General and Restricted Use Pesticide Application Records for Penn State Applicators Business License Name: Business Unit License Number: EPA Completion Date Site Name/Address Registration Time Applicator Name Amount (m/d/y) Dosage Brand # of (AM/PM) or Rate Name Pesticide Start Reentry Application Location Active Used Applicator Certification Time* Used time* Detail Ingredient* Number (AM/PM) (hrs.) AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
General and Restricted Use Pesticide Application Records for Penn State Applicators Business License Name: Business Unit License Number: Date (m/d/y) Site Name/Address Brand Name EPA Registration # Dosage or Rate Used Amount of Pesticide Used Completion Time (AM/PM) Applicator Name Start Time* (AM/PM) Application Location Detail Active Ingredient* Reentry time* (hrs.) Applicator Certification Number AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM
psu_pesticide_management_program_manual_revised_12-17_0.docx