The Arkansas DP 42 form is an essential document for businesses involved in the distribution and handling of bulk pesticides within the state. It serves as an application for manufacturers and dealers seeking permission to deliver and dispense bulk pesticides at specific facilities, detailing compliance with regulations and safety measures. To ensure your business adheres to these guidelines, complete and submit the form to the Arkansas State Plant Board for approval.
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In the realm of agricultural and pest control management within Arkansas, the Form DP-42 emerges as a crucial document, underscoring the structured approach towards the handling and dispensation of bulk pesticides. Issued by the Arkansas State Plant Board, specifically through its Division of Pesticides, this form serves as an application for entities aiming to deliver or dispense bulk pesticides at a dealer's facility. Applicants are required to navigate through a detailed submission process, encapsulating a commitment to various regulatory compliances, including EPA guidelines and Department of Transportation (DOT) regulations. Key requirements outlined in the form include product registration with the State Plant Board, clear labeling and sealing of containers to prevent tampering, and adequate measures for contamination prevention. Additionally, the form mandates the provision for sample access, ensuring the material aligns with the label descriptions, alongside obligations for container cleanliness and relabeling before dispensing different pesticides. The document also elucidates responsibilities for overall operation management and conditions for manufacturer-dealer relationships, including the appointment of a resident agent for manufacturers without direct representation. This framework not only facilitates the safe and regulated distribution of pesticides but also underscores the accountability structures in place for both manufacturers and dealers within Arkansas's pesticide regulatory landscape.
Form DP-42
ARKANSAS STATE PLANT BOARD
(Rev 09/08)
DIVISION OF PESTICIDES
P. O. BOX 1069, LITTLE ROCK, ARKANSAS 72203
APPLICATION FOR PERMISSION TO DELIVER BULK PESTICIDES
TO A DEALER’S FACILITY AND PERMISSION FOR THE DEALER
TO DISPENSE BULK PESTICIDES
IN STR UC TIO N S:
Complete and submit to the Arkansas State Plant Board. A signed copy will be returned upon approval to each
location.
EPA ESTABLISHMENT NUMBER. _______________________________
________________________________________________________________________________________
Dealer’s Name
____________________________________________________________(______)_____________________
Complete Mailing AddressTelephone Number
CityStateZip Code
Manufacturer’s or Registrant’s Name
_____________________________________________________________(______)____________________
________________________________________________________________________________________.
City
State
Zip Code
The above manufacturer requests permission to deliver bulk pesticides and the above dealer request permission to install facilities for dispensing the pesticide to Arkansas licensed applicators at certain locations, as are hereinafter designated, subject to the following conditions:
1.All products will be registered with the State Plant Board by the manufacturer.
2.All containers to be dispensed from will be plainly marked by the dealer with paint or stenciling in large letters showing the name and address of the dealer applicant, and a phrase similar to “Warning --
Contains Pesticides.”
3.All containers will bear a complete label, as registered, for the product therein, including the manufacturer’s name and address as provided by the manufacturer.
4.All containers must contain suitable sample points to permit sampling by personnel of the State Plant Board. Samples must be accepted without reservation as being representative of the material therein and described on the label attached.
5.All containers are charged or recharged, the filling inlet will be sealed by the dealer in such a manner as to prevent tampering with the contents.
6.The dealer must meet EPA established guidelines for handling bulk pesticides and in accordance with all Department of Transportation (DOT) regulations.
7.The dealer must make adequate provision for handling to prevent contamination or injury to persons, livestock, and crops.
8.The dealer and person in charge as indicated herein will be responsible for overall operation of the location.
DP-42 page 2
9.In those cases in which the dealer is not the manufacturer’s agent, the manufacturer shall designate a resident agent for service of process.
10.Containers, prior to being used for a different pesticide, will be thoroughly cleaned by the dealer and relabeled.
11.All metering devices will be subject to approval of the Weights and Measures Division of the Plant Board.
BULK HANDLING LOCATION -- The location, product(s), the applicator(s) to be serviced by the dealer, manufacturer’s resident agent, and the person in charge of the dealer’s operation will be as follows:
Location (be specific)
Products (List complete brand name.)
