Get Example Form For Glyphosate Single Written Statement

Filling out the Example Form For Glyphosate Single Written Statement online is an essential step for individuals and organizations involved in glyphosate applications. This guide provides clear instructions to help you successfully complete each section of the form.

Follow the steps to complete your form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, provide the name of the person or entity completing the form. Clearly write your name on the designated line labeled 'Name.'
3. Next, fill in your address on the line marked 'Address' to ensure that your contact information is correctly recorded.
4. For the glyphosate applications, describe the equipment set up and application methods being utilized. Start by entering the identification number of the aircraft in the field labeled 'Aircraft “N” No.'
5. Indicate the nozzle type you will be using in the 'Nozzle Type' field. Select a type that matches your equipment.
6. Next, enter the nozzle size on the 'Nozzle Size' line. This information is critical for ensuring proper application.
7. For the 'Direction of Spray Leaving Nozzle' field, specify the direction in which the spray will be traveling once it exits the nozzle.
8. Provide the nozzle pressure at the boom in the 'Nozzle Pressure at Boom' section, ensuring that this is measured accurately.
9. Indicate the adjuvants and/or additives used per 100 gallons of spray in the corresponding field to maintain compliance with existing regulations.
10. Document the aircraft speed during application, measured in miles per hour, in the designated section labeled 'Aircraft Speed During Application.'
11. Enter the intended swath width in feet on the line labeled 'Intended Swath Width.' This will help determine the area being treated.
12. Fill in the number of nozzles delivering spray in the 'Number of Nozzles Delivering Spray' section to provide accurate information about your application setup.
13. For the 'VMD' field, specify the volume median diameter if available, which is necessary for application precision.
14. Lastly, indicate the source of the VMD on the line provided under 'VMD Source.' This information can be critical for record-keeping.
15. Sign the form in the 'Signed' field and date it in the section labeled 'Date.' Make sure your signature is clear and legible.
16. Once all sections are filled out, save your changes, and you have the option to download, print, or share the completed form.

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