SEED CERTIFICATION AGENCY (SCA)

 

 

 

 

                           Certified Seed

          SITE IDENTIFICATION LOG, PART 1

        for Wildland Collected Material Intended

    for Direct Sale and Revegetation Outplanting

 

Inspection Fee1                                    Field Lot #2                                        Appl/Cert. #    ______________________                                         

                     Assigned by SCA

Collector3                                                                    Address   ___________________________________________                                                                                                                           

Phone/Cell                                                                                Permit/Contract/Permission4    Public ~       Private  ~

 

Species Name                                                                          Common Name  _______________________________                                                             

 

Germplasm ID5                                                Material Collected                                              Amount _____________                        

                                                                                                              e.g., seed, cuttings, etc.                                     Bulk lb or volume

 

Species as Collected Indigenous to:     G Site         G County     G State        G Nonindigenous       G Unknown

 

Germplasm Category       G Source Identified         G Selected         G Tested            G Variety

 

Date(s) Collected                                                   State              County                                 Elevation  ____________

                        

Site Size/GPS6  ________________________________________________________________________________         

 

Site Description/Map6 ___________________________________________________________________________                                                                                                                                                    

 

I attest that all above information is correct                                                                                         Date  ________________                               

                                                                                                Signature of Collector

Uncleaned Sample Taken By7                                                    Plant Specimen Provided by8  ___________________                                    

                                                              

Site Inspection Completed                                                                                                                Date ____________                     

                                                                                                     Signature of SCA Representative

Conditioner Lot #                                    Date(s) Conditioned                                        Clean Seed Lb   ____________                       

 

I attest to the best of my knowledge, all above information is correct.                

 

____________________________________________________________________________   Date ___________

                                                         Signature of Seed Broker/Conditioner

Seed Analysis? _________________________    # Tags                         Approved9  __________________________

                              If Yes, List Seed Sampler and Lab                                                                          Date, Initials of SCA Rep.

1  Time/mileage charges may apply where special verification procedures are requested by a seed buyer or are judged necessary by the SCA.     

2  The collector or seed broker/conditioner must a) label all bags or containers with a field lot #, b) store so each field lot can be easily inspected, and c) blend field lots only by permission of SCA rep.

3 Major collector of material from this site.  This form may be filled out by the major collector or by the Broker/Conditioner receiving the material, but in any case information must be correlated with the appropriate Pre-Collection form and applicant.  List additional collector groups on a Site Inspection Log, Part 1 Addendum. ($10 fee for each group).

4  Attach copy(s) of permits, contracts, or permission forms or letters. Field bulk pounds collected on public lands not covered by applicable documents will not be eligible for tagging by the SCA.

5  Variety name if applicable, or enter a germplasm identification (site name or number) if one is given by the collector or public or private germplasm developer (e.g. Gold Strike variety or Nugget Gulch germplasm bluebunch wheatgrass).

6 List specific sizes/description for areas actually collected in relation to approximation given on Pre-Collection Application.  For example, list GPS reading from the approximate center of contiguous stands listed in acres, a minimum of four GPS readings representing the perimeter of contiguous stands listed in square miles, and/or attach a topographic map with a combination of GPS reading(s) and lines drawn that sufficiently locate contiguous or non-contiguous stands over applicable geographic areas within a county.  This information is confidential.

7 An uncleaned sample of seed collected must be filed with this log to represent each field lot.  Specify whether taken by the collector, seed broker/conditioner, or SCA Rep. A manila envelope (at least 5" x 9") or plastic bag (if material is dry) containing the sample must be marked with the field lot #.

8 A pressed, dried plant specimen must be filed with this log to aid in identification of many species, especially forbs and some grasses.  Contact the certification agency for a list of species requiring a plant specimen to complete this form.  Specify whether specimen is taken by the collector or SCA Rep.; a fee surcharge may apply if specimen is provided by SCA.

9  Certification tags (Source Identified, Selected, or Tested) for wildland collected seed are issued on the basis of source and genetic identity and purity only.  Purity and viability analysis and labeling is the sole responsibility of the vendor unless specific requests or contracts require sampling or mechanical standards oversight by the SCA.

                    Original to SCA     C      Photocopy for Seed Broker/Conditioner/Collector Records            

6/18/02