The following
details for all restricted-use pesticide
applications must be kept by the certified
applicator for a period of two years.
Records may be kept in any form (notebook,
computer, state record form (forms below,
etc.)
-
date of treatment
-
full name (first & last) of
person applying or
supervising
-
address/location of property
treated
-
brand name or generic name
of pesticide
-
EPA registration number
-
time the treatment was
started and finished*
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-
item or site treated
-
number of units, acres or
volume treated or "spot
treatment" *
-
purpose for which pesticide
was applied *
-
total undiluted material and
concentration or amount of
undiluted material used
(pints, ounces)
-
temperature start and finish
*
-
wind velocity at the start &
finish *
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State
pesticide record forms for Restricted-Use
Pesticides are available as follows (either
form below will work for Restricted-Use
Pesticide Applications):
|
Title of Form |
Fill-in Adobe
Acrobat |
MS Word |
|
Restricted- Use Pesticides and/or
Air and Agricultural Ground
Pesticide Use Report |
 |
 |
Restricted- Use Pesticides and/or
Urban and Structural record
Pesticide- Use Report
|
|
|
|
Nevada
Pesticide Record Book
Private
Pesticide
Applicators
(NDOA / Nevada Co-
operative Extension
Rev 01/03)
|
|
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* = Required
in the commercial categories of agricultural
pest control-plant, chemigation, greenhouse
and nursery pest control, forest pest
control, fumigation, ornamental and turf
pest control, right-of-way pest control or
mosquito control; or in the private
categories of agricultural pest
control-plant, chemigation, greenhouse and
nursery pest control, forest pest control,
fumigation or ornamental and turf pest
control.
Restricted-use records of state certified
private applicators (individuals who produce
an agricultural commodity) are inspected
approximately once every four years.
Applicators are selected randomly and
notified by certified mail of upcoming
inspections. See the
USDA record keeping web site, which
is available in both English and Spanish,
for more details on the inspection program.
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