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KANSAS DEPARTMENT OF AGRICULTURE EMIGRATION 1320 Research Park Drive Manhattan, KS 66502 (785) 5646688 Fax (785) 5647490 KDA.PestFert@ks.gov agriculture.ks.govChemigation CHEMICAL USE REPORT Date: NAME:
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How to fill out chemigation chemical use report

01
Step 1: Gather all necessary information and documents such as the chemigation chemical use report form, pesticide labels, and record of chemical use.
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Step 2: Begin by filling out the top section of the chemigation chemical use report form, which includes providing your personal information, such as your name, address, and contact details.
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Step 3: Include the specific details of the chemigation system being used, such as the brand, model, and size of the equipment.
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Step 4: Fill in the details regarding the pesticide being used, including the product name, EPA registration number, and active ingredients.
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Step 5: Indicate the application rate, which is the amount of chemical applied per unit area or volume.
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Step 6: Provide information on the target crop or area being treated, including the name and acreage of the field or the specific location.
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Step 7: Record the date and time of application, as well as any weather conditions that may impact the application process or results.
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Step 8: Document any equipment calibration or adjustment made before or during the application process.
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Step 9: Complete the record-keeping section by including the total amount of chemical used, the total acres or area treated, and any additional comments or observations.
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Step 10: Sign and date the chemigation chemical use report to certify the accuracy of the information provided.
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Step 11: Submit the completed chemigation chemical use report to the appropriate authorities or regulatory agency, as required by local regulations.

Who needs chemigation chemical use report?

01
Farmers or agricultural landowners who engage in chemigation practices need to prepare and submit chemigation chemical use reports.
02
Chemigation chemical use reports may also be required by regulatory agencies, environmental protection departments, or other authorities responsible for monitoring and regulating pesticide use in agricultural or irrigation settings.
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A chemigation chemical use report is a documentation that records the application of chemicals, such as fertilizers and pesticides, through an irrigation system. It provides details about the chemicals used, quantities, and the fields treated.
Farmers and agricultural producers who use chemigation practices must file a chemigation chemical use report. This includes those who apply chemicals through an irrigation system.
To fill out a chemigation chemical use report, one must provide information such as the types and amounts of chemicals used, the date of application, the method of application, and the specific fields treated.
The purpose of the chemigation chemical use report is to ensure accountability and track the use of chemicals in agriculture. It helps in monitoring environmental impact and compliance with regulatory requirements.
The report must include the chemical name, quantity used, date of application, type of irrigation system, specific field location, and the intended purpose of the chemical application.
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