SEED CERTIFICATION AGENCY (SCA)

Certified Seed SITE IDENTIFICATION LOG, PART 2 for Wildland Collected Material Utilized for GO Stock Seed^1

Germplasm ID Inspection Fee² Appl/Cert #

Applicant³ Field Lot # ___________

Address _______________________________________________________ Phone/Cell ___________________

Species Name Common Name ________________________________

Plant Specimen(s) Provided By⁴ ___________________________________________________________________

Collector, Applicant, or Cert. Agency Rep.

Site Photographs Provided By⁵ ___________________________________________________________________

Collector, Applicant, or Cert. Agency Rep.

Species Distribution on Site⁶ Soil Texture/Type⁷

Percent of Species Population Collected From % Were Specific Plants Intentionally Selected to Collect

From? ________ If Yes, Describe the Plant Characteristics Selected for _________________________________

Site Physical Characteristics⁸ _____________________________________________________________________

______________________________________________________________________________________

Associated Plant Species ________________________________________________________________________

List natives and exotics

______________________________________________________________________________________

Generations Permitted Beyond G₀ ⁹ Length of Stand⁹ ________________________

¹ Complete this form in addition to Site Identification Log, Part 1, for wildland collected seed or other propagating material that is to be utilized for a) establishing Generation 1 production fields or orchards or b) strictly controlled ecosystem restoration projects. The purpose of this form is to provide further information regarding distribution of species, selectiveness in collection, and physical characteristics of site and associated species.

² If all information is provided at the time of original collection site inspection, then the minimum fee applies. Otherwise, time/mileage fees will be assessed (or minimum) if additional visit to site by SCA is required.

³ Applicant is person desiring to utilize this wildland collected accession as stock seed (or other propagative material) for field increase, and is not necessarily the same person listed as the collector and/or seed broker/conditioner listed on the SIL, Part 1.

⁴ All species must have a pressed, dried plant specimen (more than one if species population is heterogeneous) submitted when material is to be used for stock seed and/or for user specified restoration purposes. A fee surcharge may apply if specimen(s) is provided by SCA Rep.

⁵ Photo documentation must include a closeup shot(s) where individual plants of species are clearly defined, as well as a more distant shot(s) that shows details of the plant community and site geography. Attach photos or contact Certification Agency to arrange transmittal of digitized images. A fee surcharge may apply if photo is provided by SCA Rep.

⁶ Indicate how species collected is distributed on the site (e.g. patchy, uniform, abundant, sparse, etc.).

⁷ Indicate the soil texture/type the species on the site is growing on; describe in terms (or combination of terms) of coarse (sand, gravel), medium (loam), fine (clay), or organic (decayed plant material).

⁸ Indicate whether site appears natural, or describe any recent disturbance (e.g., fire, overgrazing, road cut, clear cut, chaining, etc.); describe local landscape features (e.g., rocky outcropping, pond, road or fenceline, slope, aspect, etc.) and ecosystem vegetation type (e.g., wetland, upland meadow, salt desert, coniferous forest, sub-alpine, etc.).

⁹ This is normally a decision made jointly by the applicant, certification authority, and plant scientists familiar with the species ontogeny and reproductive type. For marketing purposes, the generation listed on the tag may be downgraded such that the seed would not be eligible for stock seed purposes. The tag may list both the generation of the tagged material and the number of generations permitted, e.g. G2/G4.

I attest that all the above information is correct and hereby apply to utilize this G₀ wildland collected seed for certified field production.

Applicant _______________________________________________ Date ________________________

Original Copy to SCA C Photocopy for Applicant Records

6/18/02