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CA DPR 65 1995-2025 free printable template

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State of California The Resources Agency DEPARTMENT OF PARKS AND RECREATION FOR DEPARTMENT USE ONLY APPLICATION NO. DISTRICT APPLICATION AND PERMIT Conducting BIOLOGICAL, GEOLOGICAL, OR SOIL INVESTIGATIONS/COLLECTIONS
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How to fill out CA DPR 65

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How to fill out CA DPR 65

01
Obtain a copy of CA DPR 65 form from the Department of Pesticide Regulation website or local office.
02
Fill in your contact information, including your name, address, and phone number at the top of the form.
03
Provide the name of the pesticide product and its registration number.
04
Indicate the type of use, whether it is agricultural or non-agricultural.
05
Describe the specific site or area where the pesticide will be applied.
06
Fill in the application method, including equipment used and any relevant specifications.
07
Provide details on the timing and frequency of application.
08
Sign and date the form to certify that the information is accurate.

Who needs CA DPR 65?

01
Individuals or businesses applying pesticides in California must complete CA DPR 65.
02
Pesticide applicators, farmers, or agricultural service providers who plan to apply certain pesticides.
03
Anyone who is required to provide notifications about pesticide applications under California law.
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CA DPR 65 is a form required by the California Department of Pesticide Regulation (DPR) for reporting pesticide use, particularly for certain agricultural operations.
Any agricultural pesticide user who applies specified amounts of pesticide products in California is required to file CA DPR 65.
To fill out CA DPR 65, users must provide detailed information regarding pesticide applications, including the pesticides used, amounts applied, locations of application, and dates.
The purpose of CA DPR 65 is to track pesticide usage in California, ensure compliance with safety standards, and protect public health and the environment.
The information that must be reported on CA DPR 65 includes the type of pesticide, quantity used, application site, date of application, and details about the applicator.
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