Nursery Chemical Application Report
Nursery Name:
Location:
Date of Application:
Time of Application:
Person(s) Applying Chemical:
Weather Conditions:
Wind Direction & Speed:
Temperature:
Chemical Details
Chemical/Product Name
EPA Registration #
Target Pest/Disease/Weed
Rate per Acre
Total Amount Used
Area Treated
REI (Restricted Entry Interval)
PHI (Pre-Harvest Interval)
Method of Application
Notes/Observations:
Signature:
Date: