1.0 Contact Information 1.1 Exterminator Information Name: Fred J. Wright Name: Fred J. Wright Licence Number: 80-01-4568 Tel. No.: 905-123-4567 Fax No: 905-899-1547 Email: 2.0 Pesticide Information and Summary for all Treatments Permit No. 3589-62IPZ2 Pesticide Amount Amount & Rate Total Area (ha) Total Area *Maximum Product Allowed under Used for all Allowed under (ha) number of Name Permit Treatments Permit Treated treatments Vectobac 18 200 kg 180 kg 20 1 200G 10 kg/ha 8 Aquabac 200 kg 0 20 0 0 200G Aquabac xt 1.8 L 1.8L 3 3 1 600 ml/ha Vectolex 67.2 kg 50.4 kg 3 1 CG 16.8 kg/ha Altosid 0.146 L 0.110 L 2 1.5 1 Liquid 73 ml/ha Larvicide *Maximum number of treatments is the greatest number of treatments applied to any individual location. 3.0 Treatment locations [a separate must be provided for each round] Round #1 July 1st 7th Permit No. 3589-62IPZ2 – Name Total Total and Reg. Site Amount Area Rate No. of identified of Treated Applied Product on Permit Product (ha) Used Applied Vectobac 10 Oneville 15.5 155 kg 200G (kg/ha) Vectobac 7 Twotown 2 14 kg 200G (kg/ha)
1.0 Contact Information Name: Fred J. Wright Tel. No.: 905-123-4567 Fax No: 905-899-1547 Email: 1.1 Exterminator Information Name: Fred J. Wright Licence Number: 80-01-4568 2.0 Pesticide Information and Summary for all Treatments Permit No. 3589-62IPZ2 Pesticide Product Name Amount Allowed under Permit Amount & Rate Used for all Treatments Total Area (ha) Allowed under Permit Total Area (ha) Treated *Maximum number of treatments Vectobac 200G 200 kg 180 kg 10 kg/ha 20 18 1 Aquabac 200G 200 kg 0 20 0 0 Aquabac xt 1.8 L 1.8L 600 ml/ha 3 3 1 Vectolex CG 67.2 kg 50.4 kg 16.8 kg/ha 3 1 Altosid Liquid Larvicide 0.146 L 0.110 L 73 ml/ha 2 1.5 1 *Maximum number of treatments is the greatest number of treatments applied to any individual location. 3.0 Treatment locations [a separate must be provided for each round] Round #1 July 1st – 7th Permit No. 3589-62IPZ2 Name and Reg. No. of Product Used Site identified on Permit Total Area Treated (ha) Total Amount of Product Applied Rate Applied Vectobac 200G Oneville 15.5 155 kg 10 (kg/ha) Vectobac 200G Twotown 2 14 kg 7 (kg/ha) 8