| Pesticide Name | Manufacturer | EPA Reg. No. | Quantity On Hand | Unit | Expiration Date | Storage Location |
|---|---|---|---|---|---|---|
| Date Applied | Pesticide Name | Crop/Block/Area Treated | Rate per Acre/Liter | Total Amount Used | Unit | Reason for Use | Weather (Temp/Wind) | Entry Interval | Applicator Initials |
|---|---|---|---|---|---|---|---|---|---|