TE-NNNN Monthly Pest Management Operations Record.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
Base Operations Support Services, Dugway Proving Ground, Utah Federal contract opportunity
Solicitation number
W5168W23R0002
Issued by
Department of the Army

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Amendment 0008 W5168W23C0002.pdf PDF
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Instructions Pest Management Report (DD Form 1532)/Pest Management Maintenance Record (DD Form 1532-1) Instructions

This spreadsheet meets the DoDI 4150.07 (DoD Pest Management) and DoDI 6490.03 (Deployment Health) requirements for recording and reporting pest management operations and pesticide use during military deployments. You must save the spreadsheet as an Excel Macro-Enabled Workbook. The spreadsheet consists of the following worksheets: Instructions; Pesticides Applied; New Pesticides Applied; Surveillance, Non-Chemical Control, Animal Control; and Example(s). The "Pesticides Applied" worksheet is populated with the EPA registration numbers and trade names of current DoD Standard and Contingency Pesticides as well as pesticides previously approved and applied during military deployments and reported in DD Form 1532's. The "New Pesticides Applied" worksheet allows the user to type in the EPA Registration Number and Pesticide Trade Name for pesticides that were applied but don't appear as a choice in the EPA Registration Number drop down list in the "Pesticides Applied" worksheet. Use the "Surv NonChemical Animal Control" worksheet for recording information related to surveillance, non-chemical control, and animal control. The "Example(s)" worksheet provides samples of how these worksheets should be completed. These worksheets were formatted as an excel spreadsheet so that they can be easy for the user to complete and compatible for permanent archiving by the Army Public Health Center.

Submit this spreadsheet by the 15th day after the end of each month. Complete a separate spreadsheet for each location (base camp, FOB, etc.). Follow this format when naming/saving each spreadsheet: YEAR_MONTH_RAW_CAMP (example: 2020_JUL_RAW_DAHLKE.xls). Please refer to the cells above each column header which explains what needs to be filled out for each of the 3 worksheets. Remember to fill out each column and save your work frequently. If you need help filling out this spreadsheet, contact the DoD Pesticide Hotline at:
usarmy.apg.medcom-phc.mbx.pesticide-hotline@mail.mil

When you are finished, save the spreadsheet and send it to the appropriate email address below:

Army: NIPRNet:
usarmy.apg.medcom-phc.mbx.pesticide-archival@mail.mil
Navy: (Contingency)
usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-pesticiderpts@mail.mil
Navy: (Shipboard)
usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-pesticiderpts@mail.mil
Air Force:
Through your MAJCOM PMP
Joint Operations:
Submit the spreadsheet to the authority directed by your Theater Command

mailto:usarmy.apg.medcom-phc.mbx.pesticide-hotline@mail.milmailto:usarmy.apg.medcom-phc.mbx.pesticide-archival@mail.milmailto:epm@nehc.mar.med.navy.milmailto:nece-1532-1@med.navy.mil Pesticides Applied

