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Application ReportAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566
Job #: 232515Batch #: 146Airport: Sac City Municipal AirportPilot/Operator: Pete PilotPilot/Operator Address: 100 Main St., Red Oak, IA, 51566Ground support provided by: Retailer
Customer: Tri-County Coop - Red Oak123 Main St., Anytown, IA 51566(555) 555-1212Kevin Britten - 712-623-4446
Grower: Fred Farmer1354 160th Ave., Red Oak, IA 51566(712) 555-1212Acres: 82Crop: Corn Purpose: DiseaseState: IA County: SacTownship: Boyer ValleyTier & Range: 33-88N-37WCenter: 42.393571° -95.152834°Field name(s): Ponderosa
Product(s) Provided by Customer:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedHeadline
(pyraclostrobin)BASF No 7969-186 6.0 flozs 82 3.8438 gallons
Product(s) Provided by Applicator:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedCrop Oil Concentrate Distributor No Exempt 1.0 pint 82 10.25 gallons
Carrier:Product Rate per Acre Acres Total Volume UsedWater 1.83 gallons 82 149.9 gallons
GPA: 2.0
REI (hours): Headline - 12
PPE: Headline - Coveralls, chemical resistant, waterproof gloves, shoes plus socks
PHI: Headline - Corn: 7 days; Soybean: 21 days
Comments: Watch 10' pole in SW corner
App. Date Range Actual App. TimeReleased byCustomer App. Start Date App. End Date
Assigned App.Date
Actual App.Date Start Time End Time
YES Aug 09 Aug 14 Aug 09 Aug 09, 2012 01:00 PM 01:50 PMTemperature Wind Direction Wind Speed Acres Applied Log File(s)86.0 SW 5.0 82 08091301.log
Pilot/Operator Name Pilot/OperatorPest. Lic. # Business Name Bus. Pest. Lic. # Plane N#/
EquipmentPete Pilot IA 456789 AgriSmart Aerial IA 567890 N555KC
Createdat08/09/201204:06PM
Job#232515
Created at 08/09/2012 04:06 PM Job # 232515
Application ReportAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566
Job #: 232515Batch #: 146Airport: Sac City Municipal AirportPilot/Operator: Pete PilotPilot/Operator Address: 100 Main St., Red Oak, IA, 51566Ground support provided by: Retailer
Customer: Tri-County Coop - Red Oak123 Main St., Anytown, IA 51566(555) 555-1212Kevin Britten - 712-623-4446
Grower: Fred Farmer1354 160th Ave., Red Oak, IA 51566(712) 555-1212Acres: 82Crop: Corn Purpose: DiseaseState: IA County: SacTownship: Boyer ValleyTier & Range: 33-88N-37WCenter: 42.393571° -95.152834°Field name(s): Ponderosa
Product(s) Provided by Customer:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedHeadline
(pyraclostrobin)BASF No 7969-186 6.0 flozs 82 3.8438 gallons
Product(s) Provided by Applicator:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedCrop Oil Concentrate Distributor No Exempt 1.0 pint 82 10.25 gallons
Carrier:Product Rate per Acre Acres Total Volume UsedWater 1.83 gallons 82 149.9 gallons
GPA: 2.0
REI (hours): Headline - 12
PPE: Headline - Coveralls, chemical resistant, waterproof gloves, shoes plus socks
PHI: Headline - Corn: 7 days; Soybean: 21 days
Comments: Watch 10' pole in SW corner
App. Date Range Actual App. TimeReleased byCustomer App. Start Date App. End Date
Assigned App.Date
Actual App.Date Start Time End Time
YES Aug 09 Aug 14 Aug 09 Aug 09, 2012 01:00 PM 01:50 PMTemperature Wind Direction Wind Speed Acres Applied Log File(s)86.0 SW 5.0 82 08091301.log
Pilot/Operator Name Pilot/OperatorPest. Lic. # Business Name Bus. Pest. Lic. # Plane N#/
EquipmentPete Pilot IA 456789 AgriSmart Aerial IA 567890 N555KC
Createdat08/09/201204:07PM
Job#232515
Created at 08/09/2012 04:07 PM Job # 232515
InvoiceAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566 - (800) 890-6945
Bill To:Fred FarmerRed Oak1354 160th Ave., Red Oak, IA 51566(712) 555-1212
Invoiced on: August 09, 2012Invoice #: 144126Job #: 232515Sprayed on: August 09, 2012
Invoice Due on: August 24, 2012
RetailerTri-County Coop123 Main St., Anytown, IA 51566Joe Retailer(555) 555-1212
Product(s) Provided by Customer:Product QuantityHeadline (6.0 flozs) 3.8438 gallons
Grand Total $10.50 $861.00Please pay this amount by August 24, 2012Any balance due after this date will be assessed an 18% APR service charge
