State of Washington Department of Agriculture Olympia, Washington 98504 PESTICIDE APPLICATION RECORD (Version 1) NOTE: This form must be completed same day as the application and it must be retained.
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How to fill out the Pdf Filler Wsda Agr Form 4226 online
Filling out the Pdf Filler Wsda Agr Form 4226 online is essential for recording pesticide application accurately. This guide will help you navigate each section of the form effectively, ensuring you provide all necessary information clearly and correctly.
Follow the steps to complete the form with ease.
- Click the ‘Get Form’ button to acquire the Pdf Filler Wsda Agr Form 4226 and open it in your preferred editor.
- Start by entering the date of application. Include year, month, and day, followed by the start and stop time of the application.
- In the next section, provide the name of the person for whom the pesticide was applied, along with the firm name if applicable. Fill in the complete street address, city, state, and zip code.
- If the licensed applicator’s name differs from the previous section, complete their name and license number. Also, add the firm name if applicable, followed by the contact number and street address.
- For the name of the person(s) who applied the pesticide, if different from the licensed applicator, provide their full name and license numbers, if applicable.
- Indicate the application crop or site by detailing the type of land treated, such as wheat, apples, etc.
- Report the total area treated in appropriate units (e.g., acres or square feet). If it's a spot treatment, specify this.
- Answer whether the application was made as a result of a WSDA permit. If yes, include the permit number.
- List all pesticide information, including the full product name, EPA registration number, total amount applied, measurement per acre, and concentration applied.
- Provide the specific address or exact location of the application. If applicable, indicate the necessary map details including township, range, and section.
- Record the wind direction and estimated velocity during the application.
- Input the temperature during the application in degrees Fahrenheit.
- Indicate the license plate number of the apparatus used, if applicable.
- Select the type of application method (air, ground, or chemigation) and list the depth of application if relevant.
- Use the miscellaneous information section to include any additional notes as needed.
- Once you have filled out all required fields, ensure to save your changes, and you can also choose to download, print, or share the completed form as necessary.
Complete your Pdf Filler Wsda Agr Form 4226 online today for accurate and efficient record-keeping.
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