| Forest Service, U.S. Department of Agriculture | 
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 | OMB 0596-0010 | 
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		| Southern Research Station | 
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		| Phone Number: (828) 257-4848; Fax Number: (828) 257-4894 | 
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		| 200 W T Weaver Boulevard | 
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		| Asheville, NC 28804 | 
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		| PULPWOOD RECEIVED | 
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		| Calendar Year _____ | 
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		| Plant Name: | 
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   | No. of Employees: | 
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		| Mailing Address: | 
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 | (P. O. Box, Street or Route) | 
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		| e-mail: | 
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		| Web Address: | 
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		| Plant Location: | 
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		| Instructions: | 
 | This form is for reporting the quantity of pulpwood—roundwood, chips, sawdust, and other byproducts | 
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 | received by this plant during year, and the disposition of bark from unpeeled pulpwood. | 
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 | REPORT ONLY WOOD PURCHASED FOR THE MANUFACTURE OF PULP. | 
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 | "This survey is voluntary. While you are not required to respond, your cooperation is needed to make the | 
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 | results of the survey comprehensive, accurate, and timely." | 
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 | Please complete the form and return it promptly in the accompanying envelope. | 
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 | If complete records are not available, please give your best estimates. | 
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 | All replies will be held confidential and will be used only for statistical reports. | 
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 | Check here if you wish to receive a copy of the report resulting from this study. | 
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		| Person to be contacted if necessary regarding this report. | 
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		| Name:   | Title:   | 
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		| Telephone Number: | 
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   | Date:   | 
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		| Section II—Plant byproducts received | 
	
		| (Indicate unit of measure in table below) | 
	
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		| Origin of byproduct | Wood chips | Sawdust | Other byproducts* | 
	
		| (State) | Softwood | Hardwood | Softwood | Hardwood | Softwood | Hardwood | 
	
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		| Total | 
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		| Unit of measure used above in reporting plant byproducts | 
	
		| (Check appropriate line) | 
	
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 | Wood chips from plant | 
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 | Other | 
	
		| Unit of measure | byproducts | Sawdust | byproducts | 
	
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		| Standard cord (128 cu. ft.) | 
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		| Cunits (100 cu. ft. solid wood) | 
	
		| Ovendry tons (2,000 pounds) | 
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		| Green tons (2,000 pounds) | 
	
		| Other (specify) | 
	
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		| * Specify type of other byproduct | 
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		|  | (Veneer cores, pole ends, slabwood, etc.) | 
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		| Section III—Uses of bark. | 
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		| Instructions: Please enter your best estimate of the percentage of bark | 
	
		| that was used for the various purposes indicated. | 
	
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 | Softwood | Hardwood | 
	
		| Use of bark | 
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		| 1. For manufacture of fiber products such as pulp, | 
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		| hardboard, or roofing felt | 
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		| 2. For charcoal or chemical wood | 
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		| 3. For industrial fuel at this or other plants | 
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		| 4. For miscellaneous uses such as livestock | 
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		| bedding and mulch | 
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		| 5. Other uses (Specify) | 
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		| 6. Not used (including bark burned as waste) | 
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		| Total | 
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		| Section IV—Bark sold or used. | 
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		| Instructions: Please enter your best estimate of the total volume of bark sold to other | 
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		| companies or individuals or used by your company. | 
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 | Total quantity of bark | 
	
		| Unit of measure | Softwood | Hardwood | 
	
		| 1. Cubic feet | 
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		| 2. Green tons | 
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		| 3. Dry tons | 
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		| Check if sold to other companies | 
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   | Check if used by your mill | 
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		| Public reporting burden for this collection of information is estimated to average 30 minutes per | 
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		| response, including the time for reviewing instructions, searching existing data sources, gathering | 
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		| and maintaining the data needed, and completing and reviewing the collection of information. | 
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		| Send comments regarding this burden estimate or any other aspect of this collection of information, | 
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		| including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, | 
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		| OIRM, Room 404–W. Washington, D. C. 20250; and to the Office of Management and Budget, | 
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		| Paperwork Reduction Project (OMB# 0596-0010), Washington, D. C. 20503. | 
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