Table Of ContentCSAT Agriculture Survey
Questions Guide
July 2010
Version 1.0
Version 1.0 1
CSAT Agriculture Survey Questions Guide
Table of Contents
1. General.................................................................................................................. 1
2. Facility Screening Information ................................................................................ 2
3. Agricultural Facility Customers .............................................................................. 3
4. COI Identification ................................................................................................... 7
5. COI-Containing Pesticide Products ...................................................................... 32
6. COI-Containing Fertilizer Products ...................................................................... 42
7. Other COI-Containing Products ........................................................................... 52
8. Finish ................................................................................................................... 62
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CSAT Agriculture Survey Questions Guide
1. General
• The Agriculture Survey will collect information from the facilities being surveyed
about Chemicals of Interest (COI) and COI-containing products provided to their
agricultural production customers as well as certain information, where available,
about those customers’ use and handling of COI-containing products.
• Where information is requested for COI listed in Appendix A to 6 CFR Part 27, or for
COI-containing product mixtures or blends (hereafter "COI-containing products"),
please provide information for all COI or COI-containing products that meet or
exceed the lowest applicable minimum concentration level established for that COI in
Appendix A--whether or not the amount(s) of the COI(s) possessed by the facility
exceed the applicable Screening Threshold Quantity(ies) in Appendix A--and that the
facility sells, transfers, or commercially applies to agricultural facilities for agricultural
activities. Facilities should not include COI or COI-containing products which are
used exclusively as fuels in answering this questionnaire.
• For the purpose of this questionnaire:
o Agricultural activities means (1) preparation for the treatment of crops, feed, land,
livestock (including poultry), or other areas of an agricultural facility; or (2)
application to or treatment of crops, feed, land, livestock (including poultry), or
other areas of an agricultural facility.
o Agricultural facility includes farms (e.g., crop, fruit, nut, and vegetable); ranches
and rangeland; poultry, dairy, and equine facilities; turfgrass growers; golf
courses; nurseries; floricultural operations; and public and private parks.
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CSAT Agriculture Survey Questions Guide
2. Facility Screening Information
Does your facility sell, transfer, or commercially apply COI-containing products directly for
use by an agricultural facility in the preparation for the treatment of crops, feed, land,
livestock (including poultry) or other areas of an agricultural facility? [Q:1.0-23756]
Yes
No
Does your facility sell, transfer, or commercially apply COI-containing products directly for
use by an agricultural facility during application to or treatment of crops, feed, land,
livestock (including poultry) or other areas of an agricultural facility? [Q:1.0-23757]
Yes
No
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CSAT Agriculture Survey Questions Guide
3. Agricultural Facility Customers
NAICS Codes
Using the U.S. Census Bureau's North American Industry Classification System (NAICS)
codes, identify all of your agricultural facility customers - specifically, your agricultural
facility customers (other than chemical distribution facilities or commercial chemical
application services) to whom you sell, transfer or commercially apply COI for use in
agricultural activities:
• In preparation for the treatment of crops, feed, land, livestock (including poultry) or
other areas of an agricultural production facility; or
• During application to or treatment of crops, feed, land, livestock (including poultry)
or other areas of an agricultural production facility.
Such customers may include farms (e.g., crop, fruit, nut and vegetable); ranches and rangeland;
poultry, dairy and equine facilities; turfgrass growers; golf courses; nurseries; floricultural
operations; and public and private parks.
Below are the NAICS codes that DHS believes relate to agricultural activities. You may have
others. Each NAICS code title links to the definition of the specific code at the NAICS website.
NAICS Customer Type Does this NAICS code describe your
Code agricultural facility customers? [Q:2.0-23861]
1111 Oilseed and Grain Farming Yes No
1112 Vegetable and Melon Farming Yes No
1113 Fruit and Tree Nut Farming Yes No
1114 Greenhouse, Nursery, and Yes No
Floriculture Production
1119 Other Crop Farming Yes No
112111 Beef Cattle Ranching and Farming Yes No
112112 Cattle Feedlots Yes No
112120 Dairy Cattle and Milk Production Yes No
112130 Dual-Purpose Cattle Ranching and Yes No
Farming
112210 Hog and Pig Farming Yes No
1123 Poultry and Egg Production Yes No
1124 Sheep and Goat Farming Yes No
11251 Aquaculture Yes No
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CSAT Agriculture Survey Questions Guide
NAICS Customer Type Does this NAICS code describe your
Code agricultural facility customers? [Q:2.0-23861]
1129 Other Animal Production Yes No
113110 Timber Tract Operations Yes No
113210 Forest Nurseries and Gathering of Yes No
Forest Products
11511 Support Activities for Crop Yes No
Production (includes Soil
Preparation, Planting, & Cultivation)
11521 Support Activities for Animal Yes No
Production
11531 Support Activities for Forestry Yes No
53131 Real Estate Property Managers Yes No
54171 Research and Development in the Yes No
Physical, Engineering, and Life
Sciences
611 Educational Services Yes No
711310 Promoters of Performing Arts, Yes No
Sports, and Similar Events with
Facilities
712130 Zoos and Botanical Gardens Yes No
712190 Nature Parks and Other Similar Yes No
Institutions
712120 Historical Sites Yes No
713110 Amusement and Theme Parks Yes No
713910 Golf Courses and Country Clubs Yes No
Add other NAICS codes not listed above.
If you have agricultural facility customers that do not fit one of the descriptions/definitions in the
above section, please click here which will take you to the NAICS website where you can identify
the appropriate NAICS code(s) to list in the text field below. After typing in each NAICS code,
click the "Add" button to add it to the list of additional NAICS codes describing your customers.
