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(UNITED STATES ENVIRONMENTAL PROTECTION NOTIFICATION AGENCY WASHINGTON, D.C. 20460MAY 0 8 2012 OFFICE OF CHEMICAL SAFETY AND POLLUTION PREVENTION Maria T. Boron USDA APHID Environmental and Risk Analysis
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01
Begin by entering the date of application in the designated field.
02
Include the name of the pesticide used in the next section.
03
Specify the amount or volume of pesticide applied.
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Indicate the target pest or crop for which the pesticide was applied.
05
Record any relevant environmental conditions at the time of application, such as temperature or wind speed.
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Lastly, sign and date the form to certify the accuracy of the information provided.

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Pesticide use form is a document used to record the application of pesticides on crops or plants.
Farmers, agricultural workers, or anyone applying pesticides on crops are required to file pesticide use form.
Pesticide use form should be filled out with details such as the type of pesticide used, application date, location, and quantity applied.
The purpose of pesticide use form is to track and monitor the application of pesticides to ensure compliance with regulations and to protect the environment.
Information such as type of pesticide, application date, location, quantity applied, and any safety precautions taken must be reported on pesticide use form.
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