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Part 1 - Farm Review

Water Usage

  • What is the source of irrigation water? (Pond, Stream, Well, Municipal, Other)

  • Please specify

  • How are crops irrigated? (Flood, Drip, Sprinkler, Other)

  • Please specify

  • A water quality assessment has been performed to determine the quality of water used for irrigation purpose on the crop(s) being applied.

  • A water quality assessment has been performed to determine the quality of water use for chemical application or fertigation method.

  • If necessary, steps are taken to protect irrigation water from potential direct and nonpoint source contamination.

Sewage Treatment

  • The farm sewage treatment system/septic system is functioning properly and there is no evidence of leaking or runoff.

  • There is no municipal/commercial sewage treatment facility or waste material landfill adjacent to the farm.

Animals/Wildlife/Livestock

  • Crop production areas are not located near or adjacent to dairy, livestock, or fowl production facilities unless adequate barriers exist.

  • Manure lagoons located near or adjacent to crop production areas are maintained to prevent leaking/overflowing, or measures have been taken to stop runoff from contaminating the crop production areas.

  • Manure stored near or adjacent to crop production areas is contained to prevent contamination of crops.

  • Measures are taken to restrict access of livestock to the source or delivery system of crop irrigation water.

  • Crop production areas are monitored for the presence or signs of wild or domestic animals the entering the land.

  • Measures are taken to reduce the opportunity for wild and/or domestic animals from entering crop production areas.

Manure and Municipal Biosolids

  • Please choose one of the following options as it relates to the farm operations:

Raw Manure

  • When raw manure is applied, it is incorporated at least 2 weeks prior to planting or a minimum of 120 days prior to harvest.

  • Raw manure is not used on commodities that are harvested within 120 days of planting.

  • If both raw and treated manure are used, the treated manure is properly treated, composted or exposed to reduce the expected levels of pathogens.

  • Manure is properly stored prior to use.

Composted Manure

  • Only composted manure and/or treated biosolids are used as a soil amendment.

  • Composted manure and/or treated biosolids are properly treated, composted, or exposed to environmental conditions that would lower the expected level of pathogens.

  • Composted manure and/or treated biosolids are properly stored and are protected to minimize recontamination.

  • Analysis reports are available for composted manure/treated biosolids.

No Manure/Biosolids Used

  • No animal manure or municipal biosolids are used.

  • A previous land use risk assessment has been performed.

  • When previous land use history indicates a possibility of contamination, preventative measures have been taken to mitigate the known risks and soils have been tested for contaminants and the land use is commensurate with test results.

  • Crop production areas that have been subjected to flooding are tested for potential microbial hazards.

Traceability

  • Each production area is identified or coded to enable traceability in the event of a recall.

Conclusion: Part 1 - Farm Review

  • Comments/Recommendations:

  • Farm Review

  • Name and Signature

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