Form R5-3400-1 - Forest Pest Detection Report - Department Of Agriculture Page 2

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The Cooperative Forest Pest Detection Survey is sponsored by the California Forest Pest Council. The Council encourages
federal, state, and private land managers and individuals to contribute to the Survey by submitting pest injury reports and
samples in the following manner:
Federal Personnel: Send all detection reports through appropriate channels. Mail injury samples with a copy of this report
to one of the following offices:
USDA Forest Service
Forest Health Protection
Forest Health Protection
State and Private Forestry - FHP
Shasta-Trinity National Forests
Stanislaus National Forest
1323 Club Drive
2400 Washington Avenue
19777 Greenley Road
Vallejo, CA 94592
Redding, CA 96001
Sonora, CA 95370
Forest Health Protection
Forest Health Protection
Lassen National Forest
San Bernadino National Forest
2550 Riverside Drive
1824 Commercenter Circle
Susanville, CA 96130
San Bernadino, CA 92408-3430
State Personnel: Send all detection reports through channels. Mail injury samples with a copy of this report to one of the
following appropriate offices:
Forest Pest Management
Forest Pest Management
Forest Pest Management
CA Dept. of Forestry & Fire Protection
CA Dept. of Forestry & Fire Protection
CA Dept. of Forestry & Fire Protection
P.O. Box 944246
6105 Airport Road
17501 N. Highway 101
Sacramento, CA 94244-2460
Redding, CA 96002
Willits, CA 95490
Private Land Managers and Individuals: Send all detection reports and samples to the closest California Department of
Forestry and Fire Protection office listed above.
Completing the Detection Report Form
Heading (Blocks 1-7): Enter all information requested. In Block 6, LOCATION, provide sufficient information for the
injury center to be relocated. If possible, attach a location map to this form.
Injury Description (Blocks 8-15): Check as many boxes as are applicable, and fill in the requested information as completely
as possible.
Stand Description (Blocks 16-21): This information will aid the examiner in determining how the stand conditions
contributed to the pest situation. In Block 18 indicate the major tree species in the overstory and understory. In Block 19,
indicate the stand age in years and/or the size class (seedling-sapling; pole; young sawtimber; mature sawtimber; overmature
or decadent).
Pest Names (Block 22): Write a detailed description of the pest or pests, the injury symptoms, and any contributing factors.
Action Requested (Block 24): Mark "Field Evaluation" only if you consider the injury serious enough to warrant a
professional site evaluation. Mark "Information Only" if you a reporting a condition that does not require further attention.
All reports will be acknowledged and questions answered on the lower part of this form.
Reply (Section II): Make no entries in this block; for examining personnel only. A copy of this report will be returned to you
with the information requested.
Handling Samples: Please submit injury samples with each detection report. If possible, send several specimens illustrating
the stages of injury and decline. Keep samples cool and ship them immediately after collection. Send them in a sturdy
container, and enclose a completed copy of the detection report.
Your participation in the Cooperative Forest Pest Detection Survey is greatly appreciated. Additional copies of this
form are available from the Forest Service - Forest Health Protection, and from the California Department of Forestry and Fire
Protection.

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