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HOMEOWNER IPM INSECT DIAGNOSTIC CLINIC FORM HOMEOWNER IPM INSECT SAMPLES CAN BE SUBMITTED ONLY THROUGH
 

Summary: HOMEOWNER IPM INSECT DIAGNOSTIC CLINIC FORM
HOMEOWNER IPM INSECT SAMPLES CAN BE SUBMITTED ONLY THROUGH
YOUR LOCAL COUNTY COOPERATIVE EXTENSION OFFICE.
*All items with an asterisk must be completed
Date:________________________ Sample Submitted by (Other than
Grower/Owner):______________________
Client's Name: _______________________________________
Address:_____________________________________________
____________________________________________________
Phone: (___)__________________________________________
The following information is important and could help with the diagnosis.
1. Locality (nearest town/city) where specimen was collected __________________.
2. * Date collected ________________.
3. Follow up to DDDI (Sample No.) __________________.
4. * If collected from a plant, give name of plant and describe damage
_________________________________________________________________.
5. * If collected from a residence or other structure, give site(s) of collection
_________________________________________________________________.
6. Degree of infestation________________________________________________?
7. Chemicals Applied:

  

Source: Arnold, Jonathan - Nanoscale Science and Engineering Center & Department of Genetics, University of Georgia

 

Collections: Biotechnology