Spray Notice Request Form

Maricopa Agricultural Center
Spray Notice Request

Spray Notice Assignment Number:
**** Please Enter All the Correct Information including EPA #'s. Thank you.
RESEARCH FARM	DEMO FARM
AERIAL SPRAY	GROUND SPRAY
BACK-PACK/HAND SPRAY	S-TINE (INCORPORATE)
SPRAY DATE:
TIME OF DAY FOR SPRAYING:
DATE & TIME OF RE-ENTRY:
CHEMICAL(S):
ACTIVE INGREDIENT(S):
EPA REGISTRATION #:
FIELD NUMBER(S):	BENCHES/BRDRS:
PROJECT LEADER(S):	PROJECT LEADER EMAIL ADDRESS:
DATE SUBMITTED:
* All Spraying Operations performed by our farm crew require 24 Hours of Advanced Notice prior to requested time of application..

This Spray Notice Request for the Maricopa Agricultural Center is being sent to Justin Bond, Maricopa Agricultural Center, a department within the College of Agriculture and Life Sciences at the University of Arizona.