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Notice of Pesticide Application to Hypersensitivity Registrant

Hypersensitivity Notifications

Pesticide Application Notices

Applicator Name	Registrant Name	Notification Date	Application Date	Completion Date	Contact Type	Created On	Actions
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Notice of Pesticide Application to Hypersensitivity Registrant

Notification Date & Time

Notification Date & Time *

—

Select date and time

Registrant Information

First Name *

Last Name *

Street Address *

Street Address Line 2

City *

State

Zip Code

Application Date & Time

Application Date & Earliest Possible Start Time

—

Completion Date & Latest Possible End Time

—

Herbicide Used

Herbicide Selection * (Hold Ctrl/Cmd to select multiple) Hold Ctrl (Windows) or Cmd (Mac) to select multiple herbicides

Contact Method

Contact Type *

Email Available No Email (Phone)

Registrant Email * example@example.com

Phone Number of Registrant *

Phone Contact Type (Attempt 1) *

Time of Contact (Attempt 1) *

Phone Contact Type (Attempt 2)

Time of Contact (Attempt 2)

Phone Contact Type (Attempt 3)

Time of Contact (Attempt 3)

Call Script Reference

CALL SCRIPT: (When no email is available)

Hello, this is a Hypersensitivity Registry Notification.

My name is Applicator Name.

I'm calling from Allen Chase Enterprises, Inc. BU#13219.

The application will be made on ??/??/???? and completing on ??/??/????.

We will be applying herbicides to the shoulder of the road near address not set.

The herbicides that will be used include none selected.

If you would like to contact us for further label information, please call 315.216.6337.

Thank you.

Applicator Information

Applicator Fullname *

Notes

Esplanade 200 SC: (Indaziflam), EPA Reg. No. 432-1515
Whetstone: (Triisopropanolammonium Salt), EPA Reg. No. 81927-82
Method 240 SL: (Potassium Salt of Aminocycylopyrachlor), EPA Reg. No. 432-1565
Plateau: (Ammonium Salt of Imazipic), EPA Reg. No. 241-365
Round-Up Pro Concentrate: (Glyphosate), EPA Reg. No. 524-529
Oust XP: (Sulfometuron Methyl), EPA Reg. No. 524-475
Escort XP: (Metsulfuron Methyl), EPA Reg. No. 432-1549
Alligare 90: (Alkylpolyoxethylene, humecants), EPA Reg. No. N/A
Brewer 90-10: (Polyethylene-Polypropylene Glycol), EPA Reg. No. N/A
Milestone: (Triisopropanolammonium Salt), EPA Reg. No. 62719-519
Aqua Neat: (Glyphosate), EPA Reg. No. 228-365
Freelex: (2,4-Dichlorophenoxyacetic Acid), EPA Reg. No. 62719-634
Garlon 3A: (Triclopyr), EPA Reg. No. 62719-37
41-A: (Polyacrylamide/Polysaccharide Polymer), EPA Reg. No. N/A
Dry Defoamer: (Polydimethylsiloxane), EPA Reg. No. N/A
Pathfinder II: (Triclopyr), EPA Reg. No. 62719-176
Roundup Custom: (Glyphosate), EPA Reg. No. 524-343
Habitat: (Isopropylamine Salt of Imazapyr), EPA Reg. No. 241-426
Method 240SL: (Potassium Salt of Aminocyclopyrachlor), EPA Reg. No. 432-1565
Accord XRT II: (Glyphosate), EPA Reg. No. 62719-556
Polaris: (Isopropylamine Salt of Imazapyr), EPA Reg. No. 228-534
Method 50SG: (Aminocyclopyrachlor), EPA Reg. No. 432-1566
Oust Extra: (Sulfometuron Methyl), EPA Reg. No. 432-1557
Cide-Kick II: (d'limonene), EPA Reg. No. N/A
Krenite S: (Ammonium Salt of Fosamine), EPA Reg. No. 42750-247
AgriStar 2,4-D: (Dimethylamine salt), EPA Reg. No. 42750-19
AquaMaster: (Glyphosate isopropylamine salt), EPA Reg. No. 524-343
Farmworks: (Glyphosate, isopropylamine salt), EPA Reg. No. 84009-12
MSM 60: (Metsulfuron-methyl), EPA Reg. No. 81927-7
SFM 75: (Sulfometuron-methyl), EPA Reg. No. 81927-26
Platoon: (2,4-dichlorophenoxyacetic acid), EPA Reg. No. 228-145
CleanCut: (Aliphatic Based Petroleum Oil), EPA Reg. No. N/A