Form DP-58 "Spray System Set-Up Verification Documentation" - Arkansas

What Is Form DP-58?

This is a legal form that was released by the Arkansas Agriculture Department - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2013;
  • The latest edition provided by the Arkansas Agriculture Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DP-58 by clicking the link below or browse more documents and templates provided by the Arkansas Agriculture Department.

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Download Form DP-58 "Spray System Set-Up Verification Documentation" - Arkansas

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Spray System Set-up
DP-58 (Rev5-13)
Verification Documentation
Business Name
Operator Name
Mailing Address
City
State
Zip Code
County
Phone # (
) _______ -
Fax # (
) ______ -
E-mail____________________________
Equipment ID or AN@#
Type sprayer (truck, buggy, tractor, aircraft, or?)
Model #
(G)
(A/G)
Application rate
(A/G)
Boom Length
(A/G)
Boom Height
(G)
Wing or rotor span
(A)
Nozzle description - be specific
(A/G)
Nozzle discharge or fan angle
(A/G)
Nozzle orientation with the air stream
(A)
Rate (GPA)
Speed (MPH)
Pressure
Orifice Size
Orifice angle
# of Nozzles
List all nozzle sizes - if more than one size/style is used.
___________________________________________________________________________________________________________
Analyst information:
Name __________________________________
Business: __________________________________________________
Address _________________________________
City ______________________ State ____________ Zip ___________
Phone _________________________
Fax # ______________________ E-mail address_____________________________
Technician:
Boom length % of wing/rotor span __________________________________________________________ (70/80%) (A)
Distance below trailing edge _______________________________________________________________ (10" or greater) (A)
Air Shear Angle _________________________________________________________________________ (30 deg. or less) (A)
Nozzle fan angle _________________________________________________________________________ (65 deg. or greater) (A/G)
Nozzle release height
(A/G)
VMD__________________________________________________________________________________ (A)
VD.1 __________________________________________________________________________________ (A)
VD.9 __________________________________________________________________________________ (A)
% <100 Microns _________________________________________________________________________ (A)
% <200 Microns _________________________________________________________________________ (A)
Spray Classification Category _______________________________________________________________(Medium or larger) (A/G)
I have evaluated this spray platform utilizing accepted engineering and scientific practices and found it to comply with the
Regulation as promulgated by the ASPB, pursuant to Act 389 of 1975, as amended.
Analysts Signature ___________________________________________________
(Attach curriculum Vitae)
*A-Air Only
G- Ground Only A/G-Both Air and Ground
Spray System Set-up
DP-58 (Rev5-13)
Verification Documentation
Business Name
Operator Name
Mailing Address
City
State
Zip Code
County
Phone # (
) _______ -
Fax # (
) ______ -
E-mail____________________________
Equipment ID or AN@#
Type sprayer (truck, buggy, tractor, aircraft, or?)
Model #
(G)
(A/G)
Application rate
(A/G)
Boom Length
(A/G)
Boom Height
(G)
Wing or rotor span
(A)
Nozzle description - be specific
(A/G)
Nozzle discharge or fan angle
(A/G)
Nozzle orientation with the air stream
(A)
Rate (GPA)
Speed (MPH)
Pressure
Orifice Size
Orifice angle
# of Nozzles
List all nozzle sizes - if more than one size/style is used.
___________________________________________________________________________________________________________
Analyst information:
Name __________________________________
Business: __________________________________________________
Address _________________________________
City ______________________ State ____________ Zip ___________
Phone _________________________
Fax # ______________________ E-mail address_____________________________
Technician:
Boom length % of wing/rotor span __________________________________________________________ (70/80%) (A)
Distance below trailing edge _______________________________________________________________ (10" or greater) (A)
Air Shear Angle _________________________________________________________________________ (30 deg. or less) (A)
Nozzle fan angle _________________________________________________________________________ (65 deg. or greater) (A/G)
Nozzle release height
(A/G)
VMD__________________________________________________________________________________ (A)
VD.1 __________________________________________________________________________________ (A)
VD.9 __________________________________________________________________________________ (A)
% <100 Microns _________________________________________________________________________ (A)
% <200 Microns _________________________________________________________________________ (A)
Spray Classification Category _______________________________________________________________(Medium or larger) (A/G)
I have evaluated this spray platform utilizing accepted engineering and scientific practices and found it to comply with the
Regulation as promulgated by the ASPB, pursuant to Act 389 of 1975, as amended.
Analysts Signature ___________________________________________________
(Attach curriculum Vitae)
*A-Air Only
G- Ground Only A/G-Both Air and Ground