| 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: |
| 412 E. Main Street, Fredonia, N.Y. 14063 | Telephone: 716-672-5296 | E-mail: Webmaster |