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SCAPA EVALUATION FORM
SUSTAINABILITY CROP PLATFORM APPLICATION – COFFEE MODULE
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Farmer Name
*
Address or location
*
Country
*
Role in Coffee market
*
Grower
Distributer
Wholesaler
Customer
Supplier
Currency
*
AUD
COP
USD
Unit of production area
*
Acre
Hectares
Square Meters
Unit of production weight
*
Kilograms
Ton
Unit of height
*
Meters
Feet
Total Area
*
Cultivated area
*
Cultivated area without coffee
*
Altitude
*
Coffee Type (added price)
*
Organic
Sustainable
Other
If is Other Please insert
Coffee Crop varieties
*
Arabica
Bourbon LM16
Bourbon Pintiu
Bourbon Rosado
Castillo
Catuai
Colombian
Geisha
Maracaturra
Maragogipe
Mokka
Orange Bourbon
Orange Pacamara
Pacamara
Pluma Hidalgo
Sl28
Tabi
Typica
Yellow Bourbon
Other
If is Other Please insert
Total weight Last production
*
value Last production
Total weight previous production
value previous production
waste usage
*
Compost
Coffee wood
Biomass
Leached
Worms
Other
If is Other Please insert
what products did you merchandise?
Total weight Last production
Total value Last production
Total weight previous production
Total value previous production
Cultivation certificate
Fair trade
Organic
Environmental
Social responsible
Rainforest
Cultivation Type
*
Shadow
Sun
Mixed
Do you use fertilizer ?
Yes
No
If is Yes, please specify
Do you use insecticide?
Yes
No
If is Yes, please specify
Do you provide PPE (Personal Protective Equipment ), for your workers ?
Yes
No
Do you use recycled water?
Yes
No
Do you burn waste?
Yes
No
Do you participate in social programs?
Yes
No
Submit