36C78620Q0072-006.docx
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- 36C78620Q0072
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36C78620Q0072 ATTACHMENT E - PESTICIDE APPLICATION DATA SHEET.docx
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ATTACHMENT E - PESTICIDE APPLICATION DATA SHEET
| Date: |
| Applicator: |
APPLICATION SITE
Certification No.:
| Size of Treatment Area: |
| Location: |
| Description (Turf, Plant Bed, Trees): |
| Plant Age and Condition: |
| Surrounding Sensitive Areas: |
| Soil Conditions: |
| Previous Pesticides Used: |
| Personal Protective Equipment Used: |
| PEST PROBLEM |
| Primary Pest: |
| Damage Observed: |
| Other Pests Present: |
| Location of Damage: |
Beneficials Present:
Severity of Pest Problem:
| PESTICIDE(S) USED | |
| Pesticide(s): | Formulation: |
(1)
| Rate: |
| Total Amount Used: |
(2)
(3)
| Adjuvants Type: |
| Amount: |
| Total Gallons of Diluted Spray Used: |
| Surfactant Type: |
| Amount: |
| APPLICATION |
| Date(s) of Application: |
| Weather Conditions |
Temperature:
| Equipment used: |
| Cloud Cover: |
Wind Speed:
| Equipment Calibrated By: |
| Wind Direction: |
Rain:
Travel Speed:
Total Hours for Application:
Persons Notified or Spoken to Regarding Application:
(1)
(2)
(3)
| FOLLOW UP |
| Effectiveness of Application: |
| Beneficials Present: |
| Pest Resurgence Noted: |
Injury to Non-Target Plants or Surfaces:
COMMENTS
Signature & Date
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