weedmapper


	> Oregon WeedMapper

NOXIOUS WEED SIGHTING REPORT FORM

Please Provide the Following Information:

Name:

E-mail Address:

Confirm E-mail Address:

Address:

Phone: (###)###-####

Date: (MM-DD-YY)

Noxious Weed Species:

Number of plants: In Quantity

or In Acres

Specific location:

Lat Long

UTM Easting Northing

Coordinates: (if known)

Township:

Range:

Section:

Quarter:

Type of Location:

Associated Plants:

Other location details:

Comments:

Growth Stage:

Relative Frequency:

Type of Action Taken:

Land Ownership: (check appropriate box)

BLM	USFS	Private	State
County	City	Unknown	Other

Security Code:

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