Idaho-California Apiary Pre-Inspection Program Compliance Agreement

By signing this document, I agree to adhere to the above conditions and understand deviation from these conditions may result in colonies being deemed ineligible for certification or my inability to participate in this program. I further understand CDFA reserves the right to inspect certified apiary colonies at its border protection stations for quality assurance purposes as deemed necessary.

Participant/shipper please complete One Compliance Agreement for each region/city and list all inspection sites of colonies and the colony count per inspection site for each region/city for Idaho.

Idaho’s Regions/Cities are:
TV – Treasure Valley
MV – Magic Valley
EI – Eastern Idaho

Example A: 1 Participant/Shipper with 1 inspection site, would only need to complete 1 Compliance Agreement.

Example B: 1 Participant/Shipper with 5 inspection sites can complete 1 Compliance Agreement and list the inspection locations and colony count for each location. (Per the region/city that are determined by the participating state official.)

Apiary Pre-Inspection Program Compliance Agreement

Participant/Shipper Name:(Required)

Participant/Shipper Business Name:(Required)

Phone Number:(Required)

Total Number of Colonies to Inspect(Required)

Total Number of Inspection Sites(Required)

Email Address:(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Participant/Shipper Signature:(Required)

Date(Required)

Storage Facility Name (Inspection Site) Information:(Required)

Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Storage Facility Type:(Required)

Warehouse

Potato Shed

Barn

Field

Known Small Hive Beetle Infestation:(Required)

Yes

Total colonies infested with SHB:

GPS Coordinates of Inspection Site:(Required)

LONGITUDE:(Required)

Participant/Shipper Phone Number(s) *FOR DAY OF INSPECTION*:(Required)

Participant/Shipper Email Address:(Required)

(Completed by Certifiying Official) Total Colonies to Inspect at this Location:(Required)

Additional Storage Facility Name (Inspection Site 2) Information:

Additional Location #

Address:

Street Address City State / Province / Region ZIP / Postal Code Country

GPS Coordinates of Inspection Site 2:

LONGITUDE:

Total Colonies to be Inspected at Location Site 2:

Storage Facility Type:

Warehouse

Potato Shed

Barn

Field

Known Small Hive Beetle Infestation:

Yes

Total colonies infested with SHB:

(Completed by Certifiying Official) Total Colonies to Inspect at Location Site 2:

Additional Storage Facility Name (Inspection Site 3) Information:

Total Colonies to be Inspected at Location Site 3:

Address:

Street Address City State / Province / Region ZIP / Postal Code Country

Total Colonies to be Inspected at Location Site 3:

GPS Coordinates of Inspection Site 3:

LONGITUDE:(Required)

Storage Facility Type:

Warehouse

Potato Shed

Barn

Field

Known Small Hive Beetle Infestation:

Yes

Total colonies infested with SHB:

(Completed by Certifiying Official) Total Colonies to Inspect at Location Site 3:

Additional Storage Facility Name (Inspection Site 4) Information:

Additional Location #

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GPS Coordinates of Inspection Site 4:

LONGITUDE:(Required)

Total Colonies to be Inspected at Location Site 4:

LONGITUDE:(Required)

Storage Facility Type:

Warehouse

Potato Shed

Barn

Field

Known Small Hive Beetle Infestation:

Yes

Total colonies infested with SHB:

(Completed by Certifiying Official) Total Colonies to Inspect at Location 4:

Additional Storage Facility Name (Inspection Site 5) Information:

Additional Location #

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GPS Coordinates of Inspection Site 5:

LONGITUDE:(Required)

LONGITUDE:

Total Colonies to be Inspected at Location Site 5:

Storage Facility Type:

Warehouse

Potato Shed

Barn

Field

Known Small Hive Beetle Infestation:

Yes

Total colonies infested with SHB:

(Completed by Certifiying Official) Total Colonies to Inspect at Location Site 5:

This agreement is to expedite the entry process at the CDFA border protection stations. Shipments are still subject to quarantine regulations upon entry at a CDFA border protection station and may be subject to random inspection.

Pesticides

Animal Industries

Plant Industries

Agricultural Inspections

Market Development

Laboratories

Idaho-California Apiary Pre-Inspection Program Compliance Agreement

Apiary Pre-Inspection Program Compliance Agreement