PESTICIDE INVENTORY FORM| ASCS Farm/Field #: |
Acres:
|
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| Location/Legal Description: | |||||
| Crop: | Planting Date: | ||||
| Soil Test Information | N: | lbs | pH: | ||
| P2O5: | lbs | OM: | |||
| K2O: | lbs | ||||
| Fertilizer Applied: | Method: | ||||
| Application Date/Time | ||
| Restricted Entry Interval | ||
| Product Name & EPA Reg. No. | ||
| Target Pest | ||
| Active Ingredients | ||
| Rate of Formulation/Acre | ||
| Method/Equipment | ||
| Total Amount Applied | ||
| Applicator's Cert. no. | ||
| Applicator's Initials |
| Application Date/Time | ||
| Restricted Entry Interval | ||
| Product Name & EPA Reg. No. | ||
| Target Pest | ||
| Active Ingredients | ||
| Rate of Formulation/Acre | ||
| Method/Equipment | ||
| Total Amount Applied | ||
| Applicator's Cert. no. | ||
| Applicator's Initials |
