Follow the steps to accurately complete your pesticide application record.

1. Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Begin by entering the name of the farm, business, or entity in the designated field at the top of the form.
3. Next, fill in your name and certification number in the 'Applicator Name/Certification #' section. If you are not certified, provide the supervising applicator's name and certification number.
4. Indicate the year for which you are maintaining the records. Then, enter the date of the application in the format mm/dd.
5. In the 'Crop and Target Pest' section, specify the type of crop treated and the target pest you aimed to control.
6. Provide a description of the area treated, detailing the location and any relevant descriptions.
7. List the active ingredient along with the brand or product name used for the pesticide application.
8. Record the EPA registration number of the pesticide in the corresponding field.
9. Document the number of units or acres treated, ensuring accuracy in your measurements.
10. Input the total amount of product used, clearly indicating the unit of measurement (e.g., oz., lb., pt., qt., gal.).
11. Specify the method of application. This could include techniques such as using an air blast sprayer.
12. Enter the restricted entry interval duration and its expiration time, ensuring compliance with safety regulations.
13. If applicable, note the wind speed and direction at the time of application for added transparency.
14. After completing all the fields, be sure to review the entries for any errors or omissions.
15. Finally, you can save changes, download, print, or share the completed form as needed.

Take the next step in maintaining your pesticide application records by completing the form online today.