Pesticides Section

Summary of Pesticide Record Keeping Requirements For Growers and Applicators

Required Items	USDA Requirements for Private & Commercial Applicators (Restricted Use Pesticides)	NCPL Requirements for Commercial Applicators & Public Operators (Restricted Use Pesticides)	NCPL Requirements for Aerial Applicators (All Pesticides)	*Federal & State Requirements for Agricultural Employers (WPS)** (Agricultural Use Pesticides)
Brand Name/ Product Name
EPA Reg. No.
Total Amount of Pesticide Used		Amount/unit of measure(e.g acre)	Amount of formulated product or active ingredient/acre Plus amount of tank mix/acre	_
Date of Application			& Time of application	& Time of application
Description/Location of Treated Area
Crop, Commodity, or Stored Product				_
Size of Area Treated				_
Name & Address of Property Owner or Operator				_
Name of Applicator				_
Name of Licensee	or name of supervisor		Name of contractor & signature of record keeper	_
Certification No.		_	_	_
Active Ingredients	_	_	_
Restricted Entry Interval	_	_	_
Record Must Be...	Kept 2 years & completed within 14 days of application	Kept 3 years	Kept 3 years & completed within 72 hours after application	Kept 30 days after the REI expiration & completed prior to application

* The Federal Worker Protection Standard has been adopted by reference by the NC Pesticide Board. This standard requires that pesticide information be posted in a central location on an agricultural establishment.

NCDA&CS Structural Pest Control & Pesticide Division, James W. Burnette, Jr., Director
Mailing Address: 1090 Mail Service Center, Raleigh, NC 27699-1090
Physical Address: 2109 Blue Ridge Rd., Raleigh, NC 27607
Phone: (919) 733-3556 ; FAX: (919) 733-9796