Stanislaus County's PPE Distribution Survey

The Stanislaus County Agricultural Commissioner's Office will be distributing N95 respirators, both for pesticides and for wildfire smoke, heavy dust, or other Ag purposes. In addition to that, we will be receiving a shipment of cloth face coverings, vinyl gloves and hand sanitizers from the CalOES. If you are interested in obtaining any of these free of cost PPE for your agricultural business, please complete this survey as soon as possible.

Our office will contact you to schedule an appointment.

Question Title

* 1. Type of business

Grower

Pest Control Business

Farm Labor Contractor

Pesticide Dealer

Pest Control Advisor

Agricultural Processor

Dairy

Nursery

Other (please specify)

Question Title

* 2. If you are interested in obtaining N95 Respirators, how many you would need during the next 60-90 days?

Note: These N95 respirators can be used for both pesticide handling activities and also for situations such as wildfire smoke, heavy dust, or other ag purposes where N95 masks are required.

Question Title

* 3. If you are interested in obtaining Disposable Protective Masks (surgical masks), How many you would need during the next 60-90 days?

Question Title

* 4. If you are interested in obtaining Hand Sanitizers (16.9 oz bottles), How many bottles you would need during the next 60-90 days?

Question Title

* 5. If you are interested in obtaining Cloth Face Coverings, How many you would need during the next 60-90 days?

Question Title

* 6. If you are interested in obtaining Vinyl Single Use Gloves, How many you would need during the next 60-90 days?

Question Title

* 7. Please provide your contact information

Name *

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

Thank you for taking the time to complete this survey. If you requested any of the survey items, our office will be contacting you soon via email or phone to schedule an appointment.

If you need any further information, please feel free to contact our office at (209) 525-4730

Stanislaus County's PPE Distribution Survey

Question Title

* 1. Type of business

Question Title

* 2. If you are interested in obtaining N95 Respirators, how many you would need during the next 60-90 days?Note: These N95 respirators can be used for both pesticide handling activities and also for situations such as wildfire smoke, heavy dust, or other ag purposes where N95 masks are required.

Question Title

* 3. If you are interested in obtaining Disposable Protective Masks (surgical masks), How many you would need during the next 60-90 days?

Question Title

* 4. If you are interested in obtaining Hand Sanitizers (16.9 oz bottles), How many bottles you would need during the next 60-90 days?

Question Title

* 5. If you are interested in obtaining Cloth Face Coverings, How many you would need during the next 60-90 days?

Question Title

* 6. If you are interested in obtaining Vinyl Single Use Gloves, How many you would need during the next 60-90 days?

Question Title

* 7. Please provide your contact information

* 2. If you are interested in obtaining N95 Respirators, how many you would need during the next 60-90 days?

Note: These N95 respirators can be used for both pesticide handling activities and also for situations such as wildfire smoke, heavy dust, or other ag purposes where N95 masks are required.