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;
(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.
Credits
Note: Authority cited: Sections 12781 and 12845, Food and Agricultural Code. Reference: Sections 12811, 12815 and 12821, Food and Agricultural Code.
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).
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 3, § 6170.5, 3 CA ADC § 6170.5
