T
O
ADULTICIDES
L
H
T
L
H
T
Please Reference Enclosed Chemical
V
E
H
V
E
H
PROJECTED PURCHASE
Data Sheet
R
E
R
E
(GALLONS)
M
R
M
R
Be Sure To List % of Active Ingredient
METHOD OF DISPERSAL
Ground Dispersal
Aerial Dispersal
L
S
S
L
S
LARVICIDES
I
A
O
I
A
Please Reference Enclosed Chemical
PROJECTED PURCHASE
Q
N
L
Q
N
Data Sheet
U
D
I
U
D
(GALLONS)
I
D
I
Be Sure To List % of Active Ingredient
D
D
FDACS-13666 Rev. 07/13
Page 1 of 3
Florida Department of Agriculture and Consumer Services
Submit to:
Division of Agricultural Environmental Services
Mosquito Control Program
3125 Conner Blvd, Suite E
OPERATIONAL WORK PLAN FOR MOSQUITO CONTROL
Tallahassee, FL 32399-1650
FISCAL YEAR 20___ / 20___
ADAM H. PUTNAM
Rule 5E-13.022, F.A.C.
COMMISSIONER
Telephone: (850) 617-7911; FAX: (850) 617-7939
I. COUNTY OR DISTRICT
II. CHEMICAL
Ground Dispersal
Aerial Dispersal
U
T
O
U
T
O
ADULTICIDES
L
H
T
L
H
T
Please Reference Enclosed Chemical
V
E
H
V
E
H
PROJECTED PURCHASE
Data Sheet
R
E
R
E
(GALLONS)
M
R
M
R
Be Sure To List % of Active Ingredient
METHOD OF DISPERSAL
Ground Dispersal
Aerial Dispersal
L
S
S
L
S
LARVICIDES
I
A
O
I
A
Please Reference Enclosed Chemical
PROJECTED PURCHASE
Q
N
L
Q
N
Data Sheet
U
D
I
U
D
(GALLONS)
I
D
I
Be Sure To List % of Active Ingredient
D
D
FDACS-13666 Rev. 07/13
Page 1 of 3
Operational Work Plan for Mosquito Control
FISCAL YEAR 20___ / 20___
BIOLOGICAL CONTROL
NUMBER OF RELEASE SITES
TOTAL # RELEASES
AVERAGE # PER RELEASE
FISH PLACEMENT
OTHER PREDATORS
III. DESCRIPTION OF PROGRAM ELEMENTS
SURVEILLANCE
NUMBER OF CITIZEN COMPLAINTS PER YEAR (ESTIMATED)
BASIC METHODS USED FOR MOSQUITO
NUMBER OF SITE
NUMBER OF
TOTAL NUMBER OF
NUMBER IN ORDER
POPULATION MEASUREMENT
SAMPLES
COLLECTIONS
TRAPS USED
OF FREQUENCY
NEW JERSEY LIGHT TRAP
CDC LIGHT TRAP
TRUCK TRAPS
LANDING RATE
OTHER (SPECIFY)
TOTAL NUMBER
NUMBER OF SITE
NUMBER OF
NUMBER IN ORDER
SPECIAL SURVEYS
OF TRAPS USED
SAMPLES
COLLECTIONS
OF FREQUENCY
MOSQUITO IDENTIFICATION
NUMBER OF EMPLOYEES COMPLETING ID CLASS
NUMBER OF MICROSCOPES
ROUTINE LOCAL ID PROGRAM
YES
NO
COMPUTERS USED IN ANALYSIS
OTHER MEANS (SPECIFY)
ADDITIONAL EFFORTS
SOURCE REDUCTION PROGRAM
PROJECTS NEEDING MAINTENANCE THIS FISCAL YEAR
PROJECT NUMBER/NAME
DESCRIPTION OF WORK
PUBLIC RELATIONS/EDUCATIONAL PROGRAMS
FDACS-13666 Rev. 07/13
Page 2 of 3
Operational Work Plan for Mosquito Control
FISCAL YEAR 20___ / 20___
INVENTORY OF EQUIPMENT
(Trucks, Aircraft, Boats, Etc.)
VEHICLE/ASSET
YEAR
MAKE
MODEL
TON
USED FOR
NUMBER
FDACS-13666 Rev. 07/13
Page 3 of 3
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