Section R3-3-302. Form 1080; Requirement for Written Recom- mendation

A.      A PCA or regulated grower shall provide the following infor- mation, as applicable, in writing on a Form 1080, sign the form, and provide a copy to the custom applicator before each pesticide application that is to be made by a custom applicator:

1.        Name and permit number of the seller;

2.        Date the recommendation is written;

3.        Name and permit number of the regulated grower upon whose application site the pesticide will be applied;

4.        County where the application site is located;

5.        Pest conditions present;

6.        Whether the application site is within a pesticide manage- ment area under R3-3-304;

7.        Anticipated date of harvest;

8.        Restricted entry interval;

9.        Label days to harvest;

10.     Date recommended for the pesticide application;

11.     Specific application site being treated;

12.     Township, range, and section of the application site;

13.     Number of acres or application sites in each section being treated;

14.     Additional field description, if any;

15.     Brand name and EPA registration number of the pesticide to be applied or number of the pesticide regulated under Section 18 of FIFRA to be applied;

16.     Rate and unit of measure per acre or dilution per 100 gal- lons;

17.     Total quantity of pesticide concentrate to be applied;

18.     Total acres to be treated and total volume per acre or total number of application sites to be treated;

19.     Whether the application includes an active ingredient that appears on the Arizona Department of Environmental Quality groundwater protection list and is soil-applied as defined in A.A.C. R18-6-101;

20.     Whether a supplemental label is required;

21.     Method of pesticide application;

22.     Label restrictions or special instructions, if any;

23.     Name of the custom applicator making the application;

24.     Anticipated pesticide delivery location; and

25.     Signature and credential number of the regulated grower or PCA making the recommendation.

B.       A custom applicator shall not apply a pesticide unless the cus- tom applicator has received a signed copy of the recommenda- tion from the PCA or the regulated grower on the Form 1080 before the application. The custom applicator shall apply the pesticide according to the recommendation on the Form 1080 unless the recommendation conflicts with the pesticide label or labeling, in which case the custom applicator shall note these deviations on the Form 1080 and apply the pesticide according to the pesticide label or labeling, or as provided in R3-3-301(A).

C.      Before the application of a pesticide recommended by a PCA, the PCA shall notify the regulated grower, or the regulated grower’s representative, of the scheduled application date. If the application date or time changes from that scheduled with the regulated grower, the custom applicator shall notify the regulated grower of the revised date and time of the applica- tion.

D.      After completing the application, the custom applicator shall sign the pesticide application report portion of Form 1080 to verify that the pesticide was applied according to the recom- mendation and provide the following information in writing on the form:

1.        Date and time of each application;

2.        Date and time of the first and last spot application and a general description of the location, if applicable;

3.        Wind direction and velocity;

4.        Tag number, if applicable;

5.        Name and credential number of the grower or custom applicator business;

6.        Signature and credential number of the applicator; or name of the application equipment operator, and if a restricted use pesticide is applied, the signature and cre- dential number of the certified applicator; and

7.        Any deviation from the recommendation.

E.       Reporting shall be as prescribed in R3-3-404.

Historical Note

Adopted effective November 20, 1987 (Supp. 87-4). Renumbered from R3-10-302 (Supp. 91-4). Section repealed; new Section made by final rulemaking at 10

A.A.R. 276, effective March 6, 2004 (Supp. 04-1).