Produce Farm Inventory Survey Fields marked with * are required. *Select Role Owner Employee Food Safety Manager Other *Select State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA VIRGIN ISLANDS WASHINGTON WEST VIRGINIA WISCONSIN WYOMING OUT OF COUNTRY Invalid Email *Phone: *Do you grow, pack, harvest or hold produce? (Check all that apply) Grow Pack Harvest Hold (e.g. cooler, warehouse) *List crops grown, packed, harvested, or held on your farm Kale, Head lettuce, leafy greens Cucumbers Tomatoes Peppers Cantaloupes Honey Dew melons Onions Other *What is your average annual produce sales (averaging previous 3 years)? Less than $25K/year $25K - $250K/year $250K - $500K/year More than $500K/year What is your produce harvest season? Seasonal Year Round N/A *Where do you sell your produce? (Check all that apply) Farmers Market/Roadside Stand Broker/Wholesaler Directly to a restaurant U-Pick/On-Farm Store Retail Distribution Center Directly to a grocery store Produce Auction Commercial Processor Other: *Has someone on your farm completed the 8-hour Produce Safety Alliance (PSA) Grower Training? Yes No If Yes: Date: Training Location: Do you want to request an On-Farm Readiness Review (OFRR)? An OFRR is a voluntary, unofficial farm visit to observe current farm practices and offer advice to producers on how to better meet the Produce Safety Rule standards. Yes No