Nevada Department of Agriculture
Soil Pre-Treatment Electronic Tag for Final Grade Treatments
 Soil Pre-treat Tag

NOTICE
This form can only be used if the green final grade tag cannot be placed in an external electrical box
*Pest Control Company Name:

 
*Date of Application:

 
MM/DD/YYYY
*Builder’s Name:

 
*Subdivision Name:

 
 (i.e. Willow Springs @ Sloan)
*Property Address / Location:

 
*City:             State:    Nevada
*Zip Code:

 
(i.e. 89142 or 89142-0000)
*Chemical Used:

 
(i.e. Demon TC)
*Use Dilution (% Applied):

 
 (i.e.  0.25)
*Gallons Applied:

 
 (i.e. 165)
*Full Name of Applicator:

 
Additional Information
(choose only one):
 
electrical box not available

tag not available at time of treatment

 NDOA out of tags

commercial property

 other:
For Agriculture use only.

  * = required information

If you have further questions or need to clarification of this process contact the Nevada Department of Agriculture.
 

 

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