NAICS Code [Q:2.0-24819] NAICS Code Description [Q:2.0-23864]
Add
Have you listed all NAICS codes that describe your agricultural facility customers? [Q:2.0-
23858]
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CSAT Agriculture Survey Questions Guide
Yes
No
Facility/Customer Relations
Does your facility transfer possession of any COI-containing product(s) to any of your
agricultural facility customers (e.g., the COI-containing product leaves your facility with a
customer and there is no delivery or commercial application by your facility)? [Q:2.1-24423]
Yes
No
Does your facility commercially apply any COI-containing product(s) to any of your
agricultural facility customers? [Q:2.1-24424]
Yes
No
Does your facility deliver any COI-containing product(s) to any of your agricultural facility
customers? [Q:2.1-24426]
Yes
No
Does your facility place security-related conditions or restrictions (e.g., voluntary
company, association, or industry customer and/or purchaser verification programs) on
the sale of any of the COI-containing product(s) to any of your agricultural facility
customers? [Q:2.1-24427]
Yes
No
Are any of the COI-containing product(s) that you commercially apply stored at your
agricultural facility customers' facilities before, during, or after commercial application?
[Q:2.2-24822]
Yes
No
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CSAT Agriculture Survey Questions Guide
Customer Activities
To the best of your knowledge, do any of your agricultural facility customers ship any COI-
containing product(s)? [Q:2.3-24400]
Yes
No
Don’t Know
To the best of your knowledge, do any of your agricultural facility customers resell any
COI-containing product(s)? [Q:2.3-24401]
Yes
No
Don’t Know
To the best of your knowledge, do any of your agricultural facility customers implement
security measures for any COI-containing product(s)? [Q:2.3-24402]
Yes
No
Don’t Know
To the best of your knowledge, do any of your agricultural facility customers participate in
any mandatory or voluntary security programs (e.g., voluntary company, association, or
industry programs or state or territorial programs) for any COI-containing product(s)?
[Q:2.3-24403]
Yes
No
Don’t Know
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CSAT Agriculture Survey Questions Guide
4. COI Identification
Chemicals of Interest
Identify each COI in COI-containing products at or above the lowest Appendix A minimum
concentration, regardless of the screening threshold quantity, that you sell, transfer or
commercially apply to agricultural facilities.
The COI that your facility identified in its Top-Screen are listed in the table below. The minimum
concentration provided is the lowest from Appendix A and may be lower than those applicable to
your facility's Top-Screen. For each COI in column 1 that you sell, transfer, or commercially apply
to agricultural facilities, indicate whether the COI functions as:
• a pesticide (including active ingredients, fumigants, sterilants and COI used in food
preparation/preservation);
• a fertilizer (including as a fertilizer ingredient); or
• any other agriculture-related purpose.
If a COI performs different functions in different products, click all that apply (e.g., a COI that
functions as a pesticide in one product but a fertilizer in another).
Chemical of CAS# Min. Pesticide Fertilizer Other
Interest Conc.
[Q:2.5-24039] [Q:2.5-24033] [Q:2.5-24034]
Chemical X XXX-X XXX% Yes No Yes No Yes No
Do you possess any other COI-containing products at or above the lowest Appendix A
minimum concentration - regardless of the Appendix A screening threshold quantity - that
you sell, transfer or commercially apply to agricultural facilities? [Q:2.5-24048]
Yes
No
The remaining Appendix A COI are listed in the table below. For each of COI in column 1 that you
sell, transfer, or commercially apply to agricultural facilities indicate whether the COI functions as:
• a pesticide (including active ingredients, fumigants, sterilants and COI used in food
preparation/preservation);
• a fertilizer (including as a fertilizer ingredient); or
• any other agriculture-related purpose.
If a COI performs different functions in different products, click all that apply (e.g., a COI that
functions as a pesticide in one product but a fertilizer in another).
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CSAT Agriculture Survey Questions Guide
Chemical of Interest CAS# Min. Conc. Pesticide Fertilizer Other
[Q:2.6-24053] [Q:2.6-24054] [Q:2.6-24055]
Acetaldehyde 75-07-0 1.00% Yes No Yes No Yes No
Acetone cyanohydrin, stabilized 75-86-5 ACG Yes No Yes No Yes No
Acetyl bromide 506-96-7 ACG Yes No Yes No Yes No
Acetyl chloride 75-36-5 ACG Yes No Yes No Yes No
Acetyl iodide 507-02-8 ACG Yes No Yes No Yes No
Acetylene [Ethyne] 74-86-2 1.00% Yes No Yes No Yes No
Acrolein [2-Propenal or Acrylaldehyde] 107-02-8 1.00% Yes No Yes No Yes No
Acrylonitrile [2-Propenenitrile] 107-13-1 1.00% Yes No Yes No Yes No
Acrylyl chloride [2-Propenoyl chloride] 814-68-6 1.00% Yes No Yes No Yes No
Allyl alcohol [2-Propen-1-ol] 107-18-6 1.00% Yes No Yes No Yes No
Allylamine [2-Propen-1-amine] 107-11-9 1.00% Yes No Yes No Yes No
Allyltrichlorosilane, stabilized 107-37-9 ACG Yes No Yes No Yes No
Aluminum (powder) 7429-90-5 ACG Yes No Yes No Yes No
Aluminum bromide, anhydrous 7727-15-3 ACG Yes No Yes No Yes No
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