PESTICIDE SPRAY DIARY Meets Recording Requirements for Pesticide Applications under the following - Ag Vet Control of use Regulations NT Prepared by: Department of Primary Industry and Fisheries Chemical Services Section Version 5 Department of Primary Industry and Fisheries Page 1 of 23
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PESTICIDE SPRAY DIARYMeets Recording Requirements for Pesticide Applications under the following
- Ag Vet Control of use Regulations NT
Prepared by:Department of Primary Industry and Fisheries
Chemical Services SectionVersion 5
Department of Primary Industry and Fisheries Page 1 of 19
Agricultural Chemical Spray Record[Suitable for frequent application to the same areas – such as owners and employees of farming
operations]Name & Address of person for whom the spraying was carried out [land owner or lessee: ................................................................................................................................................
Authorisation for S7 or Restricted Product (if applicable) ......................................................
Certification by OperatorI hereby certify that this spray diary contains a true and accurate record of my agricultural spraying activities on the properties described in this diary.Signed : Operator1: ..............................................................Date:............/......../............
Signed : Operator 2: ..............................................................Date:............/......../............
Signed : Operator 3: ..............................................................Date............./......../............
Signed : Operator 4: ..............................................................Date ............/......../............
The information in this diary must be retained for 2 years after the date of spray application as prescribed in the Agricultural and Veterinary Control of Use Regulations, 2004, regulation 9.
Department of Primary Industry and Fisheries Page 2 of 19
Property Map and Location – Property 1Address of property........................................................................................................................................................................................
Department of Primary Industry and FisheriesPage 3 of 19
Property Map and Location – Property 2Address of property:.......................................................................................................................................................................................
Department of Primary Industry and FisheriesPage 4 of 19
Department of Primary Industry and FisheriesPage 5 of 19
RECORDS OF PESTICIDE APPLICATIONS CARRIED OUT
Department of Primary Industry and FisheriesPage 6 of 19
Department of Primary Industry and FisheriesPage 7 of 19
Department of Primary Industry and FisheriesPage 8 of 19
Department of Primary Industry and FisheriesPage 9 of 19
Department of Primary Industry and FisheriesPage 10 of 19
Department of Primary Industry and FisheriesPage 11 of 19