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The license could not be verified: License Certificate has expired! Administrators, please check your license details here.

For each product in each pesticide application, report these fields using Form 26.  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.

    11. Dosage Rate

    12. Method of Application

    13. Target Organism(s)

    14. Place of Application

 

 

 

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