1309.14,18.2,Ex.01 Page 1 of 26 FOREST SERVICE HANDBOOK MISSOULA, MONTANA FSH 1309.14 - INFORMATION REQUIREMENTS HANDBOOK Region 1 Supplement No. 1309.14-92-3 Effective September 8, 1992 POSTING NOTICE: Supplements to this title are numbered consecutively. Post by document name. Remove entire document and replace with this supplement. Retain this transmittal as the first page of this document. The last supplement to this handbook was 1309.14-92-2, to 1309.14,10. Superseded Page Code New 21--1 Thru 21--23 (Number of Sheets) 12 - Supplements Covered 13, 3/87 Document Name (Number of Pages) 1309.14,18.2,Ex.01 Superseded - New 26 Digest: 18.2 - Revised R1 Forms Listing, by: identifying forms converted from paper to electronic, adding new forms, removing obsolete forms, and adding supply source to exhibit. R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 David F. Jolly Regional Forester 1309.14,18.2,Ex.01 Page 2 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 3 of 26 FSH 1309.14 - INFORMATION REQUIREMENTS HANDBOOK R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 18.2 - Exhibit 01 FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE 1100-2 10/91 Directives Processing Request DG 1310-1 9/81 Procedure Chart MS, Supply EA 1360-1 11/82 Meeting Evaluation Reproduce locally EA 1360-2 11/82 Meeting/Evaluation Transmittal Reproduce locally EA 1570-1 10/91 Appeal Data Base Source Document DG 1600-1 1/92 Northern Region Retiree Request DG 1600-2 1/92 Northern Region News Information Request DG 1630-1 11/74 Report of Personnel Changes and Awards (R1-1600-A) Reproduce locally EA Camera Point Record MS, Supply EA 1640-1 AUTHORITY REMARKS FSH 1109.12, R-1 16" x 36" FSM 1600 R1 & FPM Supp 831-1; Subchpt S20, R-1 FSM 1638.3, R-1 Card stock 1640-2 10/90 Graphics Services Request Reproduce locally CS 1640-3 10/90 Audio-visual Production Request Reproduce locally CS 1830-1 10/83 This Facility Maintained by _____ MS, Supply EA FSM 1830 Poster - 10 1/2" x 8" 1830-2 10/83 This Trail Maintained by ______ MS, Supply EA FSM 1830 Poster - 10 1/2" x 8" 1830-3 1/85 Campground Host Certificate of Merit MS, Supply EA FSM 1800 Award R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 4 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 1900-1 3/80 Review Process Environmental Documents for which Regional Forester is the Responsible Official Reproduce locally CS 1900-2 11/87 Management Code Master File Update ACP - 729 Reproduce locally CS 2060-1 12/87 Recon Data - Form 1 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-2 12/87 Fastplot Plant Species Data - Form 2 Reproduce Locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-3 12/87 General Plot Data - Form 3 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-4 12/87 Ocular Plant Species Data - Form 4 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-5 12/87 Cover Microplot Plant Species Data Form 5 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-6 12/87 Nested Microplot Plant Species Data Form 6 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-7 12/87 Line Intercept Canopy Cover Data form 7 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-8 12/87 Density Data - Form 8 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-9 12/87 Production Data - Form 9 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-A 12/87 Short Nested Microplot Plant Species Data - Form A Reproduce locally CS FSH 2090.11, chap. 4 Waterproof paper 2060-B 12/87 Point Cover Data - Form B Reproduce locally CS FSH 2090.11, Chap.4 Waterproof paper 2060-C 12/87 Optional Plant Species Attribute Data Form C Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2060-S 12/87 Fastplot Data - Form 2 and Shortened General Plot Data - Form 3 Reproduce locally CS FSH 2090.11, Chap. 4 Waterproof paper 2200-M1 7/74 List of Standard Symbols and Common Names for Plants of the Northern MS, Supply BK FSH 2209.21, R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 Region 1309.14,18.2,Ex.01 Page 5 of 26 Book R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 6 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY 2200-M2 7/74 Range Map Legend (Specify bond or adhesive-backed acetate) MS, Supply EA FSH 2209.21, R-1 2200-5 10/76 Record of Transect (Permanent-PacedPhoto Grid) Reproduce locally CS FSH 2209.21, R-1 2200-5a 10/76 Photo Grid Transect Record Reproduce locally CS FSH 2209.21, R-1 2200-6 10/76 Transect Cluster and Condition Rating Summary Reproduce locally CS FSH 2209.21, R-1 2200-7 7/74 Species and Soil Cover Comparison Record Reproduce locally CS FSH 2209.21, R-1 2200-8 7/74 Summary and Evaluation of Range Trend Reproduce locally CS FSH 2209.21, FSH 2241, R-1 2200-9 4/80 Collection Agreement for Range Improvement Work Reproduce locally CS FSM 2241, R-1 2200-14 11/79 Grazing Permit - Part 3 - Modification Cooperative Range Improvement Reproduce locally CS FSM 2241, R-1 2200-15 10/76 Vegetation and Soil Condition and Trend Score Sheet Reproduce locally CS FSH 2209.21, R-1 2200-16 7/74 35MM aerial Photography Flight Log MS, Supply CS FSH 2209.21, R-1 2200-17 7/74 35MM