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Pesticide Recordkeeping Form for Oklahoma Commercial and Non

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									Pesticide Recordkeeping Form for Oklahoma
Commercial and Non-commercial Applicators
Form Number
Required Information
  Start & Stop Time of Application
   Total Amount of Pesticide Used
     Name of Applicator Company
                Company address



                Name of Customer
                Customer address



                 Legal Description
                Date of Application
                  Application Rate
           Dilution Rate for mixing
Total quantity of pesticide tank mix
                               used
                      Trade Name
         EPA Registration Number
                       Target Pest
      Site where pesticide applied
    Restricted Entry Interval (REI)
            Copy of pesticide labelAttach to sheet
    Copies of any contracts issued Not Applicable
                     (Category 7B)
    Copies of any wood infestation     Not Applicable
        report WIR (Category 7B)
Optional Information
       Certified Applicator Number
        Company License Number
                       Wind Speed
                    Wind Direction
                      Temperature
      Acres or square feet treated
                                   2
 Application Volume GPA or GPft
   Application Rate ounces, pints,
   quarts, per acre or square feet
                         Tank Size

								
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