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Information collected from this survey will be used to determine the potential risk to human health and the environment resulting from historical operation of former/abandoned agricultural chemical facilities. Participation in this survey is voluntary. You are not legally required to provide the MDA with the requested information and may refuse to do so. However, failure to submit the survey will limit the MDA’s ability to assess the potential risk related to the site in question. Survey responses will be considered public data unless information obtained in a survey results in an active civil investigation; in which case, the information submitted in the survey would be classified as “not public” data. “Not public” data is available only upon court order or upon request of a legislative auditor to review the data. In addition, data may be made public if the MDA determines that there is a substantive threat to human health and safety or to the environment, or if otherwise required by law.

If you have any questions regarding this survey please contact Paul Haiker at 651-201-6199.

General Information
Are you the current owner of the property listed above?
Have other entities operated an Agricultural Chemical facility at the site?
Onsite Storage
Was liquid fertilizer stored at the site?
Was dry fertilizer stored at the site?
Were mini-bulk or bulk pesticides stored at the site?
Were small package pesticides stored at the site?
Were vehicles or equipment used to transfer or apply pesticides or fertilizers stored at the site?
Mixing and Loading
Did mixing and loading of pesticides occur at the site?
Did mixing and loading of fertilizers occur at the site?
Is a load pad present at the site?
Was there a load pad for mixing/loading at the site?
Buildings and Structures
Are there previously used Agricultural Chemical storage structures present at the site?
Please describe the floor(s)
For Agricultural Chemical storage facilities no longer present on the site, please describe floor(s) if known
Water
Is/was there a public water source on site?
Is/was there a private well on site?
Incidents
Are you aware of past pesticide or fertilizer spills or releases having occurred on the site?
Was the spill(s) or release(s) reported to the Minnesota Duty Officer or MDA?
Was the spill(s) or release(s) cleaned up?
Are you aware of, or do you suspect agricultural chemical contamination on the site currently?
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Minnesota’s Seed Regulatory Program benefits from strong relationships with County Ag Inspectors. The program is conducting this survey to get feedback about how to improve the collaboration with our local partners across the state. Your response to this survey will be anonymous and will be summarized and reported at CAI District and Executive Board meetings as well as the CAI short course in July 2019. Please complete this survey by December 15th.

Are you able to conduct seed sampling
Are you willing to inspect seed facilities, for example checking seed labels at retail outlets for test dates?
Does your current position or other aspects of your work prevent you from conducting seed sampling inspections?
How many work days per sampling season would you be willing to commit to seed sampling?
Has the MDA provided sufficient training on seed sampling?
If no, have you attended the new CAI training in February?
Has the MDA inspector in your district provided one-on-one training?
Would you like further training to inspect seed facilities or take seed samples?
If so, what kinds of training would you prefer?
What kinds of seed samples are you most interested in taking?
(e.g. corn/soy)
(from box stores, e.g. Walmart and Home Depot)
(for buffer, CRP, highway plantings)
In your county, what stakeholders would benefit most from a seed inspection and seed sampling program?
Are you familiar with the sites that sell seed in your county?
Have you worked with the MDA inspector to develop a comprehensive list of the sites where seed is sold in your county?
Do you have all the equipment you need to sample seeds, or do you work with your MDA rep annually to get equipment?
We typically sample for seeds between January and June, what time of year works best for you to take samples?
Has your district MDA rep offered to go seed sampling with you?
Would you like an MDA inspector to accompany you to take samples as a two person team, or do you prefer to take samples as an individual inspector?
We are starting to take seed samples using iPads. Do you have access to an iPad that you would be able to use for future survey forms.