Restricted Use Pesticide Application Log
General Information
Date of Application
Time of Application
Location/Field
Applicator Name
Applicator License Number
Crop/Site Treated
Acres/Area Treated
Pesticide Information
Pesticide Product Name
EPA Registration #
Active Ingredient
Rate (per acre or area)
Total Amount Used
Application Details
Method of Application
Equipment Used
Weather Conditions
Wind Speed/Direction
Target Pest(s)
Notes/Comments