Form FDACS-08321 "Grove Self-inspection Survey Reporting Form" - Florida

What Is Form FDACS-08321?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2008;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form FDACS-08321 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-08321 "Grove Self-inspection Survey Reporting Form" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Plant Industry
GROVE SELF-INSPECTION SURVEY REPORTING FORM
NICOLE "NIKKI" FRIED
Sections 581.031(9), and 581.184, F.S.
COMMISSIONER
Citrus Health Response Program, Division of Plant Industry, Attention: Regulatory
3027 Lake Alfred Road, Winter Haven, FL 33881-1438 / Ph: (863) 395-4700 Fax: (863) 395-3002
Please mail or fax all self-survey information to Winter Haven CHRP office.
Please flag and report any suspects immediately to your area office or the helpline.
Surveyor Name:
Supervisor Name:
Grove Name:
County:
Grove Owner:
TRS:
Mailing Address of Grove:
Grove Location:
Date of survey:
Date of last survey:
Suspect Found: ___ CG ___ CC ___ None
DPI Contacted: ___ YES ___ NO
Reported to: __________________
Acres Surveyed:
Varieties Surveyed:
Rows surveyed:
Completed decontamination before leaving block?:
___ EVEN ___ ODD ___ ALL ___ Other
___ YES ___ NO
Citrus Health Toll-Free Helpline: 800-282-5153
Area Office Information
St. Lucie, Okeechobee, Martin, Indian River, Southern
Lake, Alachua, Northern Brevard, Citrus, Flagler,
Brevard Counties
Hernando, Marion, Orange, Pasco, Putnam, Seminole,
Sumter, Volusia, North Florida Counties
4244 Bandy Boulevard
Fort Pierce, FL 34981
4129 Country Road 561
TEL: 772-429-2000
Tavares, FL 32778
FAX: 772-429-2009
TEL: 352-253-4547
FAX: 352-253-4549
Collier, Hendry, Lee, Charlotte, Glades, Sarasota, Palm
Beach, Broward, Miami-Dade and Monroe Counties
Polk, Osceola, Pinellas, Hillsborough and Manatee
Counties
424 E Market Road, Unit 10
Immokalee, FL 34142
3027 Lake Alfred Road
TEL: 239-658-3684
Winter Haven, FL 33881-5219
FAX: 239-658-3692
TEL: 863-298-7777
FAX: 863-291-5219
Highlands, De Soto, Hardee Counties
3397 US Hwy 27 South
Avon Park, FL 33825
TEL: 863-314-5900
FAX: 863-314-5911
FDACS-08321 Rev. 05/08
Florida Department of Agriculture and Consumer Services
Division of Plant Industry
GROVE SELF-INSPECTION SURVEY REPORTING FORM
NICOLE "NIKKI" FRIED
Sections 581.031(9), and 581.184, F.S.
COMMISSIONER
Citrus Health Response Program, Division of Plant Industry, Attention: Regulatory
3027 Lake Alfred Road, Winter Haven, FL 33881-1438 / Ph: (863) 395-4700 Fax: (863) 395-3002
Please mail or fax all self-survey information to Winter Haven CHRP office.
Please flag and report any suspects immediately to your area office or the helpline.
Surveyor Name:
Supervisor Name:
Grove Name:
County:
Grove Owner:
TRS:
Mailing Address of Grove:
Grove Location:
Date of survey:
Date of last survey:
Suspect Found: ___ CG ___ CC ___ None
DPI Contacted: ___ YES ___ NO
Reported to: __________________
Acres Surveyed:
Varieties Surveyed:
Rows surveyed:
Completed decontamination before leaving block?:
___ EVEN ___ ODD ___ ALL ___ Other
___ YES ___ NO
Citrus Health Toll-Free Helpline: 800-282-5153
Area Office Information
St. Lucie, Okeechobee, Martin, Indian River, Southern
Lake, Alachua, Northern Brevard, Citrus, Flagler,
Brevard Counties
Hernando, Marion, Orange, Pasco, Putnam, Seminole,
Sumter, Volusia, North Florida Counties
4244 Bandy Boulevard
Fort Pierce, FL 34981
4129 Country Road 561
TEL: 772-429-2000
Tavares, FL 32778
FAX: 772-429-2009
TEL: 352-253-4547
FAX: 352-253-4549
Collier, Hendry, Lee, Charlotte, Glades, Sarasota, Palm
Beach, Broward, Miami-Dade and Monroe Counties
Polk, Osceola, Pinellas, Hillsborough and Manatee
Counties
424 E Market Road, Unit 10
Immokalee, FL 34142
3027 Lake Alfred Road
TEL: 239-658-3684
Winter Haven, FL 33881-5219
FAX: 239-658-3692
TEL: 863-298-7777
FAX: 863-291-5219
Highlands, De Soto, Hardee Counties
3397 US Hwy 27 South
Avon Park, FL 33825
TEL: 863-314-5900
FAX: 863-314-5911
FDACS-08321 Rev. 05/08