Persistent Herbicide Incident Report

In order to stop the use of persistent herbicides in ways that impact compost, we need to know what and where the impacts are. If you suspect presence of persistent herbicides in compost or damage from persistent herbicides contained in compost please complete this form. This information will be kept confidential by the USCC unless permission to share it is granted.

Please complete a separate report form for each incident.

  1. PART I. EVIDENCE OF PERSISTENT HERBICIDES
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. PART II. SUSPECTED SOURCES OF CONTAMINATION
  9. IIA--FOR COMPOST PRODUCERS ONLY
  10. IIB--FOR COMPOST USERS ONLY
  11. Can you rule out the following scenarios that may have contributed to abnormal plant growth:
  12. 16. Herbicides applied to adjacent lawn or property
  13. 17. Ethylene toxicity in a greenhouse environment
  14. PART III. CONTACT INFORMATION
  15. 17. Please provide contact information for the person responsible for this report. This information will be kept confidential unless you give us permission to share it. Providing it will allow us to ask follow up and clarifying questions.
  16. (required)
  17. (valid email required)
  18. Information from this form will be kept confidential and only reported in aggregate unless specific permission is given. Giving us information to share with the EPA will allow the event to be investigated in detail.
  19. Please send any additional information about this exposure you can. Items you may wish to provide might include: Photos of the suspected persistent herbicide impacts. Results of persistent herbicide indicator tests (bioassay). (Please include indicator species, sample description, measured value, and units.) Results of pesticide residue analysis of tissue or soil samples. (Please include species, sample description, name of the pesticide or degradation product, measured value, and units.) Any other environmental measurements taken at the incident site can also be sent.
  20. Captcha
 

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To send photos, lab results, or other supplemental information, click HERE