Please complete this worksheet if a pesticide product was applied.
CountryUnited States (NATO member)
POC/Unit:Dugway Proving Ground
Type in the date that the pesticide was applied. The preferred format is YYYY-MM-DD (i.e. 2020-07-22).The name of the country where the pesticide was applied should automatically populate based on the selection made in the "Country" cell above.Select the DOEHRS base camp name from the drop down list below where the pesticide was applied. If the location is not listed, please type in the current name of the base camp.Select the specific site of application from the drop down list where the pesticide was applied (i.e. bldg #, activity name, etc.) . If the site is not listed, please type in the site of application.Select the origin for why the pesticide was applied from the drop down list (i.e. work order, etc.).Select the type of operation performed from the drop down list (i.e. Exterior Bait).Select a target pest that you were attempting to manage/control from the drop down list (i.e. Rodents). If the target pest isn't listed, then write the target pest in the additional comments field.Type in the size of the area treated (i.e. 100).Select the appropriate units of measure (i.e. square feet, meters, acres, etc.) related to the area treated from the drop down list.Select the Environmental Protection Agency Registration Number (EPA Reg. No. on product label) of the pesticide applied from the drop down list (i.e. 12455-79). If the number doesn't appear, please go to the worksheet called "New Pesticides Applied" to manually enter the EPA Registration Number.If the EPA Registration Number is selected, the pesticide trade name will automatically populate in this column (i.e. CONTRAC All-Weather Blox).If the EPA Registration Number is selected, the product formulation will automatically populate in this column (i.e. Pelleted/Tabletted).If the EPA Registration Number is selected, the active ingredient percentage for the product will automatically populate in this column (i.e. 0.005).Type in the amount of concentrate used for mixing. If the product does not require mixing and is ready to be used please select "N/A".Select the appropriate units of measure related to the amount of concentrate from the drop down list (i.e. ounce, pound, etc.). If the product does not require mixing and is ready to be used please select "N/A".Type in the Final % Concentration in the Finished Product. If the product does not require mixing and is ready to be used please select "N/A".Type in the amount of finished product applied. For products that are formulated as Aerosols, please indicate the number of can(s) used. This estimate will be useful in calculating the total Pounds of Active Ingredient (PAI) applied.Select the appropriate units of measure related to the amount of finished product applied from the drop down list (i.e. ounce, pound, etc.).Type in the name of the person (i.e. John Doe) who applied the pesticide.Type in the applicator's DoD FIFRA, DoD Non-FIFRA, or State Certification Number.Type in the exact time in which the pesticide was applied at the site. The preferred format is hh:mm (i.e. 09:45).Type in the total time invested by all applicators in the operation in hours (i.e. 1 or 0.5).Provide any additional comments.
DateCountryBase CampSite of ApplicationOriginOperationTarget PestArea TreatedUnits of Measure for the Area TreatedEPA Registration NumberPesticide Trade NameProduct FormulationActive Ingredient PercentageAmount of Concentrate Used for MixingUnits of Measure for the Amount of Concentrate Used for MixingFinal % Concentration in Finished ProductAmount of Finished Product AppliedUnits of Measure for the Amount of Finished Product AppliedApplicator NameApplicator Certification #Time Pesticide was AppliedTotal Time Invested in HoursAdditional Comments
Dugway Proving Ground

Surv NonChemical Animal Control

Please complete this worksheet for recording all surveillance, nonchemical, and animal control information.
Country
POC/Unit:
Type in the date that the pesticide was applied. The preferred format is YYYY-MM-DD (i.e. 2020-07-22).The name of the country where the pesticide was applied should automatically populate based on the selection made in the "Country" cell above.Select the DOEHRS base camp name from the drop down list below where the pesticide was applied. If the location is not listed, please type in the current name of the base camp.Select the site of application from the drop down list. If the site of application is not listed, then type in the site of application. The site of application is the specific location (i.e. bldg #, activity name, etc.) for this action.Please select the origin from the drop down list. An origin is why you did the work: routine inspection, work request, surveillance, etc.Select an operation from the drop down list. An operation is the type of work done (i.e. light trap, sticky trap, fly trap, caulking). If the operation is not listed, then type in the operation.Select a target pest from the drop down list that you were attempting to survey or control by a nonchemical measure. If the target pest isn't listed, then write the target pest in the additional comments field.Select the device name used for surveillance/nonchemical control from the drop down list below (i.e., CDC Light trap, Shannon trap). Type in the device name if not listed in the drop down list.Type in the number of traps/devices used.Select the unit of measure (if applicable), otherwise leave it blank.Type in the size of the area inspected/serviced. It needs to be a number between 0 and 1000000. Use decimals if needed.Select the appropriate unit of measure (i.e. square feet, meters, acres, etc.) related to the area inspected/serviced from the drop down list.Type in the name of the person (i.e. applicator) performing the work described.Type in your DoD FIFRA, DoD Non-FIFRA, or State Certification Number.Please type in the exact time in which the operation took place at the site. The preferred format is hh:mm (i.e. 09:45).Type in the total time invested by all applicators in the operation in hours (i.e. 1 or 0.5).Provide additional comment(s) if needed.
DateCountryBase CampSite of Application/SurveillanceOriginOperationTarget PestSurveillance/Nonchemical Device UsedNumber of traps/Units placedUnits of MeasureArea Inspected/ServicedUnits of Measure for the Area Inspected/ServicedApplicator NameApplicator Certification #Time of OperationTotal Time Invested in HoursAdditional Comments

