Submit a Site Survey Date of Survey * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 If you aren't sure exactly, specify as closely as possible. Surveyor(s) List any names of individuals involved in the survey Latitude Longitude Size of Site Hectares/Acres Hectares Acres Contact Name Contact Number Email (if applicable) Signs and Symptoms Present Nymphs Yes No Woolly Masses Yes No Intensity of Infestation Light Moderate High Notes
