Herd No: _______________ Pesticide Application Record Year:________ Sprayer Cert Nos (for all sprayers > 5 years old used on the farm): ________________________________________ Date Product Name Crop / Situation Location / Area / Water Method of Buffer Nozzle Rationale / Applied applied and (e.g. Spring Barley, LPIS No. Tonnage rate Volume Zone type Reason for by / PU Winter wheat, PCS No. Treated Use No. (L or kg / ha) (L/ha) (0nly if (Boom Grassland etc.) using (ha / t) sprayer, (metres) STRIPE) Knapsack / Wiper, etc.) Doxstar Pro Grassland E12345678 4 ha 2.0 l/ha 350 Boom 5m Dock Sprayer control 05459
Herd No: _______________ Pesticide Application Record Year:________ Sprayer Cert Nos (for all sprayers > 5 years old used on the farm): ________________________________________ Date applied Product Name and PCS No. Crop / Situation (e.g. Spring Barley, Winter wheat, Grassland etc.) Location / LPIS No. Area / Tonnage Treated (ha / t) rate (L or kg / ha) Water Volume (L/ha) Method of (Boom sprayer, Knapsack / Wiper, etc.) Buffer Zone (metres) Nozzle type (0nly if using STRIPE) Rationale / Reason for Use Applied by / PU No. Doxstar Pro Grassland E12345678 4 ha 2.0 l/ha 350 Boom Sprayer 5m Dock control 05459
IPMPesticideApplicationRecordSheet240418.docx