Aerial Photography Coverage Tables Reproduce locally CS FSH 2209.21, R-1 2200-18 7/74 Exposure Interval MS, Supply CS FSH 2209.21, R-1 2200-19 7/74 35MM Aerial Photography Pace Transect - 4 Template MS, Supply EA FSH 2209.21, R-1 2200-20 7/74 35MM Aerial Photography Pace Transect - 6 Template MS, Supply EA FSH 2209.21, R-1 2200-21 7/74 Record of 35MM Aerial Photo Pace Transect Reproduce locally CS FSH 2209.21, R-1 2200-24 10/76 Range Utilization - Clipped Weights Reproduce locally CS FSH 2209.21, R-1 REMARKS 5" x 8" 5" x 8" R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 7 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY 2200-25 7/74 Range Utilization - Ocular Estimate By Weight or Ocular Estimate of Percent by Plot Reproduce locally CS FSH 2209.21, R-1 2200-26 7/74 Range Utilization - Grazed, Plant or Loop Reproduce locally CS FSH 2209.21, R-1 2200-27 10/76 Range Readiness and Plant Development Reproduce locally CS FSH 2209.21, R-1 2200-28 10/74 Record of Grazing Use locally Reproduce CS R-1 FSH 2209.21, 2200-29 10/74 Worksheet-Acreage Computation locally Reproduce CS R-1 FSH 2209.21, 2200-30 5/81 Vegetative Condition Classification by Range Types Summary Sheet Reproduce locally CS FSH 2209.21, R-1 2200-31 5/81 Allotment Acreage and Estimated Grazing and Browsing Capacity Summary Reproduce locally CS FSH 2209.21. R-1 2200-31a 5/81 Worksheet-Estimated Grazing and Browsing Capacity Reproduce locally CS FSH 2209.21, R-1 2200-33 10/76 Forage Production and Utilization Reproduce locally CS FSH 2209.21, R-1 2200-34 10/76 Production/Utilization-Herbage Meter Reproduce locally CS FSH 2209.21, R-1 2220-1 10/76 C+H Grazing Allotment Action Sheet and Actual Use Record Reproduce locally CS FSH 2209.21, R-1, 852 2220-3 9/68 S+G Allotment Action Sheet--Planned and Actual Use Record Reproduce locally CS FSH 2209.21, R-1, 852 2230-4 1/79 Base Property Qualification Rating Sheet - Region 1 Reproduce locally CS FSM 2231.22a 2230-5 5/90 Statement of Corporation of Partnership Interest in Grazing Permit DG - Ofc. Pub. Brand Record Reproduce locally CS FSH 2209.21, R-1, 852 Evaluation Worksheet for Allotment Projects Reproduce locally CS FSM 2246.1 2230-6 2240-1 6/86 FSM 2209.13, R-1 14.31 REMARKS OMB # 9696-0003, 11/30/92 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 8 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 9 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE Reproduce locally UNIT OF ISSUE CS AUTHORITY REMARKS 2300-1 9/78 Route Inventory Form FSM 2333.2 2300-2 9/78 Route Profile EA 2300-3 9/78 Visitor Contact Tabulation Form EA 2300-4 9/78 Site Related Inventory Form EA 2300-8 8/85 Prediction of Cultural Resource Work Reproduce locally CS FSM 2360 2330-1 6/81 Recreation Site Preseason Safety Inspection Reproduce locally CS FSM 2333.2 2330-2 5/81 This is Bear Country E Photo Lab Attn: Bob Bond EA FSM 2333.22, R-1 Poster - 18" x 12" (orange, Plastic) 2330-3 6/81 Campground Closed MS, Supply EA FSM 2334.34b. R-1 Poster 8" x 10-1/2" (White, Waterproof) 2330-4 6/81 Services are Limited MS, Supply EA FSM 2334.34b, R-1 Poster 8-1/2" x 11" (white, waterproof) 2330-5 5/82 Hello -- We're Your Campground Hosts MS, Supply EA FSM 2334.33, R-1 Poster 24" x 20" (white, waterproof) 2330-6 7/83 Horsemen E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2330-7 10/83 Tree Hurts Too E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2330-8 10/83 Minimize Impact E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2330-9 10/83 Protecting Environment E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2330-10 1/84 Hikers E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2330-11 1/84 Courtesy E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2330-14 6/84 Trail Not Maintained E Photo Lab EA Poster - 8" x 11" R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 10 of 26 Attn: Bob Bond (Plastic) R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 11 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 2330-15 9/84 Commemorative Wilderness MS, Supply EA 2340-1 1/87 Welcome Sign - Campground MS, Supply EA FSM 2340 2350-1 1/69 Historical Record Reproduce locally CS FSM 2351.1, R-1 2350-2 1/69 Installation Report Reproduce locally CS FSM 2351.1, R-1 2350-3 1/69 Mountain Summit Registers Supply List and Installing-Recording Instructions Reproduce locally CS FSM 2351.1, R-l 2350-4a 7/86 Winter Recreation Poster (Skiers) MS, Supply EA FSM 2353.05, R-1 Poster 2350-4b 7/86 Winter Recreation Poster (Snowmobilers) MS, Supply EA FSM 2353.05. R-1 Poster 2350-5 12/83 Data Entry Form for Trail or Trail/Bridge Construction/ Reconstruction Reproduce locally CS FSM 2353,R-1 2350-6 9/84 Road Closure EA FSM 2350 2350-7a 7/86 Tread Lightly ORV Resource Protection E Photo Lab EA Attn: Bob Bond Poster - 12" x 18" (Plastic) 2350-7b 7/86 Tread Lightly ORV General Information E Photo Lab Attn: Bob Bond EA Poster - 12" x 18" (Plastic) 2350-8 3/80 Certificate of Recognition (Primitive Skills Award) 2400-1 Poster EA Certificate FSM 2406.2 Release of Timber Reproduce locally CS 2400-2 2/85 Forest Service-BLM Personal