Fumigation Management Plan for Burrowing Pests

Treatment Date
Certified Applicator Name & License #
Site / Field Address

Emergency Contact Information

Product Information

500 tablets per flask

Application Site Information

Type of Fumigation
Type of Property
Site suitable fumigation
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Tunnel / Burrow System more than 100 feet from inhabited structures.
Site drawing included (with location of structures and general location of areas within flelds or pastures treated, if entire area was not treated.)
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    Pre-Application Checklist

    All assisting persons informed of accident reporting and emergency procedures.
    Label, MSDS, and Applicator's Manual reviewed with all assisting persons.
    All assisting persons provided and wear proper protective equipment - gloves.
    Any nearby people notified of application.
    Have placards been placed?
    Application Date
    Time
    :

    Post-Application Checklist

    All burrows sealed after treatment.
    All assisting persons informed of and perform hand washing after treatment.
    Clothing and gloves aerated prior to laundering.
    Product returned to locked, secured area when not in use.
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    Max. file size: 512 MB.

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