Site / Location: _______________ Pesticide Application Record – Amenity Areas Year:________ Date applied Product Name Situation / area treated: Location – Outline map Area Treated Application rate Water Method of Buffer Nozzle type Rationale / and and (e.g. amenity grass, (identifying treated area) (Ha or M2) (l or kg of Volume Application Zone (0nly if using Reason for Use _________________ __________________ crop hard surface, or other identification product / ha) (L/ha) (Horizontal Boom Applied STRIPE*) PU Number of PCS No. crop permeable etc.) feature, e.g. tees, greens, sprayer, Knapsack, (metres) *STRIPE Only applies person applying fairways (incl No. 1-18), Wiper, Applicator to boom sprayer street, roadway etc etc.) application
Site / Location: _______________ Pesticide Application Record – Amenity Areas Year:________ Date applied and _________________ PU Number of person applying Product Name and __________________ PCS No. Situation / area treated: (e.g. amenity grass, hard surface, permeable etc.) Location – Outline map (identifying treated area) or other identification feature, e.g. tees, greens, fairways (incl No. 1-18), street, roadway etc Area Treated (Ha or M2) Application rate (l or kg of product / ha) Water Volume (L/ha) Method of Application (Horizontal Boom sprayer, Knapsack, Wiper, Applicator etc.) Buffer Zone Applied (metres) Nozzle type (0nly if using STRIPE*) *STRIPE Only applies to boom sprayer application Rationale / Reason for Use crop crop