* Product prices based on August pricesRefer to Application Reports, Job number 232515 for full details
Comments: Watch 10' pole in SW corner
Thank you for your business!Created at 08/09/2012 04:08 PM Job # 232515
Application ReportAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566
Job #: 232515Batch #: 146Airport: Sac City Municipal AirportPilot/Operator: Pete PilotPilot/Operator Address: 100 Main St., Red Oak, IA, 51566Ground support provided by: Retailer
Customer: Tri-County Coop - Red Oak123 Main St., Anytown, IA 51566(555) 555-1212Kevin Britten - 712-623-4446
Grower: Fred Farmer1354 160th Ave., Red Oak, IA 51566(712) 555-1212Acres: 82Crop: Corn Purpose: DiseaseState: IA County: SacTownship: Boyer ValleyTier & Range: 33-88N-37WCenter: 42.393571° -95.152834°Field name(s): Ponderosa
Product(s) Provided by Customer:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedHeadline
(pyraclostrobin)BASF No 7969-186 6.0 flozs 82 3.8438 gallons
Product(s) Provided by Applicator:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedCrop Oil Concentrate Distributor No Exempt 1.0 pint 82 10.25 gallons
Carrier:Product Rate per Acre Acres Total Volume UsedWater 1.83 gallons 82 149.9 gallons
GPA: 2.0
REI (hours): Headline - 12
PPE: Headline - Coveralls, chemical resistant, waterproof gloves, shoes plus socks
PHI: Headline - Corn: 7 days; Soybean: 21 days
Comments: Watch 10' pole in SW corner
App. Date Range Actual App. TimeReleased byCustomer App. Start Date App. End Date
Assigned App.Date
Actual App.Date Start Time End Time
YES Aug 09 Aug 14 Aug 09 Aug 09, 2012 01:00 PM 01:50 PMTemperature Wind Direction Wind Speed Acres Applied Log File(s)86.0 SW 5.0 82 08091301.log
Pilot/Operator Name Pilot/OperatorPest. Lic. # Business Name Bus. Pest. Lic. # Plane N#/
EquipmentPete Pilot IA 456789 AgriSmart Aerial IA 567890 N555KC
Createdat08/09/201204:06PM
Job#232515
Created at 08/09/2012 04:06 PM Job # 232515
Application ReportAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566
Job #: 232515Batch #: 146Airport: Sac City Municipal AirportPilot/Operator: Pete PilotPilot/Operator Address: 100 Main St., Red Oak, IA, 51566Ground support provided by: Retailer
Customer: Tri-County Coop - Red Oak123 Main St., Anytown, IA 51566(555) 555-1212Kevin Britten - 712-623-4446
Grower: Fred Farmer1354 160th Ave., Red Oak, IA 51566(712) 555-1212Acres: 82Crop: Corn Purpose: DiseaseState: IA County: SacTownship: Boyer ValleyTier & Range: 33-88N-37WCenter: 42.393571° -95.152834°Field name(s): Ponderosa
Product(s) Provided by Customer:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedHeadline
(pyraclostrobin)BASF No 7969-186 6.0 flozs 82 3.8438 gallons
Product(s) Provided by Applicator:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedCrop Oil Concentrate Distributor No Exempt 1.0 pint 82 10.25 gallons
Carrier:Product Rate per Acre Acres Total Volume UsedWater 1.83 gallons 82 149.9 gallons
GPA: 2.0
REI (hours): Headline - 12
PPE: Headline - Coveralls, chemical resistant, waterproof gloves, shoes plus socks
PHI: Headline - Corn: 7 days; Soybean: 21 days
Comments: Watch 10' pole in SW corner
App. Date Range Actual App. TimeReleased byCustomer App. Start Date App. End Date
Assigned App.Date
Actual App.Date Start Time End Time
YES Aug 09 Aug 14 Aug 09 Aug 09, 2012 01:00 PM 01:50 PMTemperature Wind Direction Wind Speed Acres Applied Log File(s)86.0 SW 5.0 82 08091301.log
Pilot/Operator Name Pilot/OperatorPest. Lic. # Business Name Bus. Pest. Lic. # Plane N#/
EquipmentPete Pilot IA 456789 AgriSmart Aerial IA 567890 N555KC
Createdat08/09/201204:07PM
Job#232515
Created at 08/09/2012 04:07 PM Job # 232515
InvoiceAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566 - (800) 890-6945
Bill To:Fred FarmerRed Oak1354 160th Ave., Red Oak, IA 51566(712) 555-1212
Invoiced on: August 09, 2012Invoice #: 144126Job #: 232515Sprayed on: August 09, 2012
Invoice Due on: August 24, 2012
RetailerTri-County Coop123 Main St., Anytown, IA 51566Joe Retailer(555) 555-1212
Product(s) Provided by Customer:Product QuantityHeadline (6.0 flozs) 3.8438 gallons
