A02. Appendix F - Pest Control Plan.doc
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- W912P921R002
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APPENDIX G
ANNUAL PEST CONTROL PLAN
ANTICIPATED USAGE REPORT ___________ ACTUAL USAGE REPORT ________
FIELD OFFICE:________________________
DISTRICT: ______________________
CALENDAR YEAR: ___________ DATE: _________________ PAGE: _________
PESTICIDE TRADE NAME:
EPA CLASS:
EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
TOTAL ESTIMATED
QUANTITY: ____________________
ACREAGE:_______________
PESTICIDE TRADE NAME:
EPA CLASS:
EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
PESTICIDE TRADE NAME:
EPA CLASS:
EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
PESTICIDE TRADE NAME:
EPA CLASS:
EPA REGISTRATION #:
TARGET PEST:______________________________________
LOCATION DESCRIPTION:_______________________________________________
APP. G-1
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