Use Firewood Permit MS, Supply EA 2400-3 10/84 R-1 Certification of Qualified Scaler Reproduce locally CS FSM 2443.56, R-1 2400-4 10/84 R-1 Certification of Advanced Scaler Reproduce locally CS FSM 2443.56, R-1 Poster Concessionaires Poster Orange Card. Numbered consecutively. R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 12 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY 2400-5 12/72 R-1 Certification of Master Scaler Reproduce locally CS 2400-5a 2/85 R-1 Certification of Utilization Scaler Reproduce locally CS 2400-8a 2/85 FS-BLM Personal Use-Free Firewood Permit ADM EA FSM 2460 2400-9 7/81 Certification of Timber Measurement Specialist MS, Supply EA FSH 2409.21, R-1 2400-11 4/82 Stand Orthophoto Map Consolidated TCFPM Order Annual EA R-1 FSH 2109.21e, 2400-33a 7/76 Transfer of Unused Effective Purchaser Credit Worksheet Reproduce locally CS FSM 6553.31b 2400-65a 2/75 Blanket Payment Guarantee Current Data or Contract Record Deletion Coding Sheet (Batch Type B) Reproduce locally CS 2410-15B 11/89 Forest Inventory Stand Examination, Stand ID Reproduce locally CS FSH 2409.21h, R-1 2410-BA 11/89 Forest Inventory Stand Examination, Card 1, Basic Stand Data Reproduce locally CS FSH 2409.21h, R-1 2410-BB 11/89 Stand Examination, Card 2 (Input Only) Reproduce locally CS FSH 2409.21h, R-1 2410-15BE 11/89 Forest Inventory Stand Examination, Card 4, Fire Data Reproduce locally CS FSH 2409.21h, R-1 2410-15BF 4/83 Forest Inventory Stand Examination, Update Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BG 6/85 Forest Inventory Stand Examination Form R-1 Edit Cover Sheet Reproduce locally CS FSH 2409.21h, R-1 2410-15BH 9/86 Forest Inventory Stand Examination, Program Request Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BI 6/85 Area Description Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BJ 7/85 Regression Coefficient Form Reproduce CS FSH 2409.21h, REMARKS FSM 2443.56, R-1 Goldenrod Card, ADM controls. Not stocked. R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 13 of 26 locally R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 14 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) 2410-15BK 7/85 Grouping Name Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BL 7/85 Grouping Name Coefficient Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BM 7/85 Habitat Grouping Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BN 9/85 Stratum Dummy Variable Form Reproduce locally CS FSH 2409.21h, R-1 2410-15BO 5/86 Dependent Variable Lower and Upper Limits by Stratum Reproduce locally CS FSH 2409.21h. R-1 2410-15BP 5/91 Card 9: Cover Plot Data for Stand Exams Reproduce locally CS FSH 2409.21h R-1 2410-15D 2/72 Felled Tree Data Sheet for Volume Determination Annual Consolidated TCFPM Order EA 2410-15E 4/73 North Idaho Habitat Type Species Checklist Reproduce locally CS 2410-15F 5/76 Central Idaho Habitat Type Species Checklist Reproduce locally CS 2410-15G l 6/77 Key to Montana Habitat Types Reproduce locally CS 2410-15H 6/77 Montana Habitat Type Species Checklist Reproduce locally CS 2410-21 5/83 R-1 Timber Stand Data Base - Form 21 Reproduce locally CS FSH 2409.21e, R-1 2410-22 5/83 R-1 Timber Stand Data Base - Form 22 Reproduce locally CS FSH 2409.21e, R-1 2410-23 5/83 R-1 Timber Stand Data Base - Form 23 Reproduce locally CS FSH 2409.21e, R-1 2410-23a 3/85 R-1 Timber Stand Data Base - Form 23a Reproduce locally CS FSH 2409.21e, R-1 2410-24 5/83 R-1 Timber Stand Data Base - Form 24 Reproduce locally CS FSH 2409.21e, R-1 SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS Not stocked. green ink FSH 2409.21, R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 15 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 16 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) 2410-25 6/86 R-1 Timber Stand Data Base - Form 25 Delete Form Reproduce locally CS 2410-26 11/79 R-1 Timber Stand Data Base - Form 26 Update Form Reproduce locally CS 2410-27 8/84 Activity Planned Year Increment by Stand ID Reproduce locally CS FSH 2409.21e 2410-28 12/85 Activity Planned Year Increment by Sale Contract Number Reproduce locally CS FSH 2409.21e 2430-1 9/71 Skyline Percent Protractor Order from TCFPM EA 2430-2 7/85 Oral Examination for Timber Sale Administrators - Examiner's Ratings and Comments Distributed by TCFPM EA 2430-4 7/67 Outline for Timber Sale and Appraisal Report Reproduce locally CS FSM 2431.92 2430-6a 3/90 Timber Sale Inspection Report Annual Consolidated TCFPM order EA FSM 2409.15, R-1 Not stocked. 4-part NCR 2430-6b 3/90 Timber Sale Inspection Report Continuation Sheet Annual Consolidated TCFPM Order EA FSM 2409.15, R-1 Not stocked 4-part NCR 2430-10 11/84 Skyline Road Profile Data Sheet Annual Consolidated TCFPM Order EA FSM 2431.22, R-1 Not stocked. 