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nes. The site address must be checked against APHIS interactive maps to <br />Site Address: <br />Fire Ant and •• Fruit Fly quarantines may be partial county quaran <br />determine if the site is within the quarantine area. <br />2eAnalytical* <br />CA Regulated Soil Notification <br />1411114,7T <br />USDA / APHIS regulates material with organic !natter, including soil, from specific <br />counties that have invasive species, pests, or plant diseases present in the county. In <br />order to process your project, we need to determine if special handling applies to your <br />project. <br />Any soils received without this completed form cannot be received or processed until <br />the site address is confirmed. <br />Yes D No If no, matr ix description: <br />County <br />0 Alameda 0 Contra Costa 0 Del Norte 0 Humboldt 0 Lake <br />Los Angeles* 0 Mann 0 Mendo ino 0 Monterey 0 Napa <br />Orange* 0 Riverside* 0 San Francisco 0 San Mateo 0 Santa Clara <br />Santa Cruz 0 Solano CI Sonoma 0 Trinity <br />Other (specify): ,-41.- <br />(If soils are from one of the 19 counties specified above, the site address is required.) <br />Receipt of Soils from California: <br />A/n <br />re sa ples soil or other regulated material? 9 <br />To be completed by Pace N tional: <br />Are Samples Regulated? No D Yes <br />Regulated for? CI Phytophthora Ramorum <br />Amount of soil received: - <br />Received on: <br />Client: <br />Lab ID (if applicable): <br />El Fire Ants D Fruit Flies** <br />grams <br />Will any analysis be done at another lab? <br /> <br />1:1 Yes LINo <br />If yes, complete the following for each lab that will receive the regulated samples: <br />Receiving lab notified soils are regulated? Shipment <br />Receiving Lab Amount shipped sent with receiving lab's Compliance Agreement? <br />Yes (initial / date) <br />Yes (initial / date) <br />g Yes <br />(initial / date) <br />(initial / date) <br />Yes <br />• Soils cannot be transferred to another destination without either a PPQ 530 or PPQ 540 form. Contact APHIS before proceeding <br />Initial / date after a copy of form has been sent to Luis Oquendo, USDA APHIS PPQ <br />ed Soil Notification.docx H:\QAQC\Public\Controlled Docs\DAV-31 CA Regula DAV-31 <br />Rev 5 <br />7/21/2021