Fillable Printable Mosquito Surveillance Light Trap Collections
Fillable Printable Mosquito Surveillance Light Trap Collections

Mosquito Surveillance Light Trap Collections

11. METHOD OF APPLICATION
12. AREA (S) TREATED
8. DATE
MOSQUITO SURVEILLANCE LIGHT TRAP COLLECTIONS
For use of this form, see TB MED 561; the proponent agency is OTSG
COMMENTS
SPECIES
DA FORM 8011-R, DEC 1991
APD LC v1.00
1. DATE TRAP (S) SET
HIGH
a
LOW
b
WEATHER DATA
2. DATE SPECIMENS
COLLECTED
3. COLLECTOR
RAINFALL
c
WIND SPEED
d
WIND DIRECTION
e
TRAP
NUMBER
5.
NUMBER
6.
MALES
a
FEMALES
b
NIGHTS
c
FEMALES/NIGHT
d
7.
SPECIMENS SENT TO USAEHA FOR ID
9.
PESTICIDE TREATMENT DATA
DATE
a
PESTICIDE
b
RATE
c
10.
4.