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For each product in each pesticide application, report these fields using Form 26.  All columns are required except for the End Date.

1. EPA Registration Number

2. Product Name

3. Quantity

4. Units of Measure

5. Application Date

6. End Date

7. County Code

8. Address

9. Municipality

10. Zip Code

These columns are optional; you may use them to fulfill the record keeping requirements of the PRL.

    11. Dosage Rate

    12. Method of Application

    13. Target Organism(s)

    14. Place of Application