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titleForm 26...

Reporting Columns

All columns are required except for the End Date.

  1. EPA Registration Number

  2. Product Name

  3. Quantity

  4. Units of Measure

  5. Application Date

  6. End Date

  7. County Code

  8. Address

  9. Municipality

  10. Zip Code

Record Keeping Columns

These columns are optional; you may use them to fulfill the record keeping requirements of the PRL.

  1. Dosage Rate
  2. Method of Application
  3. Target Organism(s)
  4. Place of Application

Address

Report the street address including the building or lot number where the pesticide was applied or the purchaser intended to apply.  We cannot accept P.O. Boxes in this column. 

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