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ARIZONA DEPARTMENT OF AGRICULTURE PLANT SERVICES DIVISION (Arizona)

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ARIZONA DEPARTMENT OF AGRICULTURE
PLANT SERVICES DIVISION
APPLICATION FOR SPECIAL NURSERY STOCK INSPECTION CERTIFICATION (R3-4-301)
Completed applications must be submitted to: Arizona Department of Agriculture - Plant Services Division - 1688 W. Adams St. - Phoenix,
AZ 85007. Payment for certification is due at time of application. The Department certifies based on the quarantine requirements of
destination states. Fees paid are non-refundable. The Nursery Certification Program is authorized under Title 3, Chapter 4, Article 4 of the
Arizona Administrative Code. For questions, please call 602-542-0992.
Applicant Name and Position Title (Print) Nursery Name
Mailing Address Mailing City, State, and Zip Code
Tax Identification Number
Mailing County
List the states that receive nursery stock from the nursery location(s) listed below:
E-Mail Telephone FAX
Check only one of the following certification options:
Brown garden snail Colorado potato beetle Rose mosaic
Ozonium root rot - Manner grown Ozonium root rot Property certification (By indicator crop) Other ___________
Provide the physical address (street address, city, and zip code) and acreage for ALL company locations in
Arizona:
Acreage Department Use
What types of plants are grown at your nursery location(s)?
Annuals Aquatic Cactus Deciduous
Evergreen Fruit Indoor Foliage Palms
For Department Use
Total acreage from this application: _________________
Total locations on this application x $50 = ____________
Check box when inspections complete
Date Authorized Signature
ADA PSD 0063S 9/16/14 bkm https://agriculture.az.gov
ARIZONA DEPARTMENT OF AGRICULTURE - PLANT SERVICES DIVISION - 1688 W. ADAMS ST. - PHOENIX, AZ 85007 - (602) 542-0994
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✔PRE-CERTIFICATION CHECK LIST ✔
Listed below are a few points to check that will aid the inspection process (and must be addressed before
inspection) for the three most common Special Nursery Stock Inspection Certifications. If you have additional
questions or concerns, contact your local Arizona Department of Agriculture, Plant Services Division office.
Brown Garden Snail Certification (BGS)
⃞ Have you seen any snails on your property since your last certification inspection?
⃞ If so, can you provide treatment records for labeled products to control plant feeding snails?
⃞ Do you have a valid General Nursery Stock Certificate (a.k.a. Arizona Certified)? A BGS Certificate will
not be issued without one.
⃞ Is your General Nursery Stock Certification up-to-date? If not, contact your local ADA/PSD office to
make arrangements to renew your General Nursery Stock Certification.
Rose Mosaic Virus Certification (RMV)
⃞ Have you seen symptoms of rose mosaic virus in your fields? Circle one: Yes No
⃞ Irregular lines on leaves
⃞ Ring spots on leaves
⃞ Mottling on leaves
Ozonium Root Rot Certification (ORR)
For details on requirements please view ADA Policy 08-02 Ozonium Root Rot Certification: Procedures for
Arizona Nurseries at the following web address: https://agriculture.az.gov/sites/default/files/E-700055.pdf
Is your facility currently certified by the Manner Grown or Property Certification method?
⃞ Manner grown: (Soil/Container Barriers)
⃞ Are you using a certified soil or soil-less growing media?
⃞ Is all of your soil stored off of the ground using a concrete slab or other approved surface?
⃞ Are all of your barriers (of one or more listed below) in good condition?
⃞ Woven polypropylene barriers are in good condition with no rips.
⃞ Concrete slabs are in good shape and clean of surrounding soil.
⃞ Plants are on raised benches, platforms or elevated containers.
⃞ Gravel barriers are a minimum of two inches deep.
⃞ Property Certification: (cotton or alfalfa indicator crop)
⃞ Has your property increased in size since the original certification? If so, contact your local
ADA/PSD office.
⃞ Have you had any plants suddenly die that were planted in the ground during the hot summer
months for no apparent reason?
⃞ Have you seen dead plants with rotted root systems?
✔ READY FOR INSPECTION! ✔
http://agriculture.az.gov
ARIZONA DEPARTMENT OF AGRICULTURE - PLANT SERVICES DIVISION - 1688 W. ADAMS ST. - PHOENIX, AZ 85007 - (602) 542-0994
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ARIZONA DEPARTMENT OF AGRICULTURE PLANT SERVICES DIVISION (Arizona)

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Completed 20 July 2020

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