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State of California Department of Pesticide Regulation Experimental Pesticide Use Report PR-REG-028a (Est. 12/12) Authorization Number Experimental Pesticide Use Report 1. Researcher Notice: This

How to fill out experimental pesticide use report

How to Fill Out an Experimental Pesticide Use Report:

1. Obtain the necessary form: Locate the official experimental pesticide use report form provided by your local agricultural or environmental agency. Ensure that you have the latest version of the form to accurately document your pesticide usage.
2. Fill in personal information: Begin by entering your personal details, such as your full name, contact information, and any unique identification numbers or licenses that may be required. This information helps identify the individual responsible for the pesticide application.
3. Provide project details: Specify the project or research study for which the experimental pesticide use report is being filled out. Include relevant information like the project title, objectives, and any funding sources or collaborations involved.
4. Describe the experimental pesticide: Write down the details concerning the pesticide being used for the experiment. This includes the name of the pesticide, its active ingredient(s), concentration, formulation type, and any supporting information, such as brand name or EPA registration number.
5. Record application information: Document each application of the experimental pesticide thoroughly. Include the date, time, and location of application, as well as the target pests, specific crop or area treated, and the calculated or estimated application rate. If multiple applications are made, list them in chronological order.
6. Specify application methods: Indicate the technique used to apply the pesticide, such as spraying, soil drenching, or aerial application. If using equipment, provide details about the machinery used, including its model or type, application settings, and any calibration information.
7. Note safety measures: Describe any personal protective equipment (PPE) utilized during pesticide application for the sake of safety. Mention if measures were taken to prevent drift or contamination of neighboring areas, and any precautionary actions taken to minimize risks to humans, animals, or the environment.
8. Keep records of weather conditions: Retain records of the weather conditions during each pesticide application, such as temperature, humidity, wind speed, and precipitation. These details can help determine the potential impact of weather on pesticide efficacy or drift.
9. Report any incidents or issues: If any unexpected events or complications occur during the experimental pesticide use, report them in this section. This may include equipment malfunctions, adverse effects observed on crops or non-target organisms, or any other relevant incidents.

Who Needs an Experimental Pesticide Use Report:

1. Researchers and scientists: Individuals involved in agricultural or environmental research, specifically experimenting with pesticide applications, need to fill out the experimental pesticide use report. This ensures proper documentation of the pesticide's usage and provides valuable data for analysis and regulatory purposes.
2. Regulatory agencies: Various governmental or regulatory bodies responsible for overseeing pesticide usage and ensuring public safety might require experimental pesticide use reports for review. These reports assist in monitoring and assessing the impact of experimental pesticide applications on crops, the environment, and human health.
3. Collaborators and stakeholders: Partners or collaborators involved in the research project may need the experimental pesticide use report for their own records. Additionally, stakeholders such as farm managers, landowners, or governing bodies overseeing the land where the experimentation occurs may request this report for compliance and liability purposes.

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What is experimental pesticide use report?

Experimental pesticide use report is a document that contains information about the usage of pesticides for experimental purposes.

Who is required to file experimental pesticide use report?

Individuals or organizations conducting experiments with pesticides are required to file the experimental pesticide use report.

How to fill out experimental pesticide use report?

The experimental pesticide use report can be filled out by providing details such as the name of the pesticide used, the purpose of the experiment, application rates, and any observations made during the experiment period.

What is the purpose of experimental pesticide use report?

The purpose of the experimental pesticide use report is to track and monitor the usage of pesticides for experimental purposes, ensuring compliance with regulations and safety measures.

What information must be reported on experimental pesticide use report?

Information such as the name of the pesticide used, the location of the experiment, the dates of application, the application rates, and any observed effects must be reported on the experimental pesticide use report.