Pesticide Application Notification Form
Pesticide Application Notification
A pesticide application is scheduled for / was performed on:
Date:_____7/16/26______ Time:____8:30 AM______
Pesticide Information:
Common Name Trade Name EPA Registration Number
Ranger Pro Glyphosate, N-(phosphonomethyl) glycine, in the form of isopropylamine salt 524-517
Pendulum AquaCap Pendimethalin: N(1-athylpropul) – 3,4-dimethyl-2,6dinitrobenzenamine 241-416
Excpected Area of pesticide application: Fern Ridge Middle School entire grounds. Specifically fence lines, building foundations, sidewalks, etc.
Expected date of application: 7/16/2026
Reentry Time: 7/17/2026 at 8:00 AM
Reason for Application: Weeds are growing in areas that is prohibitive of getting the actual root. Mechanical methods are of little use.
