Updated_dd1532-1.pdf

Management Maintenance Record (DD Form 1532-1)

Instructions

This spreadsheet meets the DoDI 4150.07 (DoD Pest Management Program) and DoDI 6490.03 (Deployment Health) requirements for recording and reporting pest management operations and pesticide use during military deployments. The spreadsheet consists of the following worksheets:

Instructions; Pesticides Applied; New Pesticides Applied; Surveillance, Non-Chemical and Animal Control; and Example(s). The "Pesticides Applied" worksheet is populated with the EPA registration numbers and trade names of the pesticides approved by the AFPMB for DLA stockage and Contingency Usage as well as pesticides previously approved and applied during military deployments and reported on 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-

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 dha.apg.pub-health-a.mbx.pesticide-hotline@health.mil

When you are finished, save the spreadsheet as an Excel Macro-Enabled Workbook and send it to the

Army: NIPRNet:

dha.apg.pub-health-a.mbx.pesticide-archival@health.mil

Navy: (Contingency) usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-pesticiderpts@health.mil

Navy: (Shipboard) usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-pesticiderpts@health.mil

Air Force:

Through your MAJCOM PMP

Joint Operations:

Submit the spreadsheet to the authority directed by your Theater Command mailto:dha.apg.pub-health-a.mbx.pesticide-hotline@health.mil mailto:dha.apg.pub-health-a.mbx.pesticide-archival@health.mil mailto:usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-pesticiderpts@health.mil mailto:usn.hampton-roads.navmcpubhlthcenpors.list.nmcphc-pesticiderpts@health.mil

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 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.

Date Country Base Camp Site of Application Origin Operation Target Pest Area Treated Units of Measure for the Area Treated EPA Registration Number

Please complete this worksheet if a pesticide product was applied.

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.

Pesticide Trade Name Product Formulation

Active Ingredient Percentage

Amount of Concentrate Used for Mixing

Units of Measure for the Amount of Concentrate Used for Mixing

Final % Concentration in Finished Product

Amount of Finished Product Applied

Units of Measure for the Amount of Finished Product Applied Applicator Name Applicator Certification #

Time Pesticide was Applied

Total Time Invested in Hours Additional Comments

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).

Date Country Base Camp Site of Application Origin Operation Target Pest Area Treated Units of Measure for the Area Treated EPA Registration Number Pesticide Trade Name

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.

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.

Product Formulation Active Ingredient

Active Ingredient Percentage

Amount of Concentrate Used for Mixing

Units of Measure for the Amount of Concentrate Used for Mixing

Final % Concentration in Finished Product

Amount of Finished Product Applied

Units of Measure for the Amount of Finished Product Applied Applicator Name Applicator Certification #

Time Pesticide was Applied

Total Time Invested in Hours Additional Comments

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.

Date Country Base Camp Site of Application/Surveillance Origin Operation Target Pest Surveillance/Nonchemical Device Used Number of traps/Units placed

Please complete this worksheet for recording all surveillance, nonchemical, and animal control information.

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.

Units of Measure Area Inspected/Serviced Units of Measure for the Area Inspected/Serviced Applicator Name Applicator Certification # Time of Operation Total Time Invested in Hours Additional Comments