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- Form AES-41-06 "Commercial Pesticide Applicator Record Keeping Form" - Louisiana
Form AES-41-06 "Commercial Pesticide Applicator Record Keeping Form" - Louisiana
What Is Form AES-41-06?
This is a legal form that was released by the Louisiana Department of Agriculture & Forestry - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on February 1, 2008;
- The latest edition provided by the Louisiana Department of Agriculture & Forestry;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of Form AES-41-06 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Agriculture & Forestry.
Download Form AES-41-06 "Commercial Pesticide Applicator Record Keeping Form" - Louisiana
![Form AES-41-06 "Commercial Pesticide Applicator Record Keeping Form" - Louisiana](https://data.templateroller.com/pdf_docs_html/1811/18119/1811999/page_1_thumb.png "Form AES-41-06 "Commercial Pesticide Applicator Record Keeping Form" - Louisiana")
1
L
D
A
& F
*4106*
OUISIANA
EPARTMENT OF
GRICULTURE
ORESTRY
M
S
, C
DVM
IKE
TRAIN
OMMISSIONER
Agricultural & Environmental Sciences, 5825 Florida Blvd, Suite 3003, Baton Rouge, LA 70806, (225) 925-3796, FAX (225) 925-3760
COMMERCIAL PESTICIDE APPLICATOR RECORD KEEPING FORM
OWNER / OPERATOR (FIRM):
LICENSE NUMBER:
CERTIFIED APPLICATOR:
ADDRESS:
LDAF CARD NUMBER:
CUSTOMER
PESTICIDE APPLIED
APPLICATOR
1
NAME
ADDRESS
BRAND NAME
EPA REG.
RUP
CROP OR
LOCATION
SIZE OF
RATE
TOTAL AMT.
NAME
DATE
LDAF CARD
2
4
OF PRODUCT
NUMBER
TYPE OF
OF APP.
AREA
OF
APPLIED
OF APP.
NUMBER
3
APP.
TREATED
APP.
(IF APPLIC.)
1. Check if Pesticide is a Restricted Use Pesticide.
2. Field number or other reference as to the location of the application.
3. Acres, square feet, minutes of spraying, etc.
4. Refers to total amount of pesticide product (concentrate) used.
L
D
A
& F
*4106*
OUISIANA
EPARTMENT OF
GRICULTURE
ORESTRY
M
S
, C
DVM
IKE
TRAIN
OMMISSIONER
Agricultural & Environmental Sciences, 5825 Florida Blvd, Suite 3003, Baton Rouge, LA 70806, (225) 925-3796, FAX (225) 925-3760
COMMERCIAL PESTICIDE APPLICATOR RECORD KEEPING FORM
OWNER / OPERATOR (FIRM):
LICENSE NUMBER:
CERTIFIED APPLICATOR:
ADDRESS:
LDAF CARD NUMBER:
CUSTOMER
PESTICIDE APPLIED
APPLICATOR
1
NAME
ADDRESS
BRAND NAME
EPA REG.
RUP
CROP OR
LOCATION
SIZE OF
RATE
TOTAL AMT.
NAME
DATE
LDAF CARD
2
4
OF PRODUCT
NUMBER
TYPE OF
OF APP.
AREA
OF
APPLIED
OF APP.
NUMBER
3
APP.
TREATED
APP.
(IF APPLIC.)
1. Check if Pesticide is a Restricted Use Pesticide.
2. Field number or other reference as to the location of the application.
3. Acres, square feet, minutes of spraying, etc.
4. Refers to total amount of pesticide product (concentrate) used.
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![](https://www.pinterest.com/pin/create/button/?url=/template/1811999/form-aes-41-06-commercial-pesticide-applicator-record-keeping-form-louisiana.html&media=https://data.templateroller.com/pdf_docs_html/1811/18119/1811999/form-aes-41-06-commercial-pesticide-applicator-record-keeping-form-louisiana_big.png&description=Form AES-41-06 "Commercial Pesticide Applicator Record Keeping Form" - Louisiana Download Pdf){kind=small}
Most popular documents
-
DA Form 2062 "Hand Receipt/Annex Number"
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DD Form 1750 "Packing List"
-
IRS Form W-2 "Wage and Tax Statement"
-
DA Form 31 "Request and Authority for Leave"
-
DD Form 1351-2 "Travel Voucher or Subvoucher"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
-
DD Form 2656 "Data for Payment of Retired Personnel"
-
DD Form 2813
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- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
- USCIS Form I-797C, Notice of Action USCIS Form I-797C, Notice of Action