5 x 9 waterproof 2430-11 1/73 Single Span Skyline Worksheet and Multi-Span Skyline Worksheet Reproduce locally CS 2430-12 1/73 Single Span Skyline Summary Reproduce locally CS 2430-13 2/73 Running Skyline Worksheet Reproduce locally CS 2430-14 1/83 Cable Logging Profile Tag Annual Consolidated TCFPM Order EA FSM 2430 Not stocked. Tag, 4 x 4 waterproof 2430-18 4/74 Consent of Surety for Third Party Reproduce CS FSM 2433.35, SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS FSH 2409.21e, R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 17 of 26 Agreement locally R-1 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) 2430-19 3/88 Commercial Timber Sales (Memo) (Sale Volume Determination) Card Type 1, (Card Type 2 on Reverse) Annual Consolidated TCFPM Order 2430-20 3/88 Sale Cruise Tally Sheet (Card Type 3) 2430-21 3/88 2430-22 SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS EA FSH 2409.12, R-1 Not stocked. Green ink Annual Consolidated TCFPM Order EA FSH 2409.12, R-1 Not stocked. Green ink 3-P Sum of Estimates (Card Type 4) Annual Consolidated TCFPM Order EA FSH 2409.12, R-1 Not stocked. Green ink 3/80 Log Information Sheet (Card Type 5) Annual Consolidated TCFPM Order EA FSH 2409.12, R-1 Not stocked. Green ink, Waterproof 2430-30a 2/69 Traverse Data (ADP) Annual Consolidated TCFPM Order EA Not stocked. 5 1/2 x 9 1/2 Waterproof 2440-3 8/72 Scribner Decimal C Volume and Squared Defect Table Annual Consolidated TCFPM Order EA Not stocked. Plastic card 2440-4 3/79 Log Brand Assignment Record Annual Consolidated TCFPM Order EA Not stocked. 3-part NCR 2440-5 4/88 Log Truck Tickets, Yellow (Scale Sales) Book Annual Consolidated TCFPM Order BK FSH 2409.15, Sec. 28.4, R-1 Not stocked. Control number 2440-5a 2/89 Log Truck Tickets, Orange (Premeasurement Product Sales) Book Annual Consolidated TCFPM Order BK FSH 2409.15, Sec. 28.4, R-1 Not stocked. Control number 2440-5b 2/89 Log Truck Tickets, Light green (Premeasurement Sales) book Annual Consolidated TCFPM Order Bk FSH 2409.15. Sec.28.4, R-1 Not stocked. Control number 2440-6 1/87 Scaler's Information Form DG 2440-10 6/81 Check Scale Summary Reproduce locally CS 2440-14 7/70 ADP Load/Weight/Piece Count Annual EA FSH 2409.15, R-1 FSH 2409.15, R-1 Not stocked. R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 18 of 26 Consolidated TCFPM Order 3-part NCR R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 19 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 2440-15 EDITION DATE 1/87 2450-1 FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE District Log Accountability Audit Reproduce locally CS Statement of Charges for Extra Scaling Reproduce locally CS AUTHORITY REMARKS FSH 2409.15, Sec. 28.4, R-1 2450-5 4/85 Construction Cost Adjustment for Specified Roads Reproduce locally CS FSM 2450, R-1 2450-6 1/90 Timber Sale Inspection Evaluation Report (for inservice use) Annual Consolidated TCFPM Order EA FSH 2409.15 2460-17 10/81 Christmas Tree Sale Contract Reproduce locally CS FSM 2467.21, R-1 2470-2 9/81 Tree Improvement - 10-Year Work Plan Condensation (R1-2400-G) Reproduce locally CS FSM 2475.61, R-1 & FSH 2409.26g 2470-3 1/85 Summary of Tree Improvement Funds Needed (R1-2400-G) Reproduce locally CS FSM 2475.61, R-1 & FSH 2409.26g, R-1 2470-4 3/90 Plantation Quick Check DG FSH 2409.26g, 530 R-1 2470-5 9/91 Tree Improvement (Accomplishments) DG FSH 2496.1, R-1 2470-6 10/82 Thinning Inspection Form Reproduce locally CS FSM 2476.03 2470-7 12/79 Detailed Silviculture Prescription Summary Reproduce locally CS FSM 2478 2470-9 9/88 Planting Inspection Sheet--Contract and Force Account Reproduce locally CS FSH 2409.26b, R-1 2470-11 3/79 Tree Improvement Cones (Tag) Annual Consolidated TCFPM Order EA 2470-12 8/82 Tree or Native Shrub Sowing Planning Requisition Form Reproduce locally CS FSH 2409.26f, R-1 2470-12a 4/78 Tree or Native Shrub Sowing Requisition Summary Form Reproduce locally CS FSH 2409.26b, R-1 Not stocked. 3-part NCR Not stocked. Tag R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 20 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 21 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 2470-13 EDITION DATE 11/68 2470-14 FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE Annual Requisition for Tree Seed Direct Seeding Reproduce locally CS Rodent Survey Snap-Trap Line Record Reproduce locally CS AUTHORITY REMARKS FSH2409.26b, R-1 2470-15 3/83 Seed and Cone Identification Tag Annual Consolidated TCFPM Order EA FSH 2409.26f, R-1 2470-16 2/82 Cone Collection Agreement Reproduce locally CS FSH 2409.26f, R-1 2470-17 8/82 Pre-Planting Survey Form Reproduce locally CS FSH 2409.26b, R-1 2470-18a 7/82 Reforestation Quick Plot Survey Form Reproduce locally CS FSH 2409.26b, R-1 2470-19 5/84 Douglas Fir Tree Improvement Reproduce locally CS FSH 2409.26 2470-20 12/85 Record of Field Review for Validation of Certified Silviculturist Reproduce locally CS FSM 2478.4, R-1 2470-21 1/83 Stock Quality Assessment Form Reproduce locally CS FSH 2409.26b, R-1 2470-22 7/86 Cone Handling Checklist Annual Consolidated TCFPM Order EA FSH 2409.26f, R-1 2470-23 5/84 Management Activities Form Reproduce locally CS FSH 2409.26g, R-1 2470-24 12/86 Target stand description 2470-25 9/91 Superior Tree Selection Status Report DG 2470-26 1/91 Selective Breeding Cone Tag Annual Consolidated TCFPM Order 2490-70 9/71 Volume Data Coding Sheet (Batch Type S) 2490-70a 3/83 Sample Group Correction, Card 53 Not stocked. Tag Not stocked. 