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Record Layouts

Form 26

Reporting Columns - 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

Record Keeping Columns - 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

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Form 26A

For each commercial applicator, technician and anti-fouling applicator report these fields using Form 26A. All columns are usually required (non-registered businesses making pesticide applications (such as a golf course, cemetery, greenhouse, etc.) may omit the Business Registration Number).

1. Certification ID Number

2. Business Registration Number

3. Applicator First Name

4. Applicator Last Name

5. Applications Indicator

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Form 26A

For each commercial applicator, technician and anti-fouling applicator report these fields using Form 26A. All columns are required.

1. Certification ID Number

2. Applicator First Name

3. Applicator Last Name

4. Applications Indicator

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Form 26A

For each commercial applicator, technician and anti-fouling applicator report these fields using Form 26A.

Option A - All columns are usually required (non-registered businesses making pesticide applications (such as a golf course, cemetery, greenhouse, etc.) may omit the Business Registration Number).

1. Certification ID Number

2. Business Registration Number

3. Applicator First Name

4. Applicator Last Name

5. Applications Indicator

Option B - All columns are required.

1. Certification ID Number

2. Applicator First Name

3. Applicator Last Name

4. Applications Indicator

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