SUMMARY

Data Submission Summary for Deployment Pest Management

Base Camp:SM02# Pesticide Applications:Total Time Invested:
Dates:4/3/20-4/30/20319hours
All Pesticides AppliedAmt Conc/Finished ProdPESTICIDE DATATargeted PestsTime Invested
FINAL All-Weather Blox61.6ounceRodent1.75 hours

Non-chemical Devices Used Number Used NON PESTICIDE DATA Targeted Pests Time Invested

N/AAll Pests3.75 hours
1Filth Flies1.25 hours
Glue Board/Sticky Trap22N/A9 hours
Bait Box22Rodents2.5 hours
Tin Cat Trap4Snake0.75 hours
Fly Relief6
Fly Bag1

&8FOR OFFICIAL USE ONLY &8FOR OFFICIAL USE ONLY &8FOR OFFICIAL USE ONLY

&8FOR OFFICIAL USE ONLY &8FOR OFFICIAL USE ONLY &8FOR OFFICIAL USE ONLY

Sheet2 FINAL All-Weather Blox

Sheet3

N/A
1
Glue Board/Sticky Trap
Bait Box
Tin Cat Trap
Fly Relief
Fly Bag

Sheet4

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Filth Flies0.00
N/A0.00
Rodents0.00
Snake0.00
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New Pesticides Applied

Please complete this worksheet if the EPA Registration Number of the pesticide product applied was not found in the dropdown list of the Pesticides Applied worksheet.
CountryUnited States (NATO member)
POC/Unit:Dugway Proving Ground
Type in the date that the pesticide was applied. The preferred format is YYYY-MM-DD (i.e. 2020-07-22).The name of the country where the pesticide was applied should automatically populate based on the selection made in the "Country" cell above.Select the DOEHRS base camp name from the drop down list below where the pesticide was applied. If the location is not listed, please type in the current name of the base camp.Select the specific site of application from the drop down list where the pesticide was applied (i.e. bldg #, activity name, etc.) . If the site is not listed, please type in the site of application.Select the origin for why the pesticide was applied from the drop down list (i.e. work order, etc.).Select the type of operation performed from the drop down list (i.e. Exterior Bait).Select a target pest that you were attempting to manage/control from the drop down list (i.e. Rodents). If the target pest isn't listed, then write the target pest in the additional comments field.Type in the size of the area treated (i.e. 100).Select the appropriate units of measure (i.e. square feet, meters, acres, etc.) related to the area treated from the drop down list.Type in the Environmental Protection Agency Registration Number (EPA Reg. No. on product label) of the pesticide applied (i.e. 12455-79).Type in the pesticide trade name (i.e. CONTRAC All-Weather Blox).Type in the product formulation (i.e. Pelleted/Tabletted).Type in the active ingredient(s) listed on the product label (i.e. Bromadiolone).Type in the active ingredient percentage listed on the product label (i.e. 0.005).Type in the amount of concentrate used for mixing. If the product does not require mixing and is ready to be used please select "N/A".Select the appropriate units of measure related to the amount of concentrate from the drop down list (i.e. ounce, pound, etc.). If the product does not require mixing and is ready to be used please select "N/A".Type in the Final % Concentration in the Finished Product. If the product does not require mixing and is ready to be used please select "N/A".Type in the amount of finished product applied. For products that are formulated as Aerosols, please indicate the number of can(s) used. This estimate will be useful in calculating the total Pounds of Active Ingredient (PAI) applied.Select the appropriate units of measure related to the amount of finished product applied from the drop down list (i.e. ounce, pound, etc.).Type in the name of the person (i.e. John Doe) who applied the pesticide.Type in the applicator's DoD FIFRA, DoD Non-FIFRA, or State Certification Number.Type in the exact time in which the pesticide was applied at the site. The preferred format is hh:mm (i.e. 09:45).Type in the total time invested by all applicators in the operation in hours (i.e. 1 or 0.5).For foreign/non-EPA registered products please submit an electronic copy or high resolution photo of the product label.
DateCountryBase CampSite of ApplicationOriginOperationTarget PestArea TreatedUnits of Measure for the Area TreatedEPA Registration NumberPesticide Trade NameProduct FormulationActive IngredientActive Ingredient PercentageAmount of Concentrate Used for MixingUnits of Measure for the Amount of Concentrate Used for MixingFinal % Concentration in Finished ProductAmount of Finished Product AppliedUnits of Measure for the Amount of Finished Product AppliedApplicator NameApplicator Certification #Time Pesticide was AppliedTotal Time Invested in HoursAdditional Comments
Dugway Proving Ground