Grand Total $10.50 $861.00Please pay this amount by August 24, 2012Any balance due after this date will be assessed an 18% APR service charge
* Product prices based on August pricesRefer to Application Reports, Job number 232515 for full details
Comments: Watch 10' pole in SW corner
Thank you for your business!Created at 08/09/2012 04:08 PM Job # 232515
Application ReportAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566
Job #: 232515Batch #: 146Airport: Sac City Municipal AirportPilot/Operator: Pete PilotPilot/Operator Address: 100 Main St., Red Oak, IA, 51566Ground support provided by: Retailer
Customer: Tri-County Coop - Red Oak123 Main St., Anytown, IA 51566(555) 555-1212Kevin Britten - 712-623-4446
Grower: Fred Farmer1354 160th Ave., Red Oak, IA 51566(712) 555-1212Acres: 82Crop: Corn Purpose: DiseaseState: IA County: SacTownship: Boyer ValleyTier & Range: 33-88N-37WCenter: 42.393571° -95.152834°Field name(s): Ponderosa
Product(s) Provided by Customer:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedHeadline
(pyraclostrobin)BASF No 7969-186 6.0 flozs 82 3.8438 gallons
Product(s) Provided by Applicator:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedCrop Oil Concentrate Distributor No Exempt 1.0 pint 82 10.25 gallons
Carrier:Product Rate per Acre Acres Total Volume UsedWater 1.83 gallons 82 149.9 gallons
GPA: 2.0
REI (hours): Headline - 12
PPE: Headline - Coveralls, chemical resistant, waterproof gloves, shoes plus socks
PHI: Headline - Corn: 7 days; Soybean: 21 days
Comments: Watch 10' pole in SW corner
App. Date Range Actual App. TimeReleased byCustomer App. Start Date App. End Date
Assigned App.Date
Actual App.Date Start Time End Time
YES Aug 09 Aug 14 Aug 09 Aug 09, 2012 01:00 PM 01:50 PMTemperature Wind Direction Wind Speed Acres Applied Log File(s)86.0 SW 5.0 82 08091301.log
Pilot/Operator Name Pilot/OperatorPest. Lic. # Business Name Bus. Pest. Lic. # Plane N#/
EquipmentPete Pilot IA 456789 AgriSmart Aerial IA 567890 N555KC
Createdat08/09/201204:06PM
Job#232515
Created at 08/09/2012 04:06 PM Job # 232515
Application ReportAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566
Job #: 232515Batch #: 146Airport: Sac City Municipal AirportPilot/Operator: Pete PilotPilot/Operator Address: 100 Main St., Red Oak, IA, 51566Ground support provided by: Retailer
Customer: Tri-County Coop - Red Oak123 Main St., Anytown, IA 51566(555) 555-1212Kevin Britten - 712-623-4446
Grower: Fred Farmer1354 160th Ave., Red Oak, IA 51566(712) 555-1212Acres: 82Crop: Corn Purpose: DiseaseState: IA County: SacTownship: Boyer ValleyTier & Range: 33-88N-37WCenter: 42.393571° -95.152834°Field name(s): Ponderosa
Product(s) Provided by Customer:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedHeadline
(pyraclostrobin)BASF No 7969-186 6.0 flozs 82 3.8438 gallons
Product(s) Provided by Applicator:Product Company Restricted Use? EPA Reg # Rate per Acre Acres Total Volume UsedCrop Oil Concentrate Distributor No Exempt 1.0 pint 82 10.25 gallons
Carrier:Product Rate per Acre Acres Total Volume UsedWater 1.83 gallons 82 149.9 gallons
GPA: 2.0
REI (hours): Headline - 12
PPE: Headline - Coveralls, chemical resistant, waterproof gloves, shoes plus socks
PHI: Headline - Corn: 7 days; Soybean: 21 days
Comments: Watch 10' pole in SW corner
App. Date Range Actual App. TimeReleased byCustomer App. Start Date App. End Date
Assigned App.Date
Actual App.Date Start Time End Time
YES Aug 09 Aug 14 Aug 09 Aug 09, 2012 01:00 PM 01:50 PMTemperature Wind Direction Wind Speed Acres Applied Log File(s)86.0 SW 5.0 82 08091301.log
Pilot/Operator Name Pilot/OperatorPest. Lic. # Business Name Bus. Pest. Lic. # Plane N#/
EquipmentPete Pilot IA 456789 AgriSmart Aerial IA 567890 N555KC
Createdat08/09/201204:07PM
Job#232515
Created at 08/09/2012 04:07 PM Job # 232515
InvoiceAgriSmart Aerial - PO Box 542 - Red Oak, IA 51566 - (800) 890-6945
Bill To:Fred FarmerRed Oak1354 160th Ave., Red Oak, IA 51566(712) 555-1212
Invoiced on: August 09, 2012Invoice #: 144126Job #: 232515Sprayed on: August 09, 2012
Invoice Due on: August 24, 2012
RetailerTri-County Coop123 Main St., Anytown, IA 51566Joe Retailer(555) 555-1212