3-part NCR FSH 2409.17 FSM 2496.1, R-1 EA EA Reproduce CS Not stocked. Tag R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 22 of 26 locally R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 23 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE 2490-70b 3/83 Volume Data Coding Sheet (Batch Type S) Load Correction, Card 61 Reproduce locally CS 2500-1 3/71 Hydrology Facts MS, Supply EA 2500-5a 1/75 R-1 Stream Reach Inventory and Channel Stability Evaluation MS, Supply EA Browse Intercept Transect Record Reproduce locally CS 2620-1 AUTHORITY REMARKS FSH 2609.21 R-1, Chap. 100 2620-2 7/70 Browse Intercept Cluster Summary Reproduce locally CS 2620-3 5/66 Browse Utilization Reproduce locally CS 2620-4 12/63 Cumulative Record of Study Area Data Reproduce locally CS 2620-5 1/70 Pellet-Group Count Record Reproduce locally CS FSH 2609.21, R-1 2620-7 8/81 Wildlife Habitat Survey Reproduce locally CS FSH 2609.21 and FSH 2209.21 2620-8 6/69 Habitat Unit Data Sheet Reproduce locally CS 2620-9 12/68 Stream Habitat Survey Summary and Analysis Reproduce locally CS 2620-10 12/68 Stream Habitat Survey Field Form Reproduce locally CS 2630-1 4/69 Nest Record (R1-2600-A) Reproduce locally CS FSH 2609.21, R-1, (pg. 513 & 515) 2630-2 4/69 Annual Nesting Status Report (R1-2600-A) Reproduce locally CS FSH 2609.21, R-1, (pg. 513 & 515) 2630-3 1/83 Raptor Observation Card WL EA FSM 2630.3 3" x5" Card 2650-1 2/87 Small Rodent Census - Snap-trap FSH 2609.22, R-1 Used locally to determine need for animal damage R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 24 of 26 control. R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 25 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS EA FSH 2209.22, R-1 Used locally to survey seed losses through animal damage control. 2650-2 2/87 Seed Spot Survey 2700-1 12/87 Northern Region Recreation Lodging Application Reproduce locally CS FSM 2721.34e, R-1 2700-2 12/87 Northern Region Recreation Permit Reproduce locally CS FSM 2721.34e, R-1 2700-3 12/87 Recreation Lodging Condition Report Reproduce locally CS FSM 2721.34e, R-1 2710-2 12/68 Financial Statement for Commercial Public Service Uses Reproduce locally CS 2710-11 7/68 Information Sheet - Forest Service Summer Home Policy Reproduce locally CS 2720-1 3/69 Reserved Campsite MS, Supply EA 2720-5 7/82 Forest Visitors MS, Supply EA 2800-1 12/79 Mineral Sample Record LM EA 2800-2 5/84 Mineral Claim Report Reproduce locally CS 2800-3 3/89 Reference slip LM PD 2820-8 5/83 SMA-MLF Input Form Reproduce locally CS FSM 2820, R-1 2820-9 7/83 Segregation Worksheet Reproduce locally CS FSM 2820, R-1 2820-10 3/82 Collection Agreement for Interim Seismic Inspection Work MS, Supply EA FSM 2820, R-1 2820-11 3/82 Collection Agreement Cost Estimate Sheet Reproduce locally CS FSM 2820, R-1 2820-12 4/90 Application for Prospecting Reproduce locally CS FSM 2820-12, R-1 FSM 2721.23, R-1 Poster 8" x 10 1/2" FSM 2721.53. R-1 Poster 12" x 18" 4 1/2" x 7 1/2" Card FSM 2818.3, R-1 (For Lands & Minerals) 5-Part NCR OMB No. 0596-0089 expires 7/31/93. R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 26 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 27 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 2850-1 9/86 Application/Permit for Mineral Materials Free Use or Preliminary Prospecting Permit Reproduce locally EA FSM 2850, R-1 Card stock 2850-3 5/85 Free Use Minerals Materials Permit MS, Supply EA FSM 2850, R-1 5 1/2" x 8 1/2" Card 2880-1 4/84 Paleontological Resource (Fossil) Site Record Reproduce locally CS FSM 2883.8, R-1 3200-1 4/76 Improved Harvesting Program - Felling and Bucking Activity (FAB) FAB-1 Reproduce locally CS FSM 3242.1, R-1 3200-1a 7/81 Tree Legend (Card Type 3 Col. 9) FAB-1a MS, Supply EA FSM 3242.1 R-1 5" x 7 1/4" 5100-1 9/80 Fire Property Transfer MS, Supply EA FSH 5109.32, R-1 3 1/4" X 7 1/4" 3-part NCR 5100-2 3/78 Slash Weight Summary Reproduce locally CS 5100-3 locally 6/77 Preattack Planning Forms R-1 Reproduce CS 5100-4 locally 1/79 Slash Hazard Appraisal Data Form Reproduce CS 5100-5 8/84 Fire Cache Receipt MS, Supply EA 5-part NCR 5100-5a 8/84 Fire Cache Receipt Continuation Sheet MS, Supply EA 5-part NCR 5100-7 6/74 Downed Fuel Inventory Reproduce locally CS 5100-7a 6/74 Downed Woody Material Computation Summary Reproduce locally CS 5100-9 5/76 Smokejumper Packout Data Form Reproduce locally CS 5100-21 8/73 National Forest Entry Permit MS, Supply PD FSM 5115.41a Pad of 50 5100-22 3/87 Campfire Permit MS, Supply PD FSM 5113.2--6, R-1 Pad of 100 5110-2 3/70 Fire Prevention Inspection - Industrial Operations Reproduce locally EA FSM 5113.3, R-1 FSH 5109.15, FSM 5113.3, R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 28 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 29 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 5110-2a 3/91 Fire Prevention Inspection - Industrial Operations MS, Supply BK FSM 5113.3, R-1 (Book of 25 Sets) 4-part NCR 5110-3 8/70 Fire Precautions MS, SUPPLY EA FSM 5113.3, 5115.2, R-1 3 1/2" X 6 