Container 1 ______________________________________ Size _______ Gals. EPA Reg. No. ____________
Container 2 ______________________________________ Size _______ Gals. EPA Reg. No. ____________
Container 3 ______________________________________ Size _______ Gals. EPA Reg. No. ____________
Applicator (s)
__________________________________________________________________________________________
Manufacturer’s Resident Agent ________________________________________________________________
Address
Dealer ____________________________________________________________________________________
Person in Charge ___________________________________________________________________________
Address ________________________________________________Phone No. ________________________
NOTE: If changes are desired after approval, an amendment to this application must be filed.
DO NOT WRITE IN THIS SPACE
APPROVED FOR 20 ______
_________________________________
PESTICIDE DIVISION
_______________________________
DATE
PERMIT NUMBER
Dealer______________________________________
Title _______________________________________
Date _______________________________________
Signature ___________________________________
Manufacturer ________________________________
Signature____________________________________
To ensure the proper handling and distribution of bulk pesticides in Arkansas, it's critical for dealers and manufacturers to seek permission through the Arkansas State Plant Board by filling out the Form DP-42. This form ensures that both parties comply with state regulations regarding the distribution, labeling, and handling of pesticides. By carefully following the steps outlined, dealers and manufacturers can ensure their application is correctly submitted for approval. This process contributes to the safe management of pesticides, safeguarding the environment, and public health.
After submitting the form, it will be reviewed by the Arkansas State Plant Board. Upon approval, a signed copy of the form will be returned, which grants the necessary permissions for the delivery and dispensing of bulk pesticides. It's important to maintain this document as part of your records, as compliance with state regulations is essential for operating your business. If there are any changes to your operation or if new products are being introduced, remember to file an amendment to this application to keep all permissions current.
What is the purpose of the Arkansas DP-42 form?
The Arkansas DP-42 form is used to request permission from the Arkansas State Plant Board for both the delivery of bulk pesticides to a dealer's facility and the permission for the dealer to subsequently dispense these bulk pesticides. This process is essential to ensure that all parties comply with regulatory standards for the handling, labeling, and distribution of pesticides within the state. By completing and submitting this application, manufacturers and dealers declare their intention to adhere to guidelines set forth by the State Plant Board, the Environmental Protection Agency (EPA), and the Department of Transportation (DOT), among others, to safeguard public health and the environment.
Who needs to fill out the DP-42 form?
The DP-42 form must be filled out by pesticide manufacturers or registrants who seek to deliver bulk pesticides to a dealer in Arkansas, and by dealers who wish to receive and dispense these bulk pesticides at their facilities. The form serves as a formal request for approval of such activities and outlines the responsibilities of both parties in ensuring the safe handling and distribution of the pesticides. It is crucial for anyone involved in the bulk delivery and dispensing of pesticides within the state to complete this form to obtain the necessary permissions.
What are the key requirements outlined in the DP-42 form?
The form highlights several essential requirements including the registration of all products with the State Plant Board by the manufacturer, clear marking of the containers with warnings and other necessary information, adherence to EPA guidelines and DOT regulations for handling bulk pesticides, making provisions to prevent contamination or injury, and responsibility for the overall operation of the site by the designated person. Additionally, it mandates that containers be properly cleaned and relabeled before being used for different pesticides, and that all metering devices receive approval from the Weights and Measures Division of the Plant Board.
How is the DP-42 form submitted to the Arkansas State Plant Board?
To submit the DP-42 form to the Arkansas State Plant Board, the completed application must be sent to the provided address in Little Rock, Arkansas. This can be done via mail. Once the application is received and reviewed for compliance with the outlined standards and regulations, a signed copy of the approval will be returned to each specified location. This ensures that the manufacturer and dealer are officially authorized to proceed with the delivery and dispensing of bulk pesticides at the designated facilities.
What happens if changes are needed after the approval of the DP-42 form?
If any changes are required after the DP-42 form has been approved, an amendment to the application must be filed with the Arkansas State Plant Board. This could involve changes to the handling location, the products being handled, the applicators being serviced, or any other significant modification to the initially approved arrangement. Filing an amendment ensures that the State Plant Board is kept informed of any alterations to the operational details or responsibilities, allowing for continued compliance with state regulations and the maintenance of safe pesticide handling practices.
When filling out the Arkansas DP-42 form, which is crucial for the delivery and dispensing of bulk pesticides, many people make mistakes that can delay or impact the approval process. Here’s a list of common errors:
Avoiding these mistakes can streamline the approval process, ensuring that all regulatory requirements are met for safe and legal pesticide handling.
