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  • Wa Agr-4226 2019

Get Wa Agr-4226 2019-2026

Pesticide Management Division PO Box 42560 Olympia WA 985042560 Phone: (877) 3014555Pesticide Application Record (Version 1 Single Application) This form must be completed the same day as the application,.

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How to fill out the WA AGR-4226 online

The WA AGR-4226 is an essential form for documenting pesticide applications. Completing this form accurately and retaining it for the required period is crucial for compliance with state regulations.

Follow the steps to successfully complete the WA AGR-4226 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
  2. Begin by entering the date of application into the designated fields. Specify the year, month, and day clearly.
  3. Record the start and stop times of the application, ensuring that you indicate both clearly.
  4. Fill in the name of the person for whom the pesticide was applied. If a firm is involved, include the firm's name along with the street address, city, state, and zip code.
  5. If the licensed applicator's name differs from the previous entry, state their name, along with their license number, firm name, phone number, and street address. Include city, state, and zip code as well.
  6. Identify the individual(s) who applied the pesticide if it's different from the licensed applicator listed in the previous step. Indicate their license number(s) if applicable.
  7. Specify the crop or type of site treated, ensuring clarity in your description. Use appropriate terminology for the area treated.
  8. Input the total area treated, whether in acres, square feet, or another measurement. Clearly specify the units used.
  9. Indicate if the application was made under a WSDA permit, and if so, provide the permit number.
  10. List the pesticide information, detailing the full product name, EPA registration number, total amount applied, concentration, and other relevant details.
  11. Provide the address or specific location of the application. If it's on agricultural land, ensure to mark the map accordingly.
  12. Document the wind direction and estimated velocity during the application, ensuring accuracy in your report.
  13. Record the temperature at the time of application in Fahrenheit.
  14. If applicable, enter the apparatus license plate number.
  15. Select the application method/type, indicating whether it was air, ground, or chemigation.
  16. If chemigation is utilized, specify the depth of application.
  17. Utilize the final space for any additional information that may be relevant to the pesticide application.
  18. Review all sections for completeness, then save changes, download, print, or share the form as necessary.

Complete your WA AGR-4226 online today to ensure compliance and maintain accurate records.

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