Title Page
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Hive ID
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Conducted On
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Inspected By
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Hive Type
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Hive temperament
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Saw queen
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Is the queen marked?
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specify color
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Laying brood pattern
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Eggs seen
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Population
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Excessive drone cells
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Drone population estimate
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Queen cells
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Number of cells along frame bottom
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Number of converted worker cells
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Number of cells along frame bottom
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Number of converted worker cells
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Signs of disease/pests
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Specify type of disease/pest
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Honey food stores
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Pollen food stores
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Hive condition
- Normal
- Brace comb
- Excessive propolis
- Normal odor
- Foul odor
- Equipment damage
- Other
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Please specify
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Actions taken during inspection
- Fed hive
- Split hive
- Added excluder
- Requeened
- Added feeder
- Swapped brood boxes
- Other
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New hive #
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Please specify
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Medications added
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Select those that apply
- Apistan
- Terramyacin patties
- Formic acid
- Crisco patties
- Other
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Please specify
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Select those that apply
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Please specify
Recommendations and Observations
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Name & Signature of assigned beekeeper