Example(s)

CountryAfghanistan
POC/Unit:Jeffrey Cook, DynCorp International
Example of Pesticides Applied
Type in the date that the pesticide was applied. The preferred format is YYYY-MM-DD (i.e. 2020-07-22).The name of the country where the pesticide was applied should automatically populate based on the selection made in the "Country" cell above.Select the DOEHRS base camp name from the drop down list below where the pesticide was applied. If the location is not listed, please type in the current name of the base camp.Select the specific site of application from the drop down list where the pesticide was applied (i.e. bldg #, activity name, etc.) . If the site is not listed, please type in the site of application.Select the origin for why the pesticide was applied from the drop down list (i.e. work order, etc.).Select the type of operation performed from the drop down list (i.e. Exterior Bait).Select a target pest that you were attempting to manage/control from the drop down list (i.e. Rodents). If the target pest isn't listed, then write the target pest in the additional comments field.Type in the size of the area treated (i.e. 100).Select the appropriate units of measure (i.e. square feet, meters, acres, etc.) related to the area treated from the drop down list.Select the Environmental Protection Agency Registration Number (EPA Reg. No. on product label) of the pesticide applied from the drop down list (i.e. 12455-79). If the number doesn't appear, please go to the worksheet called "New Pesticides Applied" to manually enter the EPA Registration Number.If the EPA Registration Number is selected, the pesticide trade name will automatically populate in this column (i.e. CONTRAC All-Weather Blox).If the EPA Registration Number is selected, the product formulation will automatically populate in this column (i.e. Pelleted/Tabletted).If the EPA Registration Number is selected, the active ingredient percentage for the product will automatically populate in this column (i.e. 0.005).Type in the amount of concentrate used for mixing. If the product does not require mixing and is ready to be used please select "N/A".Select the appropriate units of measure related to the amount of concentrate from the drop down list (i.e. ounce, pound, etc.). If the product does not require mixing and is ready to be used please select "N/A".Type in the Final % Concentration in the Finished Product. If the product does not require mixing and is ready to be used please select "N/A".Type in the amount of finished product applied. For products that are formulated as Aerosols, please indicate the number of can(s) used. This estimate will be useful in calculating the total Pounds of Active Ingredient (PAI) applied.Select the appropriate units of measure related to the amount of finished product applied from the drop down list (i.e. ounce, pound, etc.).Type in the name of the person (i.e. John Doe) who applied the pesticide.Type in the applicator's DoD FIFRA, DoD Non-FIFRA, or State Certification Number.Type in the exact time in which the pesticide was applied at the site. The preferred format is hh:mm (i.e. 09:45).Type in the total time invested by all applicators in the operation in hours (i.e. 1 or 0.5).Provide any additional comments.
DateCountryBase CampSite of ApplicationOriginOperationTarget PestArea TreatedUnits of Measure for the Area TreatedEPA Registration NumberPesticide Trade NameProduct FormulationActive Ingredient PercentageAmount of Concentrate Used for MixingUnits of Measure for the Amount of Concentrate Used for MixingFinal % Concentration in Finished ProductAmount of Finished Product AppliedUnits of Measure for the Amount of Finished Product AppliedApplicator NameApplicator Certification #Time Pesticide was AppliedTotal Time Invested in HoursAdditional Comments
2020-07-22AfghanistanDAHLKEPost Exchange (PX)Work OrderExterior BaitRodents780linear feet12455-79CONTRAC All-Weather BloxPelleted/Tabletted0.005N/AN/AN/A54ounceJohn DoeOAE-096-109:451
2020-07-22AfghanistanDAHLKEBarracksService or Trouble CallInterior Residual TreatmentBed Bugs1000square feet432-1363TEMPO SC ULTRASoluble Concentrate11.88milliliter0.0251gallonJohn DoeOAE-096-1010:001Headboards and bedframes treated
2020-07-22AfghanistanDAHLKEDining Facility (DFAC)Scheduled WorkExterior BaitRodents200linear feet12455-89FINAL All-Weather BloxPelleted/Tabletted0.005N/AN/AN/A20ounceTom SmithA-310-11-070710:000.25
