Agricultural Spray Records Checklist
Grower Name
First Name
Last Name
Grower Number
Application Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Start
Time Stop
Temp. Average While Spraying
Wind Conditions
Calm
Cloudy
Lighting
Raining
Storm
Strong Winds
Sunny
Windy
Applicator Name
First Name
Last Name
Applicator Number
Fruit Growth Stage
Bud development
Leaf development
Shoot development
Flower emergence
Flowering
Fruit development
Maturity of fruit
Target Disease or Pest
Pesticide Trade Name
Please list below active ingredients
*
EPA Registration Number
Total Number of Acres Treated
Amount per Acre Applied
Total Amount Applied
Unit Price
Total Cost
Additional Notes
Agricultural Applicator Signature
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