Iowa Administrative Code
Agency 21 - Agriculture and Land Stewardship Department
Chapter 45 - Pesticides
Rule 21-45.28 - Emergency Single Purchase/single Use of Restricted Pesticide

Universal Citation: IA Admin Code 21-45.28
Current through Register Vol. 47, No. 6, September 18, 2024

The department shall issue a temporary certificate to private applicators for a single purchase/single use of restricted pesticides in situations declared to be an emergency by the department, upon receipt of the following Cornpleted and signed affidavit.

21-45.28(206) EMERGENCY USE OF A RESTRICTED USE PESTICIDE BY A PRIVATE APPLICATOR

Emergency Single Purchase/Single Use of Restricted Pesticide-Affidavit. The Label which I have read, indicates:

Brand name of pesticide:_____________________________________________________________

Federal Registration Number:_________________________________________________________

Name of Active Ingredient(s):_________________________________________________________

Percentage of Active Ingredient(s):_____________________________________________________

If the pesticide product is to be mixed with a carrier, show the amount of pesticide product per gallon of tank mix:

Application rate per acre:_____________________________________________________________

Name pest to be controlled:___________________________________________________________

At what stage of development is the pest most easily controlled:

State degree of hazard (signal word):___________________________________________________

Describe safety equipment required:____________________________________________________

What is the reCornmended antidote for this product:_______________________________________

List environmental precaution shown on label:___________________________________________

Length of time until re-entry, if given:__________________________________________________

Preharvest interval days required:______________________________________________________

Describe method of container disposal:__________________________________________________

I wish to make application of this pesticide on (date)__________________________________________ and I hereby swear under penalty of perjury that I understand the above label information and warnings.

_________________________

(name of private applicator)

This rule is intended to implement Iowa Code sections 206.4 and 206.5.

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