1/2" 5110-4 4/80 Fire Precautions for Chain Saws MS, SUPPLY EA FSM 5113.2, R-1 3 1/2" X 6 1/2" Orange stock 5110-4a 4/80 Spark Arrester Screen Required on all Chain Saws (Tag) MS, Supply EA FSM 5113.2, R-1 5110-5 11/65 Annual Power Line Inspection Checklist Reproduce locally CS FSM 5113.33, R-1 5110-6 1/72 Railroad Fire Prevention Inspection Checklist Reproduce locally CS FSM 5113.5, R-1 Motor Equipment Fire Prevention Inspection Stickers MS, Supply EA FSM 5113.3, R-1 5110-7 5110-8 5110-9 (Specify Red or Green) Shield 5/92 5110-13 Reminder - Safe Fireworks MS, Supply EA Poster 8 1/2 x 11" Summer Home and Forest Residence Fire Prevention Checklist Reproduce locally CS FSM 5113.81, R-1 5110-15 11/69 Industrial Fire Prevention Inspections MS, Supply EA FSM 5113.3, R-1 24" x 14" 5110-16 4/80 National Forest Fire Regs. - Trail Bikes and Motorcycles MS, Supply PD FSM 5113, R-1 5 1/2" x 8 1/2" 5110-18 4/80 Attention Motorcyclists (National Fire Requirements In Effect During State Fire Season) MS, Supply EA FSM 5113, R-1 Poster 5110-19 11/75 Caution Label - For Catalytic MS, Supply EA FSM 5113, R-1 5110-20 5/76 Sawmill Operation Inspection Checklist Reproduce locally CS FSM 5113.3, R-1 5110-21 5/81 Welcome to the MS, Supply BK FSM 5113.1, R-1 5110-22 5/80 No Spark Arrester - No Cutting MS, Supply EA FSM 5113.2, National Forest Poster 12" x 14" R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 30 of 26 R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 31 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 5110-22a 5/80 No Spark Arrester - No Cutting MS, Supply EA FSM 5113.2, R-1 Poster 44" x 16" 5110-23 2/81 Required For Camping on Undeveloped Sites MS, Supply EA FSM 5113.2, R-1 Poster 14" x 12" 5110-23a 2/81 Required For Camping on Undeveloped Sites MS, Supply EA FSM 5113.2, R-1 Poster 44' x 16" 5120-16 4/85 Fire-Weather Special Forecast Request Reproduce locally CS FSM 5125 5120-19 5/64 Vertical Angle Scale 5120-30 Orientation Point - Legitimate Smokes and Key Points Reproduce locally CS 5120-31 Lightning Strike Record (Lookout) Reproduce locally CS 5120-37 Fire Danger Station Inspection and Self-Training Guide Reproduce locally CS 5120-39 6/76 Fire Management Preparedness Checklist For District or Forest MS, Supply PD FSM 5126, R-1 5130-6 3/84 Medical Unit Record of Issues MS, Supply EA FSM 5135.4 5130-7 6/91 Shift Fireline Accomplishment Report and Recommendation Reproduce locally CS 5130-12 10/88 Resource Tracking Form MS, Supply EA 17" x 14" 5130-38 3/79 Fire Danger Record MS, Supply EA 12" X 18" 5140-4 4/89 Planned Prescribed Burning (Idaho) Reproduce locally CS FSM 5148 5140-5 4/89 Planned Prescribed Burning (Montana) Reproduce locally CS FSM 5148 5150-3 4/82 Wilderness Visitor's Information poster(No R1 number) MS, Supply EA FSM 5150 Green waterproof 5150-4 4/82 Wilderness Visitor's Caution MS, Supply EA FSM 5150 Orange waterproof poster(No R1 number) 5150-5 4/82 Wilderness Visitor's Notice MS, Supply EA FSM 5150 Blue waterproof 4-part NCR R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 poster(No R1 number) 1309.14,18.2,Ex.01 Page 32 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 33 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS FSM 5160.42. R-1 Tag 5160-4 1/68 Firemen's Outfit Inspection Tag MS, Supply EA 5170-3 2/88 Instructions for Crew Representatives Montana Indian Firefighters Reproduce locally CS 5180-1 3/82 Supervisor's Monthly Fire Report Reproduce locally CS FSM 5182, R-1 5180-4 5/86 Fire Action and Report Record Reproduce locally CS FSM 5182, R-1 5180-5 5/87 Current Fire Record Form MS, Supply EA FSM 5182 5300-1 10/82 Firearm Authority ADM, Law Enforcement EA FSM 5372, R-1 5300-3 8/88 Collateral Schedule ADM, Law Enfocement EA FSH 5309.11 Chapter 700 5430-4 1/67 Certificate Re Protests to Land Exchange Reproduce locally CS FSM 5430.4, R-1 Certificate Re Taxes Reproduce locally CS FSM 5430.4, R-1 EA FSH 5409.17, 22.31 5430-7 20"x 16" Special Fire 5460-1 7/86 Checklist for Final Title Assembly 5700-2 3/75 Approved Aircraft and Pilots Reproduce locally CS (Regional Office Only) 5700-3a 4/89 Resource Order Smokejumper IA MS,Duplicating EA Card stock 5700-3b 4/89 Resource Order Smokejumper IA MS, Supply EA 3-part NCR sets (Forest use only) 5700-17 4/74 Helicopter Load Calculation Reproduce locally CS FSM 5718.5, R-1 5700-18 Flight and Duty Record (large) Reproduce locally CS FSH 5709.11 and 5709.12 Salmon 5700-18a Flight and Duty Record (small) Reproduce locally CS FSH 5709.11 and 5709.12 4 1/4" x 5 1/2" salmon Application for Pilot Approval Reproduce CS FSM 5712.51, 5710-1 3/75 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 34 of 26 locally R-1 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 35 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 5710-5 8/83 Request for Air Service Reproduce locally CS FSM 5718.1 5 1/2" x 8 1/2", Blue stock 5730-1 6/82 Para-Cargo Order MS, Supply EA FSM 5742 3-part Blue NCR 6100-1 6/85 Flexible Schedule Reproduce locally CS FSM 6161.13a (Regional Office Only) 6120-1 2/84 Form Letter Used For Transmittal and Receipt of