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Past Chemical Applications
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Big Marble Farms Chemical Disclosure Form
Application Number
Department
Select
Greenhouse 1
Greenhouse 2
Greenhouse 3
County Zone 1-4
County Zone 7-8
Redcliff
Applicator
Select
Duane Camaisa
Delfin Camaisa
Remson Osuna
Marty Wagenaar
Keith Vis
Other
If "Other", please specify applicator name
Crop Type
LE
MC
Beefsteak
Roma
TOV/Avalantino
Cocktail
Cherry
Grape Tomatoes
Chemical Name
PCP #
Rate Applied per Unit Area
Total Amount Used
Method of Application
Select
Spray
LVM
Soil Drench
Reason for Application
Area Treated (Compartments/Rows)
Date of Application
Time Applied
Earliest Allowable Harvest Date
Pre-Harvest Interval (PHI)
Who was it applied by?
Were the label instructions followed?
Yes
No
Was the chemical jug label legible?
Yes
No
Was the chemical jug stored properly?
Yes
No
Submit
