California Code of Regulations › Title 3 - Food and Agriculture › Division 6 - Pesticides and Pest Control Operations › Chapter 2 - Pesticides › Subchapter 1 - Pesticide Registration › Article 2 - Registration Requirements › Section 6170.5 - Application Form

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
The form referred to in section
						6170(a) shall
						require registrants to provide the following information when
						applicable.
(a) Firm name, (same as on
					 file with the United States Environmental Protection Agency (U.S.
					 EPA);
(b) Firm mailing address and
					 street address, if different from mailing address;
(c) Name and telephone number of official
					 authorized to answer questions concerning the application;
(d) Brand name of pesticide product (exactly
					 as shown on label);
(e) U.S. EPA or
					 CA registration number of pesticide product;
(f) Type of U.S. EPA registration
					 obtained;
(g) Type of California
					 registration action being requested;
(h) Whether pesticide product contains
					 biochemicals and/or microbials;
(i)
					 Type(s) and size(s) pesticide product is to be sold in;
(j) Whether pesticide product requires
					 child-resistant packaging;
(k)
					 Signal word on label;
(l) Specific
					 gravity and pounds/gallon of liquid formulations;
(m) Bulk density of solid
					 formulations;
(n) pH of water
					 soluble formulations;
(o) Flash
					 point/flame extension of products containing more than 70% petroleum
					 distillates;
(p) Whether product is
					 intended for commercial agricultural use and/ or by householders;
(q) Type of pesticide product;
(r) Method(s) of application;
(s) Type of formulation;
(t) Common chemical name, trade name and CAS
					 number or ATCC number for each active ingredient in the formulation;
(u) Product name(s) and U.S. EPA or CA
					 registration number(s) of the source product(s) of each active ingredient in
					 the formulation;
(v) Percent by
					 weight of source product(s) and of active ingredient(s) in formulated
					 product;
(w) Common chemical name,
					 trade name and the CAS number or ATCC number of each inert ingredient in the
					 formulation (if reporting by trade name only, include Safety Data
					 Sheet);
(x) Product name(s) of the
					 source product(s) of each inert ingredient in the formulation;
(y) Purpose of each inert ingredient in
					 formulated product;
(z) Percent by
					 weight of source product(s) and of the inert ingredient(s) in the formulated
					 product.
1. New
						section filed 7-23-90; operative 8-22-90 (Register 90, No. 38).
2.
						Change without regulatory effect amending subsections (d), (e), (h)-(j) and (q)
						and NOTE filed 3-27-97 pursuant to section
						100, title 1, California Code of
						Regulations (Register 97, No. 13).
3. Change without regulatory
						effect amending section filed 6-5-2002 filed pursuant to section
						100, title 1, California Code of
						Regulations (Register 2002, No. 23).
4. Change without regulatory
						effect amending subsection (w) filed 12-2-2015 pursuant to section
						100, title 1, California Code of
						Regulations (Register 2015, No. 49).
5. Amendment of subsections
						(e), (t), (u) and (w) filed 9-27-2021 as an emergency; operative 10-1-2021
						pursuant to Government Code section
						11346.1(d)
						(Register 2021, No. 40). This action is a permanent emergency for which no
						Certificate of Compliance is needed pursuant to Food and Agriculture Code
						section 12812(e).
Note: Authority cited: Sections
						  12781
						  and
						  12845,
						  Food and Agricultural Code. Reference: Sections
						  12811,
						  12815
						  and
						  12821,
						  Food and Agricultural Code.