Form DPR-REG-027B "Pesticide Research Authorization (Additional Pesticides)" - California

What Is Form DPR-REG-027B?

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

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the California Department of Pesticide Regulation;
  • 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 fillable version of Form DPR-REG-027B by clicking the link below or browse more documents and templates provided by the California Department of Pesticide Regulation.

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Download Form DPR-REG-027B "Pesticide Research Authorization (Additional Pesticides)" - California

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State of California
DPR Use ONLY
Department of Pesticide Regulation
Pesticide Research Authorization, Additional Pesticides
DPR-REG-027b (Est. 4/15)
NOTE: Use as many pages as you need. Refer to DPR-REG-27a for instructions.
Pesticide Research Authorization (Additional Pesticides)
Additional Pesticide(s)
2. Product Name
3. U.S. EPA Reg. or EUP No
4. Pesticide Reg. Type
5. Fumigant
(if any)
(check one)
Yes
No
Fed
CA
Both
Unreg
6. Active Ingredient(s)
7. Maximum Rate
8. Method of Application (check one or more)
of A.I.
Aerial
Handheld
Ground
Chemigation
________________________________
9. Type of Pesticide (check one or more)
Insecticide
Herbicide
Defoliant
Rodenticide
Plant Growth Regulator
Pheromone
Spray Adjuvant
Fungicide
Desiccant
Nematicide
_________________________________________
10. Formulation
11. Residue Tolerance
12. Multiple
13. Max Size of
14. Max #
15. Total Area or
(check one)
Applications
Each Trial
of Trials
Units
Yes
No
Exempt
Yes
No
16. Stage of Growth (check one or more – Pre- and Post-harvest cannot both be selected on one RA)
Seeds
Pre-plant
Pre-emergent
Growing season
Pre-harvest
Post-harvest
Dormant
___________________
17. Commodity, Crop Group or Site to be Treated
18. Disposition of Treated Commodity
(check one)
A
Harvest
Non-Crop
Destruct
B
Harvest
Non-Crop
Destruct
C
Harvest
Non-Crop
Destruct
2. Product Name
3. U.S. EPA Reg. or EUP No
4. Pesticide Reg. Type
5. Fumigant
(if any)
(check one)
Yes
No
Fed
CA
Both
Unreg
6. Active Ingredient(s)
7. Maximum Rate
8. Method of Application (check one or more)
of A.I.
Aerial
Handheld
Ground
Chemigation
________________________________
9. Type of Pesticide (check one or more)
Insecticide
Herbicide
Defoliant
Rodenticide
Plant Growth Regulator
Pheromone
Spray Adjuvant
Fungicide
Desiccant
Nematicide
_________________________________________
10. Formulation
11. Residue Tolerance
12. Multiple
13. Max Size of
14. Max #
15. Total Area or
(check one)
Applications
Each Trial
of Trials
Units
Yes
No
Exempt
Yes
No
16. Stage of Growth (check one or more – Pre- and Post-harvest cannot both be selected on one RA)
Seeds
Pre-plant
Pre-emergent
Growing season
Pre-harvest
Post-harvest
Dormant
__________________
17. Commodity, Crop Group or Site to be Treated
18. Disposition of Treated Commodity
(check one)
A
Harvest
Non-Crop
Destruct
B
Harvest
Non-Crop
Destruct
C
Harvest
Non-Crop
Destruct
24. Signature of Responsible Researcher
Date
DPR Approval
Date
Page ___ of ___
State of California
DPR Use ONLY
Department of Pesticide Regulation
Pesticide Research Authorization, Additional Pesticides
DPR-REG-027b (Est. 4/15)
NOTE: Use as many pages as you need. Refer to DPR-REG-27a for instructions.
Pesticide Research Authorization (Additional Pesticides)
Additional Pesticide(s)
2. Product Name
3. U.S. EPA Reg. or EUP No
4. Pesticide Reg. Type
5. Fumigant
(if any)
(check one)
Yes
No
Fed
CA
Both
Unreg
6. Active Ingredient(s)
7. Maximum Rate
8. Method of Application (check one or more)
of A.I.
Aerial
Handheld
Ground
Chemigation
________________________________
9. Type of Pesticide (check one or more)
Insecticide
Herbicide
Defoliant
Rodenticide
Plant Growth Regulator
Pheromone
Spray Adjuvant
Fungicide
Desiccant
Nematicide
_________________________________________
10. Formulation
11. Residue Tolerance
12. Multiple
13. Max Size of
14. Max #
15. Total Area or
(check one)
Applications
Each Trial
of Trials
Units
Yes
No
Exempt
Yes
No
16. Stage of Growth (check one or more – Pre- and Post-harvest cannot both be selected on one RA)
Seeds
Pre-plant
Pre-emergent
Growing season
Pre-harvest
Post-harvest
Dormant
___________________
17. Commodity, Crop Group or Site to be Treated
18. Disposition of Treated Commodity
(check one)
A
Harvest
Non-Crop
Destruct
B
Harvest
Non-Crop
Destruct
C
Harvest
Non-Crop
Destruct
2. Product Name
3. U.S. EPA Reg. or EUP No
4. Pesticide Reg. Type
5. Fumigant
(if any)
(check one)
Yes
No
Fed
CA
Both
Unreg
6. Active Ingredient(s)
7. Maximum Rate
8. Method of Application (check one or more)
of A.I.
Aerial
Handheld
Ground
Chemigation
________________________________
9. Type of Pesticide (check one or more)
Insecticide
Herbicide
Defoliant
Rodenticide
Plant Growth Regulator
Pheromone
Spray Adjuvant
Fungicide
Desiccant
Nematicide
_________________________________________
10. Formulation
11. Residue Tolerance
12. Multiple
13. Max Size of
14. Max #
15. Total Area or
(check one)
Applications
Each Trial
of Trials
Units
Yes
No
Exempt
Yes
No
16. Stage of Growth (check one or more – Pre- and Post-harvest cannot both be selected on one RA)
Seeds
Pre-plant
Pre-emergent
Growing season
Pre-harvest
Post-harvest
Dormant
__________________
17. Commodity, Crop Group or Site to be Treated
18. Disposition of Treated Commodity
(check one)
A
Harvest
Non-Crop
Destruct
B
Harvest
Non-Crop
Destruct
C
Harvest
Non-Crop
Destruct
24. Signature of Responsible Researcher
Date
DPR Approval
Date
Page ___ of ___