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RODUCT BRAND NAME (labeled as) STATE/EPA REGISTRATION NUMBER REGISTERED PRODUCT BRAND NAME EPA ESTABLISHMENT NUMBER DATE SAMPLED REGISTRANT/MANUFACTURER EPA FIRM NUMBER SAMPLE NUMBER LOT NUMBER LABEL IDENTIFICATION/INVOICE NUMBER QUANTITY x CONTAINER SIZE X B. Possessor Information POSSESSOR/SELLER/BUSINESS NAME TELEPHONE NUMBER (include Area Code) DATE POSSESSOR RECEIVED LOT STREET ADDRESS (number and name) CITY/STATE ZIP CODE LOT RECEIVED FROM CITY/STATE ZIP CODE C. Signal.

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Related content

Pesticide Use Reporting (PUR) Forms
The Pesticide Use Reporting (PUR) forms are available in PDF format. These forms must be...
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A restricted-entry interval (REI) is the period of time that agricultural workers, or anyone else, must not do hand labour in treated areas after a pesticide has been applied. This is to allow residues and vapours to dissipate to safe levels for work to be performed. An REI can range from 12 hours to several days.

The schoolsite must report only pesticides applied by schoolsite staff. This includes weed-killing pesticides. Self-contained bait stations, indoor gel or paste crack-and-crevice treatments, antimicrobials, and FIFRA 25(b) minimum-risk pesticides are exempt from reporting by schoolsite staff.

Structural pest control operators shall submit a monthly pesticide use report with a Structural Pest Control Board stamp by the 10th day of the month following the month of application. A Negative Use Report is required each month that no pest control is performed.

The California Department of Pesticide Regulation keeps a record of where and when agricultural pesticides are used. CalEnviroScreen includes the most toxic pesticides that people may be exposed to that are used in California agriculture.

The Pesticide Use Reporting (PUR) forms are available in PDF format: These forms must be downloaded, filled out, printed, and then submitted to your local county agricultural commissioner by mail or delivered in person. Your pesticide use report cannot be saved or submitted from this website.

Crop, commodity, or site treated; Total acreage treated; Name, manufacturer, and registration number of the pesticide used; Pesticide rate (per acre) and dilution.

In general, the two- to three-year period becomes the unofficial expiration and warranty date for most pesticides. You can assume that if you don't see storage restrictions on the label that the formulation is rather stable.

Keep records of pesticide applications, and file these records for at least 4 years. Submit annual pesticide use reports to DPR by January 30 for the previous year's applications. Only report pesticide use by school personnel. Anyone using these products at schoolsites must receive HSA training.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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