Back to the Grape IPM Home Page Updated 11/1/2002    
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The Lake Erie Regional Grape Program
Grape Integrated Pest Management Vineyard Pesticide Use Record
New York State IPM Program
Vineyard Pesticide Use Record
Certified Applicators Name: NYSDEC Pesticide Applicator I.D. Number:
Street Address: Phone Number:
City, State, Zip: County:
Variety: Block:
Please write or print legibly  
List Separately Below, All Pesticides Used
DATE STAGE OF GROWTH NAME OF PESTICIDE & FORMULATION EPA REGISTRATION NO.* RATE/
ACRE
GALLONS/
ACRE
ACRES SPRAYED TARGET PEST WEATHER CONDITIONS COMMENTS (see back for add't comments APPLICATORS
INITIALS
                     
                     
                     
                     
                     
                     
                     
                     
                     
                     
                     
                     
*EPA registration number is required for RESTRICTED USE pesticides
GROWER SIGNATURE: DATE:

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Updated Friday, November 1, 2002 1:42 P.M.