Spreadsheet: 5cecd7fe-44d7-4c50-82da-155e05f5a0e4
Sheet: Part 1-Farm Review

Part 1 - Farm Review
Water Usage
(1-1) | What is the source of irrigation water? (Pond, Stream, Well, Municipal, Other)
Please specify:
(1-2) | How are crops irrigated? (Flood, Drip, Sprinkler, Other) Please specify:
Questions |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-3 | A water quality assessment has been performed to determine the quality of water used for irrigation purpose on the crop(s) being applied. |  |  |  |  |  |  |  |  | 15 |  |  |  | D
1-4 | A water quality assessment has been performed to determine the quality of water use for chemical application or fertigation method. |  |  |  |  |  |  |  |  | 15 |  |  |  | D
1-5 | If necessary, steps are taken to protect irrigation water from potential direct and non-point source contamination. |  |  |  |  |  |  |  |  | 15
Sewage Treatment
Questions |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-6 | The farm sewage treatment system/septic system is functioning properly and there is no evidence of leaking or runoff. |  |  |  |  |  |  |  |  | 15
1-7 | There is no municipal/commercial sewage treatment facility or waste material landfill adjacent to the farm. |  |  |  |  |  |  |  |  | 10
Animals/Wildlife/Livestock
Questions |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-8 | Crop production areas are not located near or adjacent to dairy, livestock, or fowl production facilities unless adequate barriers exist. |  |  |  |  |  |  |  |  | 15
1-9 | Manure lagoons located near or adjacent to crop production areas are maintained to prevent leaking/overflowing, or measures have been taken to stop runoff from contaminating the crop production areas. |  |  |  |  |  |  |  |  | 10
Questions |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-10 | Manure stored near or adjacent to crop |  |  |  |  |  |  |  |  | 10
 | production areas is contained to prevent
 | contamination of crops.
1-11 | Measures are taken to restrict access of |  |  |  |  |  |  |  |  | 10
 | livestock to the source or delivery system of
 | crop irrigation water.
1-12 | Crop production areas are monitored for the |  |  |  |  |  |  |  |  | 5 |  |  |  | R
 | presence or signs of wild or domestic animals
 | the entering the land.
1-13 | Measures are taken to reduce the opportunity |  |  |  |  |  |  |  |  | 5 |  |  |  | R
 | for wild and/or domestic animals from entering
 | crop production areas.
Manure and Municipal Biosolids
Please choose one of the following options as it relates to the farm operations:
 |  | Option A.  Raw manure or a combination of raw and composed manure is
 |  |  | used as a soil amendment.
 |  | Option B.  Only composted manure/treated municipal biosolids are used as
 |  |  | soil amendments.
 |  | Option C.  No manure or municipal biosolids of any kind are used as soil
 |  |  | amendments.
Only answer the following manure questions (questions 1-14 to 1-22) that are
assigned to the Option chosen above.  DO NOT answer the questions from the other
two options. The points from the manure and municipal biosolids are worth 35 of a
total 190 points, and answering questions from the other two options will cause the
points to calculate incorrectly.
Option A: Raw Manure |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-14 | When raw manure is applied, it is incorporated |  |  |  |  |  |  |  |  | 10 |  |  |  | R
 | at least 2 weeks prior to planting or a minimum
 | of 120 days prior to harvest.
1-15 | Raw manure is not used on commodities that |  |  |  |  |  |  |  |  | 10 |  |  |  | R
 | are harvested within 120 days of planting.
1-16 | If both raw and treated manure are |  |  |  |  |  |  |  |  | 10 |  |  |  | R
 | used, the treated manure is properly treated,
 | composted or exposed to reduce the expected
 | levels of pathogens.
1-17 | Manure is properly stored prior to use. |  |  |  |  |  |  |  |  | 5
Option B: Composted Manure |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-18 | Only composted manure and/or treated |  |  |  |  |  |  |  |  | 10 |  |  |  | R
 | biosolids are used as a soil amendment.
1-19 | Composted manure and/or treated biosolids are |  |  |  |  |  |  |  |  | 10 |  |  |  | D
 | properly treated, composted, or exposed to
 | environmental conditions that would lower the
 | expected level of pathogens.
1-20 | Composted manure and/or treated biosolids are |  |  |  |  |  |  |  |  | 10
 | properly stored and are protected to minimize
 | recontamination.
1-21 | Analysis reports are available for composted |  |  |  |  |  |  |  |  | 5 |  |  |  | R
 | manure/treated biosolids.
Option C: No Manure/Biosolids Used |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-22 | No animal manure or municipal biosolids are |  |  |  |  |  |  |  |  | 35 |  |  |  | P
 | used.
Soils
Questions |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-23 | A previous land use risk assessment has been |  |  |  |  |  |  |  |  | 5 |  |  |  | R
 | performed.
1-24 | When previous land use history indicates a |  |  |  |  |  |  |  |  | 10 |  |  |  | R
 | possibility of contamination, preventative
 | measures have been taken to mitigate the
 | known risks and soils have been tested for
 | contaminants and the land use is
 | commensurate with test results.
1-25 | Crop production areas that have been |  |  |  |  |  |  |  |  | 5 |  |  |  | R
 | subjected to flooding are tested for potential
 | microbial hazards.
Traceability
Questions |  |  |  |  |  |  |  |  |  | Points | Yes | NO | N/A | Doc
1-26 | Each production area is identified or coded to |  |  |  |  |  |  |  |  | 10 |  |  |  | R
 | enable traceability in the event of a recall.
COMMENTS:
Total Points earned for Farm Review =
Total Possible |  |  | = | 190 |  | The total number of points possible for this section.
Subtract "N/A" |  |  | = |  |  | Enter the additive number of N/A points (+points) here.
Adjusted Total |  |  | = |  |  | Subtract the N/A points from the Total possible points
X .8 (80%) |  |  |  |  |  | Multiply the Adjusted Total by .8 and show it as the Passing Score
Passing Score |  |  | =
 |  |  |  | Pass |  |  |  | Fail |  | (please [NAME])
This program is intended to assess a participant’s efforts to minimize the risk of contamination of fresh
fruits, vegetables, nuts and miscellaneous commodities by microbial pathogens based on the U.S. Food
and Drug Administration’s “Guide to Minimize Microbial Food Safety Hazards for Fresh Fruits and
Vegetables,” and generally recognized good agricultural practices.