Get the free Restricted-Use Pesticide Recordkeeping Form for Commercial - pesticidesafety ces ncsu

Restricted Pesticide Record keeping Form for Commercial Applicators and Public Operators Maintain records for a minimum of 3 years 1 Date & Time Completed Crop, Commodity, or Treated e.g., Rescue

How to fill out restricted-use pesticide recordkeeping form

How to fill out a restricted-use pesticide recordkeeping form:

1. Start by carefully reading the instructions provided with the form. This will ensure that you understand the requirements and can accurately complete the form.
2. Begin by entering your personal information. This usually includes your name, address, phone number, and any other relevant contact details.
3. Next, provide information about the pesticide being used. This includes the product name, EPA registration number, and the active ingredients.
4. Indicate the specific crop, site, or target pest for which the pesticide is being used. This helps in categorizing and tracking pesticide usage.
5. Record the amount of pesticide applied, along with the method of application. This includes details such as the rate of application, the size of the treated area, and the type of equipment used.
6. Note the date and time of application. This is important for tracking compliance and ensuring that proper intervals between applications are maintained.
7. Document any specific precautions or safety measures taken during the application, such as wearing protective clothing or using buffer zones.
8. If required, include the name and certification number of the applicator responsible for the pesticide application.
9. Sign and date the form to certify the accuracy of the information provided.
10. Keep a copy of the completed form for your records, as it may be needed for future inspections or audits.

Who needs a restricted-use pesticide recordkeeping form:

1. Farmers and agricultural producers: Those involved in crop production or pest control on farms or agricultural operations are typically required to maintain these records.
2. Pest control operators: Individuals or companies providing professional pest control services may be obligated to keep records of their restricted-use pesticide usage.
3. Government agencies and institutions: Certain government bodies, research institutions, or educational facilities using restricted-use pesticides may also need to maintain these records.

It is essential to check with local and federal regulations to determine specific requirements and who needs to fill out a restricted-use pesticide recordkeeping form in your jurisdiction.

For pdfFiller’s FAQs

What is restricted-use pesticide recordkeeping form?

The restricted-use pesticide recordkeeping form is a document used to track the use of restricted-use pesticides by individuals or entities.

Who is required to file restricted-use pesticide recordkeeping form?

Any individual or entity that purchases or uses restricted-use pesticides is required to file the recordkeeping form.

How to fill out restricted-use pesticide recordkeeping form?

The form must be completed with information regarding the purchase and use of restricted-use pesticides, including product name, application date, location, and quantity used.

What is the purpose of restricted-use pesticide recordkeeping form?

The purpose of the form is to ensure compliance with regulations governing the use of restricted-use pesticides and to track their use for safety and environmental purposes.

What information must be reported on restricted-use pesticide recordkeeping form?

Information such as product name, application date, location of application, quantity used, applicator's name, and EPA registration number must be reported on the form.

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