Transcription of COMMODITY VENDOR DECLARATION SERIAL NUMBER
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COMMODITY VENDOR DECLARATION SERIAL NUMBER
SERIAL NUMBERC hemical appliedRate/Ha or tonne Application date WHP and/or EICOMMODITY VENDOR DECLARATION 2nd edition, July 20045 Chemicals applied on your property (attach list if necessary)List all chemicals (excluding fertilisers) applied to crops within 100 metres of the crop from which thiscommodity was derived, or which have placed that crop in a spray drift risk area, as follows: a. from seedling emergence for the fodder supplied; orb. from commencement of flowering to harvest for grains supplied. Please print clearly. Answer 1A or 1B as appliedRate/Ha Application date WHP and/or EICropApprox. harvest month6 Neighbours Crops (attach list if necessary)List all neighbours crops within 100 metres of the crop from which this COMMODITY was derived, orwhich have placed that crop in a spray drift risk area, as follows:a. from seedling emergence for the fodder supplied; orb. from commencement of flowering to harvest for grains supplied. 7 Has the crop been grown on a property with a chemical residue status classification?
SERIAL NUMBER Chemical applied Rate/Ha or tonne Application date WHP and/or EI COMMODITY VENDOR DECLARATION 2nd edition, July 2004 5 Chemicals applied on your property (attach list if necessary) List all chemicals (excluding fertilisers) applied …
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