EP 1130-2-540
15 Nov 96
APPENDIX G
INSTRUCTIONS FOR DISTRICT PEST CONTROL PLAN
G-1. Paragraph 3-4.c. of ER 1130-2-540, Chapter 3, Pest Control Program for Civil Works
Projects, directs that field offices will prepare and submit to District offices detailed descriptions
of their anticipated and actual usage of pesticides for review and approval by the designated
District point of contact. Enclosed is a sample format illustrating the type of information that
should be included in the reports. (See page G-2 for a sample pest control plan format.) This
format can be used for either the anticipated usage report or the actual usage report by checking
the appropriate space. Districts may modify the sample format or develop a format to suit their
needs.
G-2. The following is an explanation of information requested for each item on the pest control
plan (information may be recorded on a format or stored in the automated database program):
a. Field Office: Name of field office.
b. District: Name of District.
c. Calendar Year: Upcoming or previous calendar year, depending on which report is
being submitted.
d. Anticipated Usage Report: Check if report is for approval of upcoming year's pesticide
usage.
e. Actual Usage Report: Check if report is an accounting of the previous year's pesticide
usage.
f. Justification Enclosed: If application of restricted use pesticide is recommended, attach
a justification statement with the following items of information:
(1) Provide specific reasons why a general-use pesticide cannot achieve an acceptable
level of control.
(2) Document any technical guidance sought from other agencies in the selection process.
Indicate specific contacts (names) and recommendations received.
(3) Indicate specific actions that will be taken to ensure that proper safe guards are
employed in the application of the restricted-use pesticide.
g. Date: Date the report is filled out.
h. Pesticide: Provide full trade name that appears on label, such as "WEEDONE LV-41",
and the common name, if different than the trade name, for the chemical(s) listed under "Active
Ingredient(s)" on the pesticide label.
i. EPA Registration No.: Provide the EPA registration number that appears on the
pesticide label.
G-1