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PESTICIDE USE AND APPLICATION RECORD

Name of farmer:
Farm location:
Crop:

Date applied
Name
of operator
Hours worked
Field name/
number
Pesticide
Application

Reason
for applic.

Harvest interval
Harvest date
 
 
 
 
Product name
Active ingred-ient
Supp-lier
Rate
Method
 
 
 
































































































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Natural Resources Institute 2003