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U.S. ENVIRONMENTAL PROTECTION AGENCY EPA Reg. Number:Date of Issuance:75174911/2/17Office of Pesticide Programs Antimicrobial Division (7510P) 1200 Pennsylvania Ave., N.W. Washington, D.C. 20460NOTICE
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How to fill out 11217 notice of pesticide

01
Begin by carefully reading the instructions and requirements mentioned in the 11217 notice of pesticide form.
02
Gather all the necessary information and documents required to fill out the form, such as the name of the pesticide, its EPA registration number, and details about its intended use.
03
Start by providing your personal information, including your name, address, and contact details.
04
Fill out the section related to the pesticide, providing accurate information about its name, registration number, and other relevant details.
05
Describe the intended use of the pesticide, including the crops, pests, or target organisms it is designed to control.
06
If applicable, provide any additional details required, such as the method of application or any precautions that need to be taken.
07
Review the filled-out form for any errors or missing information.
08
Sign and date the form to certify its accuracy and completeness.
09
Submit the completed 11217 notice of pesticide form to the designated authority or relevant entity.

Who needs 11217 notice of pesticide?

01
Anyone who intends to use or distribute certain pesticides, as specified by the regulatory authority, needs to fill out the 11217 notice of pesticide form.
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This may include individuals or organizations involved in agriculture, pest control services, research, or any other activities that involve the use or distribution of pesticides.
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It is important to consult the regulatory authority or relevant guidelines to determine if you are required to fill out this form for your specific pesticide-related activities.
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The 11217 notice of pesticide is a regulatory document required for reporting pesticide use to state authorities, ensuring compliance with agricultural and environmental safety regulations.
Farmers, agricultural businesses, and pesticide applicators who use pesticides in their operations are required to file the 11217 notice of pesticide.
To fill out the 11217 notice of pesticide, individuals must provide details on the types of pesticides used, application areas, quantities, and dates of application, following the specific guidelines provided by the regulatory agency.
The purpose of the 11217 notice of pesticide is to track pesticide use for regulatory compliance, to protect public health, and to monitor environmental impacts.
The information that must be reported includes the pesticide product name, EPA registration number, amount used, application date, location of application, and the user’s contact information.
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