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Outhern Nevada District Board of Health P.O. Box 3902, Las Vegas, NV 89127 702.759.1000 Regulations Governing the Sanitation and Safety of Child Care Facilities Appendix D: Pesticide Application Record Form & NRS/NAC 555 for reference REV. 0 Pesticide Application Log Pesticide Application Record for (Name and Address of Child Care Facility): 1. Date of pesticide use 2. Date of prior parent/guardian notification 3. Site, areas, or items treated 4. Brand or Product Name Applied OR Active In.

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How to fill out the pesticide application log example online

Filling out the pesticide application log is essential for maintaining safety and compliance in child care facilities. This guide provides a clear and supportive approach to completing the form accurately and efficiently online.

Follow the steps to successfully complete the pesticide application log online.

  1. Click ‘Get Form’ button to access the pesticide application log. This will open the form in your chosen editor.
  2. In the first column, enter the date when pesticides were used at the facility. It is important to use a new row for each distinct date pesticide treatment occurs.
  3. In the second column, input the date that notifications were sent to parents or guardians about the pesticide application. Be sure to attach a copy of the notification to this log.
  4. For the third column, list the site, areas, or specific items within the child care facility that received treatment. Each major area should have its own row.
  5. In the fourth column, document the brand name or active ingredient of the pesticide applied. If multiple types were used in one area, ensure each is noted on a different row.
  6. The fifth column requires you to provide the contact information for the pest control company, including the licensed applicator’s full name who performed the service.
  7. Finally, in the sixth column, describe the target pest and the reason for pesticide usage. Include any Integrated Pest Management strategies that were attempted prior to pesticide use.
  8. Once all fields are completed, save your changes. You can then download, print, or share the completed pesticide application log as needed.

Complete your pesticide application log online today for a safer child care environment.

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Pesticide use records must be retained by the applicator (e.g., grower, pest control business) for two years (three years for structural applications) and made promptly available to the director or CAC upon request. month that the work was performed.

​Keep a detailed record of what has been applied, where and when.

Pesticide Record Keeping The brand or product name. The EPA registration number. The total amount applied. The month, day, and year. The location of the application. The crop, commodity, stored product, or site. The size of area treated. The name of the certified applicator.

It notes that in California, not all drift is illegal, but that “Pesticide laws focus on spray drift that causes harm, or has the potential to do so. The law specifically recognizes that pesticides may drift but says that 'substantial' drift is not allowed.

The law requires that you keep pesticide spray records for a minimum of three years. This spray record book copies in duplicate, making retention of records as straightforward as possible.

Croptracker's Spray module is an all in one solution for digitizing your spray record keeping. Keep detailed records of all spray applications, including date, time, location, and weather conditions. Easily record and update spray and pesticide applications as you go using the mobile app.

Spray records are a food safety verification tool that can show all label recommendations were followed and consumers were not put at risk due to unsafe pest management practices. • Food processors may require pesticide records to evaluate the potential for residues and for requirements of their.

Read the label. The label will list the percentage of active ingredient. Calculate the weight of pesticide product to apply per acre. The weight of pesticide product to apply per acre is the pesticide application rate (pounds per acre) divided by the percent concentration.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232