Att 4 - Exhibit 7.4 CNDDB Form.pdf

Mail to:

California Natural Diversity Database

1807 13th Street, Suite 202

Fax: (916) 324-0475 email: CNDDB@dfg.ca.gov

Date of Field Work (mm/dd/yyyy):

Source Code Quad Code

Elm Code Occ. No.

EO Index No. Map Index No.

Department of Fish and Game

Sacramento, CA 95811

For Office Use Only

Scientific Name:

Common Name:

� � no

� no � unk.

Number Museum / Herbarium

Plant Information fruiting

Animal Information

# adults # egg masses wintering rookery burrow site other

Location Description (please attach map AND/OR fill out your choice of coordinates, below)

Quad Name: Elevation:

T Sec H M� S T Sec H M� S DATUM: NAD27 NAD83 meters/feet

OR Geographic (Latitude & Longitude)

Coordinates:

Please fill out separate form for other rare taxa seen at this site.

Site Information � Excellent � Good � � Poor

Immediate AND surrounding land use:

Visible disturbances:

Comments:

(check one or more, and fill in blanks)

Compared with specimen housed at:

Compared with photo / drawing in:

Other:

(check one or more) Slide Digital Plant / animal Habitat

May we obtain duplicates at our expense? no

California Native Species Field Survey Form

Species Found?

Yes No If not, why?

Total No. Individuals yes

Is this an existing NDDB occurrence?

Yes, Occ. #

Collection? If yes:

Reporter:

Address:

E-mail Address:

Phone:

Phenology: % vegetative flowering

# juveniles # larvae # unknown breeding nesting

County: Landowner / Mgr.:

R , ¼ of ¼, Meridian: Source of Coordinates (GPS, topo. map & type):

R , ¼ of ¼, Meridian: GPS Make & Model

WGS84 Horizontal Accuracy

Coordinate System: UTM Zone 10 UTM Zone 11 plant communities, dominants, associates, substrates/soils, aspects/slope:

Overall site/occurrence quality/viability (site + population): Fair

Threats:

Determination:

Keyed (cite reference):

By another person (name):

Photographs: Print

Diagnostic feature yes DFG/BDB/1747 Rev. 6/16/09

Subsequent Visit?

Habitat Description (plants & animals) Animal Behavior (Describe observed behavior, such as territoriality, foraging, singing, calling, copulating, perching, roosting, etc., especially for avifauna):