2020-07-23AfghanistanDAHLKEHangar B, Building 56Service or Trouble CallUltra Low Volume ApplicationGnats12,000cubic feet499-450PT ULD BP-300 Contact Insecticide Formula 1ULV Concentrate193fluid ounce112fluid ounceTom SmithA-310-11-070713:001
2020-07-23AfghanistanDAHLKEBuilding 107, COMM CenterScheduled WorkInterior BaitAnts200square feet432-1252Maxforce Ant Bait StationsImpregnated Material1N/AN/AN/A6eachJohn DoeOAE-096-1013:000.1
2020-07-24AfghanistanDAHLKEZone 18, Building 101Work OrderExterior Residual Or Spot TreatmentWasps10square feet499-362PT Wasp-Freeze Wasp & Hornet KillerAerosol0.249N/AN/AN/A6secondTom SmithA-310-11-07079:300.15
2020-07-24AfghanistanDAHLKEBuilding 57, LatrinesScheduled WorkExterior BaitFilth Flies700square feet432-1375Maxforce Granular Fly BaitGranular0.6N/AN/AN/A4ounceTom SmithA-310-11-070710:000.5
2020-07-24AfghanistanDAHLKEAmmunition BunkerWork OrderSprayed By HandWeeds1acre524-475Roundup Pro HerbicideSoluble Concentrate411quart125gallonTom SmithA-310-11-070714:002Needed for security to inspect perimiter
Example of New Pesticides Applied
Type in the date that the pesticide was applied. The preferred format is YYYY-MM-DD (i.e. 2020-07-22).The name of the country where the pesticide was applied should automatically populate based on the selection made in the "Country" cell above.Select the DOEHRS base camp name from the drop down list below where the pesticide was applied. If the location is not listed, please type in the current name of the base camp.Select the specific site of application from the drop down list where the pesticide was applied (i.e. bldg #, activity name, etc.) . If the site is not listed, please type in the site of application.Select the origin for why the pesticide was applied from the drop down list (i.e. work order, etc.).Select the type of operation performed from the drop down list (i.e. Exterior Bait).Select a target pest that you were attempting to manage/control from the drop down list (i.e. Rodents). If the target pest isn't listed, then write the target pest in the additional comments field.Type in the size of the area treated (i.e. 100).Select the appropriate units of measure (i.e. square feet, meters, acres, etc.) related to the area treated from the drop down list.Type in the Environmental Protection Agency Registration Number (EPA Reg. No. on product label) of the pesticide applied (i.e. 12455-79).Type in the pesticide trade name (i.e. CONTRAC All-Weather Blox).Type in the product formulation (i.e. Pelleted/Tabletted).Type in the active ingredient(s) listed on the product label (i.e. Bromadiolone).Type in the active ingredient percentage listed on the product label (i.e. 0.005).Type in the amount of concentrate used for mixing. If the product does not require mixing and is ready to be used please select "N/A".Select the appropriate units of measure related to the amount of concentrate from the drop down list (i.e. ounce, pound, etc.). If the product does not require mixing and is ready to be used please select "N/A".Type in the Final % Concentration in the Finished Product. If the product does not require mixing and is ready to be used please select "N/A".Type in the amount of finished product applied. For products that are formulated as Aerosols, please indicate the number of can(s) used. This estimate will be useful in calculating the total Pounds of Active Ingredient (PAI) applied.Select the appropriate units of measure related to the amount of finished product applied from the drop down list (i.e. ounce, pound, etc.).Type in the name of the person (i.e. John Doe) who applied the pesticide.Type in the applicator's DoD FIFRA, DoD Non-FIFRA, or State Certification Number.Type in the exact time in which the pesticide was applied at the site. The preferred format is hh:mm (i.e. 09:45).Type in the total time invested by all applicators in the operation in hours (i.e. 1 or 0.5).For foreign/non-EPA registered products please submit an electronic copy or high resolution photo of the product label.
DateCountryBase CampSite of ApplicationOriginOperationTarget PestArea TreatedUnits of Measure for the Area TreatedEPA Registration NumberPesticide Trade NameProduct FormulationActive IngredientActive Ingredient PercentageAmount of Concentrate Used for MixingUnits of Measure for the Amount of Concentrate Used for MixingFinal % Concentration in Finished ProductAmount of Finished Product AppliedUnits of Measure for the Amount of Finished Product AppliedApplicator NameApplicator Certification #Time Pesticide was AppliedTotal Time Invested in HoursAdditional Comments
