Big Marble Farms Chemical Disclosure Form
Chemical Review
Application Number
Department
Select
Greenhouse 1
Greenhouse 2
Greenhouse 3
County Zone 1-4
County Zone 7-8
Redcliff
Chemicals already used in this crop cycle
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
Crop Plant Date
Select the date this crop was planted.
Date of Application
Chemical Name
Select department, crop and crop month first
Checking chemical availability...
PCP #
Rate Applied per Unit Area
Total Amount Used
Method of Application
Select
Spray
LVM
Soil Drench
Reason for Application
Area Treated (Compartments/Rows)
Time Applied
Pre-Harvest Interval (PHI)
Automatically determined from the selected chemical and crop.
Earliest Allowable Harvest Date
Automatically calculated from the application date and 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
