Tda Q527 Form PDF Details

In the realm of agriculture, especially when it pertains to the application of pesticides, meticulous documentation is not just important—it's mandated. The Texas Department of Agriculture's TDA Q527 form plays a crucial role in this process, serving as a comprehensive record for pesticide applicators. This form captures a wide range of essential details, including the business or applicator's name and address, alongside the specifics of the pesticide application. These specifics include the date and time the application started, location and site treated, wind direction and velocity, air temperature, and the name of the person for whom the application was made. Additionally, it records the product's trade name, its EPA registration number, the target pest, and the rate at which the product was used per unit area. The form goes further to document the method or type of equipment used for the application, including an FAA "N" number for aerial applications, indicating stringent regulations even in the skies. Whether the application occurred in a regulated county, if a regulated herbicide permit number was involved, and the names and license numbers of both licensed and non-licensed applicators form part of this record. The form also asks for the total acres or volume of area treated and the total volume of spray mix, dust, granules, or other materials applied. To ensure accountability and compliance, it includes a section for documenting the training verification of non-licensed applicators, be it through a direct supervisor affidavit, a Worker Protection Standard (WPS) Handler Card, or a signed and dated label. The meticulous nature of the TDA Q527 form reflects the stringent regulatory framework governing pesticide use in Texas, designed to ensure environmental safety, public health, and regulatory compliance.

QuestionAnswer
Form NameTda Q527 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestexas department of agriculture pesticide applicator record, applicator record, texas pesticide record, application name applicator pdf

Form Preview Example

 

Texas Department of Agriculture

TDA Q527

Pesticide Applicator Record

7/15

 

Business/Applicator Name ____________________________________ Address ______________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COM M ISSIONER SID M ILLER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application

Time Started

Name of the person for

 

Location of Land Treated

 

 

Site Treated

 

Wind

Wind

 

Air

 

 

Date

 

whom the application

 

 

 

 

 

 

 

 

 

 

Direction

Velocity

 

Temp

 

 

 

 

was made

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product Trade Name

EPA Registration

 

 

Target Pest

Rate of Product Per

 

 

Method or Type of Equipment

 

FAA “N” Number for Aerial

 

 

 

 

Number

 

 

 

Unit

 

 

Used To Make Application

 

Application Equipment:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is Application Applied in Regulated County: □ Yes

□ No

 

Regulated Herbicide Permit Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Licensed Applicator’s Name and License Number

 

Non-licensed Applicator’s Name

Working

 

Total Acres or Volume

Total Volume of Spray Mix, Dust, Granules

 

 

 

 

 

 

Under Licensee

 

 

 

of Area Treated

or Other Materials Applied Per Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Documentation used to verify training of non-licensed applicator (Mark Applicable Box)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□ Direct Supervisor Affidavit

□WPS Handler Card

□Signed & Dated Label

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application

Time Started

Name of the person for

 

Location of Land Treated

 

 

Site Treated

 

Wind

Wind

 

Air

 

 

Date

 

whom the application

 

 

 

 

 

 

 

 

 

 

Direction

Velocity

 

Temp

 

 

 

 

was made

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Product Trade Name

EPA Registration

 

 

Target Pest

Rate of Product Per

 

 

Method or Type of Equipment

 

FAA “N” Number for Aerial

 

 

 

 

Number

 

 

 

Unit

 

 

Used To Make Application

 

Application Equipment:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is Application Applied in Regulated County: □ Yes

□No

 

Regulated Herbicide Permit Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Licensed Applicator’s Name and License Number

 

Non-licensed Applicator’s Name

Working

 

Total Acres or Volume

Total Volume of Spray Mix, Dust, Granules

 

 

 

 

 

 

Under Licensee

 

 

 

of Area Treated

or Other Materials Applied Per Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Documentation used to verify training of non-licensed applicator (Mark Applicable Box)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□ Direct Supervisor Affidavit

□WPS Handler Card

□Signed & Dated Label