Name ___________________________________________________ Phone # _______________

Address ___________________________________________________________________________

City ___________________________ State ___________ Zip ___________________

Instructions: Fill out both sides as completely as possible. This is to aid in diagnosing the problem your fruit is experiencing.

Type of fruit________________ Variety _______________ Age of planting, if known _____________

Brief description of problem (rotten fruit, wormy fruit, lack of growth, etc.)__________________________

__________________________________________________________________________________________

Has the problem occurred before? ____________ When _______________________________________

Are nearby plants of the same type affected? ___________ Is the damage widespread?_______________

Confined to a few fruits of branches? __________ Were the plants sprayed? ______________________

Materials used (list active ingredient(s) if known: 50% malathion, 10% captan) ___________________

Rate of application (tablespoons/gal, etc.) ________________________date applied _________________

Is the plant (tree or bush) pruned annually? Occasionally? Never?

Is the site well drained? Poorly drained? Excessively drained?

Is the site level? In a depression? On a slope?

If on a slope, does it face North? South? East? West?

Is the site in full sun? Partial shade? Full shade?

Hours of unobstructed sun per day if in partial shade? ___________

Was the soil tested recently? _______ When (date/year) _____/_____

Results, if known, pH _______ Ca ______ Mg ______ P ______ K ______

Has limestone or wood ashes been applied recently? _______ when? ______________________________

Rate of application (lbs/100 sq ft) _____________________________

Kind of limestone used: Agriculture? hydrated? other ______________________________________

Was fertilizer used? _________ fertilizer grade (5-10-10, 10-10-10, etc.) ___________________________

Rate of application (lbs/100 sq ft; cups/100 sq ft., etc) __________________________________________

How was the fertilizer applied? Broadcast evenly over the surface? _______________________________

Placed near the plant stems? __________ spike or pellet? _______

If manure was used what kind? (cow, sheep, chicken, horse, etc.) __________________________________

Was it applied fresh? partially decomposed? decomposed?

Month of application(s)? ______/______

Were any herbicides or weed and feed fertilizers used around or near the fruit plantings? ______________

Kind? _________________ rate of application (tbl/gal; oz/100 sq ft etc.) _________________________

If the plants were sprayed, was the sprayer used to disperse herbicides prior to it being used to spray insecticides and fungicides? ____________________________________

What was the herbicide? ____________________ Was the sprayer cleaned? _____________________

How? ____________________________ Is the planting mulched? _______________ What kind (plastic, sawdust, etc)? ______________________ If an organic mulch is used, what kind? ____________________

How thick? _________________ When is it applied? ________________ is it removed? _______________

when? ______________________________________

Is the problem fruit a recent planting? ________ Were the plants obtained as bare root, container, ball and burlapped? ____________________ if one of the latter, was the container or wrapper removed? __________

Was the plant(s) watered at planting time and during its first year of growth? ________________________

How was the site prepared? (Tilling, liming, fertilizing, pesticides applied, etc) _______________________

Diagnosis ________________________________________________________

By whom ________________________________________________________

Recommendations ___________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

The information in this material is for educational purposes. The recommendations contained are based on the best available knowledge at the time of printing. Any reference to commercial products, trade or brand names is for information only, and no endorsement or approval is intended. The Cooperative Extension system does not guarantee or warrant the standard of any product referenced or imply approval of the product to the exclusion of others which also may be available.All agrochemicals/pesticides listed are registered for suggested uses in accordance with federal and Connecticut state laws and regulations as of the date of printing. If the information does not agree with current labeling, follow the label instructions. The label is the law.Warning! Agrochemicals/pesticides are dangerous. Read and follow all instructions and safety precautions on labels. Carefully handle and store agrochemicals/pesticides in originally labeled containers immediately in a safe manner and place. Contact the Connecticut Department of Environmental Protection for current regulations.The user of this information assumes all risks for personal injury or property damage.Issued in furtherance of Cooperative Extension work, Acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture. Kirklyn M. Kerr, Director, Cooperative Extension System, The University of Connecticut, Storrs. The Connecticut Cooperative Extension System offers its programs to persons regardless of race, color, national origin, sex, age or disability and is an equal opportunity employer.