Official Personnel Folders Reproduce locally CS FSM 6129.31, R-1 6130-7 1/82 Certificate of Eligibles DG 6130-8 10/80 Supervisory Appraisal for Measuring Potential Reproduce locally CS 6130-9 11/77 Qualification Analysis Reproduce locally CS FSM 6133.56g, R-1 6140-1 4/92 Nominations for Training DG 6140-26 9/82 Orientation Checklist Reproduce locally CS FSH 6109.41a 6140-30 5/85 Training Program Evaluation Reproduce locally CS 6150-7 5/75 Certification of Accuracy of Job Description Reproduce locally CS 6150-70 3/82 Position Evaluation Sheet Reproduce locally CS 6150-72 9/82 Position Review Sheet Reproduce locally CS 6250-1 &2 6/90 Regional Office Routing Slip Combined MS, Supply PD 100 in pad 6250-3 4/82 Request For Mailroom Distribution MS, Duplicating CS (Regional Office Only) 6250-4 3/82 Duplicating Order Form MS,Duplicating EA (Regional Office Only) 6250-5 3/89 Telefax Cover Sheet Reproduce CS FSM 6109.14, R-1 FSM 6151.12a R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 36 of 26 locally R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 37 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY EA REMARKS 6270-1 6/87 FOIA Transmittal (Regional Office Only) 6300-3 5/87 BPA Order Authorization MS, Supply Also DG EA FSH 6309.12 6310-17 5/69 Blanket Purchase Arrangement Reproduce locally CS FSH 6309.31, 4G-3.606-4, R-1 6320-2 3/82 Contract Payment Estimate and Invoice Reproduce locally CS FSH 6309.11, R-1 6320-2a 10/77 Contract Payment Estimate and Invoice (Continuation Sheet) Reproduce locally CS 6320-3 2/90 Record of Prework Meeting MS, Supply Also DG EA 6320-4 11/77 Work Progress Schedule Reproduce locally CS 6320-5 5/83 Transmittal of Contract Documents Reproduce locally CS 6320-7 6/83 Machine Site Preparation Inspection Report Reproduce locally CS 6320-8 12/87 Solicitation Mailing List Application 6320-20 3/82 Inspection Report ___ Intermediate ____ Final Page 1 MS, Supply EA 4-part NCR 6320-20 10/74 Continuation Sheet, Page 2 MS, Supply EA 4-part NCR 6320-27 1/92 Designation of Contracting Officers Representative DG FSH 6309.11 R-1 6320-29 10/90 Designation of Inspector DG FSM 6309.11, R-1 6410-2 9/69 Lookout Inventory Checklist Reproduce locally CS FSM 6411.12, R-1 6420-1 7/69 Procurement and Supply Warehouse Receipt Reproduce locally CS FSM 6411.11, R-1 FSH 6309.11, R-1 2-part NCR 4-part NCR FSH 6309.31, 4G-2.201, R-1 EA (Regional Office Only) R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 38 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 39 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 6500-1 5/77 Report on Status of Cost Share Roads MS, Supply EA FSH 6509.11b, 571.1, R-1 6500-6 7/79 Request For Allocation of Surety Bond Reproduce locally CS FSM 6506.82, R-1 6500-7 6/84 Request For Release of Blanket Surety Bond Reproduce locally CS FSM 6506.82, R-1 6500-9 4/83 Charge Firewood Permit Audit Record Reproduce locally CS FSM 6531.42d, R-1 6500-32 5/73 Assignment of Claim Reprocduce locally CS 6500-60 9/86 Region One-Equipment Accountability Report MS, Supply PD 6540-10 7/78 Preparation of Expense Account For Official Travel Reproduce locally CS (Regional Office Worksheet) 6550-11 2/88 Northern Region Photo Lab Order Form MS, Supply EA (Regional Office Only) 6550-18 3/84 Reconciliation, TSD Fund (Appropriation Y94) Reproduce locally CS FSM 6554.33, R-1 Account Number Record Reproduce locally CS FSM 6561.23, R-1 6560-3 FSH 6509.11f, 6700-1 8/79 Accident Information List Reproduce locally CS 6700-2 8/82 Vehicle Accident Case Letter of Transmittal Reproduce locally CS FSM 6730.8, R-1 6700-3 8/83 Inspection of Explosive Storage Facilities Reproduce locally CS FSH 7109.51 6700-5 7/85 Safety Award-Gold Foil 6700-6 7/91 Chain Saw Incident DG 7100-1 9/74 Transmittal Memo Re Contracting 7100 will issue CS 7100-8 4/80 Condition Report For Rental Vehicles Reproduce locally CS EA Pad of 25 Certificate R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 40 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 41 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 7100-9 4/82 Instructions Re WO Form 7100-9 Reproduce locally EA FSH 7109.19, 11.5 Card Stock 7100-9a 4/82 Instructions Re WO Form 7100-9a Reproduce locally EA FSH 7109.19, 11.5 Card Stock 7100-9b 4/82 Instructions Re WO Form 7100-9b Reproduce locally EA FSH 7109.19, 11.5 Card Stock 7100-9c 4/82 Instructions Re WO Form 7100-9c Reproduce locally EA FSH 7109.19, 11.5 Card Stock 7100-9d 4/82 Instructions Re WO Form 7100-9d Reproduce locally EA FSH 7109.19, 11.5 Card Stock 7100-9e 1/89 Drivers Safety & Preventive Maintenance Inspection, Transportation Equipment 7100 will issue EA FSH 7109.19 3-part NCR 7100-10 8/87 Drivers Safety & Preventive Maintenance Inspection, Medium Trucks 7100 will issue EA FSH 7109.18, Sec. 43 7100-11 7/79 Engineering Certification Program Reproduce locally CS 7130-1 6/84 Application For Motor Vehicle Operators Identification Card Reproduce locally CS 7130-2 9/88 General Test For All Automotive Drivers and 4 x 4 Operators 7100 will issue CS 7130-4 3/79 Performance Scoresheet For Heavy Equipment