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Get WA AGR 640-4236 2007-2024

must be retained for 7 years (Ref. chapter 17.21 RCW) PESTICIDE APPLICATION RECORD (Version 3) 1. Date of Application - Year: Month: Day(s): 2. Name of person for whom the pesticide was applied: Firm Name (if applicable): Street Address: City: State: 3. Licensed Applicator's Name (if different from #2 above): License No.: Firm Name (if applicable): Tel. No.: Street Address: 4. Air City: Ground Zip: State: Zip: Chemigation 5. Application Crop or Site: 6. Total Area Treated (a.

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