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Apparatus license plate number if applicable Air Ground 14. Miscellaneous Information AGR FORM 640-4226 R/4/07 Page 1 of 3 Chemigation Location of Application If the application covers more than one township or range please indicate the township range for the top left section of the map only.

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How to fill out the Agr Form 640 4279 online

This guide provides a professional and supportive approach to completing the Agr Form 640 4279 online. It is designed for users of all experience levels to ensure a smooth and successful filing process.

Follow the steps to complete the form online effectively.

  1. Press the ‘Get Form’ button to obtain the Agr Form 640 4279 and open it in your preferred editor.
  2. In the first section, enter the date of application by providing the year, month, and day. Additionally, fill in the start time and stop time of the application.
  3. Provide the name of the person for whom the pesticide was applied, including their firm name (if applicable) and street address, along with the city, state, and zip code.
  4. If the licensed applicator’s name differs from the previous entry, fill in their name, including the license number if applicable. Provide their firm name and telephone number as well.
  5. List the name of the person or people who applied the pesticide, including their license numbers if applicable.
  6. Indicate the application crop or site clearly, specifying the type of land treated.
  7. Enter the total area treated, using an appropriate measurement (e.g., acres, square feet). Specify the term for accuracy.
  8. Indicate whether the application was made under a WSDA permit. If yes, provide the permit number.
  9. Fill out the pesticide information section. For each pesticide used, list the full product name, EPA registration number, the total amount of pesticide applied, pesticide applied per area, and concentration.
  10. Specify the exact address or location of the pesticide application. If applicable, provide a map indicating the field location.
  11. Report the wind direction and estimated velocity during application.
  12. Indicate the temperature recorded during the application.
  13. Provide the apparatus license plate number if applicable.
  14. Select how the pesticide was applied (air or ground) by checking the appropriate option.
  15. Use the miscellaneous information section to include any additional relevant details.
  16. Once all sections are completed, save your changes, and then download, print, or share the form as necessary.

Complete your Agr Form 640 4279 online today to ensure accurate record-keeping.

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