IR-4 MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page 1
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1 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page Project Title (pesticide/commodity): Investigator (name, address, phone): Address of Experimental Plots: Target Pest(s), or Use: Experimental Pesticide: Manufacturer: EPA Reg. No.: CAS No.: Batch/Lot No.: Chemical Standard: Manufacturer: EPA Reg. No.: CAS No.: Batch/Lot No.: Planting Date: Transplanting Date: Emergence Date: Plot Size and Experimental Design: Row Spacing: Plant Spacing: Soil Type: ph: % Organic Matter: Maintenance Chemicals/Pesticides Applied Product Date Rates Growth Stage Reason Cultural Practices (fertilization, cultivation, rotation crops, etc.):
2 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page APPLICATION DATA Treatment Application Rate Application Volume of Spray Date TRT# (eg. x Spinosad) (lb.ai/a) Type Mixture
3 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page Application # Date: Crop Growth Stage: SPRAY RECORD TABLE (use additional sheets, if necessary) Soil Moisture: Air Temp.: Soil Temp.: Relative Humidity: Wind Speed/Direction: Cloud Cover %: st Rainfall After Trt.: Comments: Crop Stress: Application # Date: Crop Growth Stage: Soil Moisture: Air Temp.: Soil Temp.: Relative Humidity: Wind Speed/Direction: Cloud Cover %: st Rainfall After Trt.: Crop Stress: Comments: Application # Date: Crop Growth Stage: Soil Moisture: Air Temp.: Soil Temp.: Relative Humidity: Wind Speed/Direction: Cloud Cover %: st Rainfall After Trt.: Crop Stress: Comments:
4 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page IR- RAINFALL/IRRIGATION RECORDS/TABLE Submit a copy of the test site=s daily rainfall and irrigation records, or Assign each colum (A-F) a month. For each day with rain or days when irrigation was applied, note the amount (in cm or inches) and circle either R for rainfall or I for irrigation. Please record rainfall amounts for two weeks before beginning of study and continue for duration of trial. On bottom of page specify type of irrigation (e.g. overhead, trickle, furrow). Day A. B. C. D. E. F. R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I 5 R/I R/I R/I R/I R/I R/I 6 R/I R/I R/I R/I R/I R/I 7 R/I R/I R/I R/I R/I R/I 8 R/I R/I R/I R/I R/I R/I 9 R/I R/I R/I R/I R/I R/I 0 R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I 5 R/I R/I R/I R/I R/I R/I 6 R/I R/I R/I R/I R/I R/I 7 R/I R/I R/I R/I R/I R/I 8 R/I R/I R/I R/I R/I R/I 9 R/I R/I R/I R/I R/I R/I 0 R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I 5 R/I R/I R/I R/I R/I R/I 6 R/I R/I R/I R/I R/I R/I 7 R/I R/I R/I R/I R/I R/I 8 R/I R/I R/I R/I R/I R/I 9 R/I R/I R/I R/I R/I R/I 0 R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I R/I Total
5 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page 5 IR- PERFORMANCE TABLE - EFFICACY - TABULAR DATA Pest: Pest: Pest: Pest: Treatment Rate (lb.ai/a) Rep. Date: Date: Date: Date: Control* NA Control NA Control NA Control NA Control NA NOTE: Define measurement of pest population and efficacy scale (e.g. 0-00: with 0=no control and 00=complete control). *In herbicide trials report for both weedy check and weed-free check.
6 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page 6 IR- PERFORMANCE TABLE - PHYTOTOXICITY - TABULAR DATA Phyto rate # Phyto rate # Phyto rate # Phyto rate # Treatment Rate (lb.ai/a) Rep. Date: Date: Date: Date: Control NA Control NA Control NA Control NA Control NA NOTE: Define measurement of phytotoxicity, or index of injury
7 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page 7 IR- PERFORMANCE TABLE - YIELD/QUALITY - TABULAR DATA Harvest # Harvest # Harvest # Date: Date: Date: Treatment Rate (lb.ai/a) Rep. Units: Units: Units: Crop Quality Rating Control NA Control NA Control NA Control NA Control NA
8 IR- MINOR USE PERFORMANCE FORM PR NO. Date of Report Field I.D. No. Page 8 Narrative summary of results and additional notes (include drawing of plot design) Rev. 0/09
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