Hemlock Woolly Adelgid Survey Results Thank you for helping to control the spread of hemlock woolly adelgid. Please submit one report for each location surveyed. Name: * Address: Phone Number: * Did you locate hemlock woolly adelgid?: * yes no Date: * MonthJanFebMarAprMayJunJulAugSepOctNovDec Day12345678910111213141516171819202122232425262728293031 Year20102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Location: * Decimal longitude and latitude is preferred, such as gps coordinates or obtained online from http://mapper.acme.com. Please list address if coordinates are not available. Size of Area Surveyed: * acres please provide your best estimate Name of Property Owner: If the owner does not want the infestation reported, please reassure them there will be no further follow-up unless they request it. Please encourage them to contact Mark Whitmore at firstname.lastname@example.org with any questions. Number of Survey Participants: * Duration of Survey: * hours Estimated Number of Infested Trees: * Size Range of Infested Trees: * DBH (For example, 8-16 inches DBH) Severity of Infestation: 0123 (0=none, 1=light, 2=medium, 3=heavy) What code is in the image?: * Enter the characters shown in the image.