When handling pesticides and related documentation in Arkansas, the Arkansas DP-42 form serves as a crucial component of a comprehensive compliance and regulatory framework. This application facilitates the lawful delivery and dispensing of bulk pesticides, ensuring that dealers and manufacturers adhere to the state’s standards. Alongside the DP-42 form, there are several other essential documents and forms that play significant roles in the pesticide regulation process, enhancing safety, accountability, and environmental protection.
Each of these documents plays a vital role in the comprehensive scheme of pesticide regulation and management. By ensuring that these forms and documents are accurately completed and maintained, stakeholders in Arkansas can contribute to the safe, responsible, and effective use of pesticides, protecting public health, the environment, and agricultural interests.
The Arkansas DP-42 form shares similarities with the Environmental Protection Agency's (EPA) Pesticide Registration Application. Both require detailed labeling and packaging information, ensuring that pesticides are properly labeled with manufacturer details, safety warnings, and product composition. These documents ensure that all pesticides introduced into the market are registered and meet safety guidelines set forth by federal and state regulators, aiming to protect public health and the environment by regulating the distribution and use of pesticides.
Another comparable document is the Department of Transportation (DOT) Hazardous Materials Registration. Like the DP-42, this registration mandates compliance with specific handling and transportation regulations. Both documents are geared toward ensuring that hazardous materials, including bulk pesticides, are transported in a manner that minimizes risks of accidents, leaks, or contamination. They require that stakeholders adhere to strict guidelines to prevent pollution and protect all involved in the transportation chain.
The Occupational Safety and Health Administration (OSHA) Hazard Communication Standard (HCS) Safety Data Sheet (SDS) submission bears resemblance to the DP-42 form as well. Each document mandates the disclosure of harmful effects and safety precautions related to chemical products. The intent behind both is to guarantee that individuals working with or near hazardous substances are aware of their properties, potential hazards, and the necessary safety measures to take to protect themselves and their environment.
State-specific Bulk Storage Application forms, similar to the one administered by the New York State Department of Environmental Conservation, echo the DP-42 form's intent. These forms regulate the storage of large quantities of hazardous chemicals, including pesticides, to prevent leaks and environmental contamination. Like the DP-42, these applications require information on the storage facility, safety measures, and emergency response plans, ensuring safe storage practices are in place.
The Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) Pesticide Establishment Registration form is also akin to the DP-42. FIFRA necessitates that production facilities, including those that package or label pesticides, are registered and monitored. Both this registration and the DP-42 aim to oversee the distribution chain of pesticides, from manufacturing down to retail, ensuring compliance with regulations that safeguard public health and the environment.
The Agricultural Chemical Containment Facilities Permit, which some states require, mirrors the requirements seen in the DP-42. These permits focus on the containment and spill prevention measures that facilities must have if they handle pesticides or fertilizers. Similar to the DP-42, the emphasis is on preventing contamination of soil and water resources and ensuring that chemicals are handled in a manner that protects public health and the environment.
When filling out the Arkansas DP-42 form, attention to detail is crucial for a smooth submission process. Here are some dos and don'ts to guide you along the way.
Following these guidelines can help ensure that your application is complete, accurate, and submitted in compliance with Arkansas regulations for handling bulk pesticides. A little attention to detail can go a long way in making the process efficient and effective.
Understanding the Arkansas DP-42 form and its purpose can sometimes be challenging, leading to several common misconceptions. Below, we address five of the most prevalent misunderstandings surrounding this document.
Clarifying these misconceptions is crucial for maintaining the safety and efficacy of pesticide handling and distribution practices in Arkansas. By adhering to the guidelines and requirements outlined in the DP-42 form and understanding its broader implications, dealers can contribute to safer pesticide use and environmental protection.
Filling out and using the Arkansas DP-42 form is essential for dealers and manufacturers who aim to deliver and dispense bulk pesticides in Arkansas. Here are some key takeaways to ensure the process is smooth and compliant with regulations:
Before validation of the DP-42 form by the Arkansas State Plant Board, both the dealer and the manufacturer must sign the application, underlining their agreement and responsibility towards maintaining compliant operations. Should any changes be required after the initial approval, an amendment to the application must be filed, indicating the dynamic nature of pesticide dispensation operations.
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