2020-07-24AfghanistanDAHLKEDining Facility (DFAC)Service or Trouble CallInterior BaitCockroaches100linear feet352-668DuPont Advion Cockroach Bait ArenaBait StationIndoxacarb0.5N/AN/AN/A5eachTom SmithA-310-11-070716:150.25Used to combat cockroaches resistant to hydramethylnon
Example of Surveillance, Non-Chemical, and Animal Control
Type in the date that the pesticide was applied. The preferred format is YYYY-MM-DD (i.e. 2020-07-22).The name of the country where the pesticide was applied should automatically populate based on the selection made in the "Country" cell above.Select the DOEHRS base camp name from the drop down list below where the pesticide was applied. If the location is not listed, please type in the current name of the base camp.Select the site of application from the drop down list. If the site of application is not listed, then type in the site of application. The site of application is the specific location (i.e. bldg #, activity name, etc.) for this action.Please select the origin from the drop down list. An origin is why you did the work: routine inspection, work request, surveillance, etc.Select an operation from the drop down list. An operation is the type of work done (i.e. light trap, sticky trap, fly trap, caulking). If the operation is not listed, then type in the operation.Select a target pest from the drop down list that you were attempting to survey or control by a nonchemical measure. If the target pest isn't listed, then write the target pest in the additional comments field.Select the device name used for surveillance/nonchemical control from the drop down list below (i.e., CDC Light trap, Shannon trap). Type in the device name if not listed in the drop down list.Type in the number of traps/devices used.Select the unit of measure (if applicable), otherwise leave it blank.Type in the size of the area inspected/serviced. It needs to be a number between 0 and 1000000. Use decimals if needed.Select the appropriate unit of measure (i.e. square feet, meters, acres, etc.) related to the area inspected/serviced from the drop down list.Type in the name of the person (i.e. applicator) performing the work described.Type in the applicator's DoD FIFRA, DoD Non-FIFRA, or State Certification Number.Please type in the exact time in which the operation took place at the site. The preferred format is hh:mm (i.e. 09:45)Type in the total time invested by all applicators in the operation in hours (i.e. 1 or 0.5).Provide additional comment(s) if needed.
DateCountryBase CampSite of Application/SurveillanceOriginOperationTarget PestSurveillance/Nonchemical Device UsedNumber of traps/Units placedUnits of MeasureArea Inspected/ServicedUnits of Measure for the Area Inspected/ServicedApplicator NameApplicator Certification #Time of OperationTotal Time Invested in HoursAdditional Comments
2020-07-22AfghanistanDAHLKEDining Facility (DFAC)Work RequestTrappingRodentGlue Board/Sticky Trap2EA80square feetMiller, GlenAF-001-10-01988:450.1
2020-07-22AfghanistanDAHLKEArea 3Routine InspectionPest SurveillanceAll PestsVisual SurveillanceN/AN/A780square feetMiller, GlenAF-001-10-019816:101Lots of scorpions present
2020-07-22AfghanistanDAHLKEAMPMWork RequestTrappingCatsAnimal Trap2EA4555square feetMiller, GlenAF-001-10-01989:450.3
2020-07-23AfghanistanDAHLKEDining Facility (DFAC)Work RequestTrappingFilth FliesGlue Board/Sticky Trap1EA2acreCook, RichardPA-70417417:350.2
2020-07-23AfghanistanDAHLKEArea 2Work RequestFly Bag TrapFilth FliesFly Relief2EA5hectareCook, RichardPA-70417413:150.75

Pesticides to Add

AIPH will maintain this worksheet by filling in any "new" pesticides that may need added to DOEHRS
EPA Registration NumberPesticide Name (i.e. trade name)SourceActive Ingredient PercentPAI WeightProduct FormulationNotes

PesticidesApplied PAI

Date (YYYY-MM-DD)CountryBase CampSite of ApplicationOriginOperationTarget PestArea Inspected/TreatedArea Units of MeasureApplicator NameTotal Time InvestedTime Pesticide Applied (hh:mm)EPA Registration NumberPesticide NameProduct FormulationAmount of Concentrate AppliedAmount of Concentrate Applied Units of MeasureAmount of Finished ProductAmount of Finished Product Units of MeasureAdditional CommentsTotal PAI
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