Dacs 13340 Form PDF Details

Navigating the complexities of agricultural laws and safety standards can seem daunting, especially when it comes to the crucial task of pesticide application and recordkeeping. The DACS-13340 form, introduced by the Florida Department of Agriculture and Consumer Services Division of Agricultural Environmental Services, emerges as an essential tool in this landscape. Designed to streamline the process of recording and maintaining pesticide application records, this form addresses the dual requirements of restricted use pesticides and the Worker Protection Standard central posting mandates. By offering a structured format for documentation, the DACS-13340 form not only assists in compliance with Florida Pesticide Law and the Worker Protection Standards but also serves as a comprehensive record-keeping solution for licensed applicators and property owners authorizing pesticide applications. Covering everything from the treatment site details and pesticide brand name to the active ingredients and application methods, this form, if properly completed, stands as an indispensable asset for ensuring safety, compliance, and efficient agricultural practices. With specific sections dedicated to location, applicator records, and timing considerations for central location posting, it underscores the legal and safety obligations tied to pesticide applications, aiming to protect both workers and the environment.

QuestionAnswer
Form NameDacs 13340 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesfdacs wps, suggested pesticide recordkeeping form, pesticide recordkeeping form printable, suggested fdacs wps

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Florida Department of Agriculture and Consumer Services

Division of Agricultural Environmental Services

SUGGESTED FDACS-WPS PESTICIDE RECORDKEEPING FORM

CHARLES H. BRONSON

 

Sections 487.051(2), 487.081(6)(b), and 487.160, F.S.; Rules 5E-2.039 and 5E-9.032, F.A.C.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMISSIONER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Licensed Applicator (R)

 

 

License No. (R)

 

 

 

Property Owner Authorizing Application (R)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Date

 

Actual applicator if

 

 

 

 

Total

 

 

 

 

Total

 

 

 

 

2.

Start Time

 

different from above

1.

Location/Description of

 

Size of

 

1.

Pesticide Brand Name (R/W)

 

Amt. of

 

Restricted

 

 

3.

End Time

 

(Include license no. if

 

Treatment Site (R/W)

 

Treatment

 

2.

EPA Reg. No. (R/W)

 

Pesticide

Application

Entry

 

 

 

(All - R/W)

 

licensed) (R)

2.

Target Site or Crop (R)

 

Area (R)

 

3.

Active Ingredients (W)

 

Applied (R)

Method (R)

Interval (W)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DACS-13340, Rev. 09/07

(R) = For Restricted Use Pesticides

(W) = For Worker Protection Standard Requirements

(Vea dorso para definición de terminos en español)

 

 

 

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Pesticide Application Recordkeeping Facts

FDACS recommends recordkeeping for all pesticide applicators regulated by Chapter 487,F.S., using this form or similar format. When properly completed, this form meets restricted use pesticides and the Central Posting requirements for the federal Worker Protection Standard.

 

 

Florida Pesticide Law

 

Worker Protection Standards

Requirements

(Restricted Use Pesticide Licensed

 

 

(All Agricultural Use Pesticides)

 

 

Applicator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Central Location

Record Location

 

Applicator Records

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Recordkeeping Time

 

 

 

 

30 days

after REI expiration time

 

2 yrs

after application date

 

 

 

and/or application time (for

 

(Section 487.160, F.S.)

 

 

 

 

pesticides without an REI)

 

 

 

 

 

 

 

 

 

 

(40 CFR Part 170.122 & 170.222)

 

 

 

 

 

 

 

Other WPS Pesticide Application Record Timing Considerations for Cetnral Location

If field warning signs are posted for a treated area before an application, the pesticide record application information for that application shall be posted at the same time or earlier. The information shall be posted before the application takes place, if workers will be on the establishment during application. Otherwise, the information shall be posted at the beginning of any worker’s first work period.

Use warning signs correctly, it’s the Law!

The signs shall be posted no sooner than 24 hours before the scheduled application of the pesticide,

remain posted throughout the application and any restricted entry interval. They must be removed within 3 days after the end of the pesticide application, restricted-entry interval expiration time and before agricultural workers entry is permitted.

QUICK SPANISH TRANSLATIONOF PESTICIDE APPLICATION RECORD TERMS:

(Referencia breve sobre términos encontrados en el récord de aplicación de pesticidas)

1.Fecha

2.Hora de comienzo

3.Hora final (R y W)

Nombre del aplicador actual si es deferente al menchionado arriba (incluya el número de licencia si aplica) (R)

1.Lugar / Descripción del área tratada (R y W)

2.Cultivo Tratado (R)

Tamaño total de

área tratada

4.Nombre del Pesticida (R & W)

5.Núm de Registro de “EPA” (R y W)

6.Ingredients(s) Activo (W)

Cantidad total del pesticida aplicado

(R)

Método de Aplicación

(R)

Intervalo de

entrada

restringida (W)

Claves -

(R) - Requisito para aplicadores certificados utilizando pesticias de uso restringido agrícola.

 

(W) - Requisito bajo las Normas para la Protecci

 

n al Trabajador Agr cola

DACS-13340, Rev. 09/07

 

ó

í

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