Operator Reproduce locally CS 7130-5 12/84 FY____ Request for Vehicle Acquisition Rental/Lease 60 Days or More Reproduce locally CS FSM 7131.4 7130-8 7/79 Request For Motor Vehicle Reproduce locally CS FSH 6509.11e, Sec. 42.2 R-1 (Regional Office Only) 7130-10 3/74 Checklist - New Equipment Reproduce locally CS 7130-11 3/74 Initial Servicing Checksheet Reproduce locally CS 7130-13 10/83 Odometer Mileage Statement Order from EA FSH 7109.19, 2-part NCR FSH 7109.19, R-1 See Driver Examiner for other vehicle tests R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 42 of 26 Engineering 53.4 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 43 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY REMARKS 7130-14 3/88 Equipment Requisition Order from Engineering EA FSH 7109.19, R-1 4-part NCR 7130-17 6/84 US Government Motor Vehicle Driver/Operator Identification Card Order from Engineering EA FSM 7136.2 (Replaces SF-46) 7140-1 1/88 Photographic Work Requisition MS, Supply EA FSM 6583.1, 7148, R-1 6-part snapout (Thin or Heavy) 7140-2 Legend EA 7150-1 Certified Land Corner Recordation Order from Engineering EA FSM 7153.53, R-1, FSH 7709.11, R-1 7150-2 11/80 Annual Cadastral Engineering Accomplishment Report Reproduce locally CS FSM 7151.6 R-1 7154-1 7/83 Right-of-Way Checklist Reproduce locally CS FSH 7109.15, R-1, 25.65 7210-1 Radio Maintenance Record Reproduce locally CS 7210-2 Radio Identification Label 7220-1 4/76 7220-2 Gummed (Strip 0f 9) Communications Equipment Inventory Reproduce locally CS FSM 7211.3, R-1 Radio Test Equipment Inventory Data Reproduce locally CS FSM 7211.3, R-1 7230-1 12/83 Avionics Inspection FSM 7234 7310-1 10/91 Estimated Design Cost Reproduce locally CS Created on Macintosh 7310-2 10/91 Estimated Design Cost Back-up Data Reproduce locally CS Created on Macintosh 7310-3 10/91 Estimated Construction Cost Reproduce loccally CS Created on Macintosh 7310-4 10/91 Review Comments Reproduce locally CS Created on Macintosh 7400-1 12/76 Drinking Water Bacteriological Test Reproduce CS FSM 7421.25 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 Report 1309.14,18.2,Ex.01 Page 44 of 26 locally R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 45 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) SUPPLY SOURCE UNIT OF ISSUE AUTHORITY 7400-3 9/77 Disinfection and Turbidity Record Reproduce locally CS 7400-4 9/78 Sewer System Inventory Reproduce locally CS 7500-2 1/80 Dam Inspection Report Reproduce locally CS FSM 7564.23, R-1 7700-1 5/87 Road Bridge Routine Maintenance Inspection Report Reproduce locally CS FSM 7731.21 7700-2 1/83 Bridge Rating Summary 7100 will issue CS FSM 7720 7700-3 6/74 Daily Road Maintenance Summary Reproduce locally CS 7700-4 1/91 Timber Bridge Inspection Report Reproduce locally CS FSM 7731.21 7700-5 1/91 Multi-Beam Bridge Inspection Report Reproduce locally CS FSM 7731.21 7700-6 1/91 Major Bridge Inspection Report Reproduce locally CS FSM 7731.21 7700-9 7/79 Subsurface Investigations Safety Guide 7100 will issue BK 7700-11 5/87 Trail Bridge Routine Maintenance Inspection Report Reproduce locally CS FSM 7731.21 7700-16 11/84 Bridge Design Data Sheet Reproduce locally CS FSM 7721.8, R-1 7700-18 4/90 Delegations of Responsibility to Perform Structural Engineering and Bridge Inspection Reproduce locally CS FSM 7721.04b, R-1 7700-22 12/75 Oversize/Overload Trip Permit Reproduce locally CS FSM 7731.4, R-1 7700-23 11/84 Bridge Design Request Submittal Checklist Reproduce locally CS FSH 7709.11, R-1, 60 & 70 7700-24 6/77 Annual Maintenance Plan Worksheet -Nontraffic Generated Maintenance Program Reproduce locally CS FSH 7709.15, R-1 REMARKS 8" x 13" R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 46 of 26 R1 SUPPLEMENT 1309.14-92-3 EFFECTIVE 9/8/92 1309.14,18.2,Ex.01 Page 47 of 26 18.2 - Exhibit 01--Continued FORM NO. R-1 EDITION DATE FORM TITLE AND DESCRIPTION (Report Number, if any) 7700-25 6/77 Annual Maintenance Plan Worksheet -Traffic Generated Maintenance Program Reproduce locally 7700-26 6/77 Traffic Summary 7700-27 7/77 7700-28 UNIT OF ISSUE AUTHORITY REMARKS CS FSH 7709.15, R-1 8" x 13" Reproduce locally CS FSH 7709.15, R-1 8" x 13" Transportation System Economic Analysis Problem Statement Form Reproduce locally CS FSM 7712.41, 7712.46, R-1 7/77 Transportation System Economic Analysis Alternative Description Form Reproduce locally CS FSM 7712.41, 7712.46, R-1 7700-29 7/77 Transportation System Economic Analysis Data Assembly Form Reproduce locally CS FSM 7712.41, 7712.46, R-1 7700-30 7/77 Transportation System Economic Analysis Calculation Form Reproduce locally CS FSM 7712.41, 7712.46, R-1 7700-31 7/77 Transportation System Economic Analysis Alternative Comparison Form Reproduce locally CS FSM 7712.41, 7712.46, R-1 7700-47 9/81 Pre-Application For Permit to Drill 7100 will issue EA FSM 7720.3, R-1 OTHER ITEMS: Tags (Approximate Size, 4-1/2" x 2-1/8") Caution Keep Away From Fire (Red) Gasoline (Red) Gasoline With Oil (Red) This Radiator is Empty (Red) Diesel Oil (Green) Kerosene (Blue) Oil (Yellow) Stove Oil (Yellow) SUPPLY SOURCE 5-part NCR