ks dept agri reg equip license:(Make checks payable to State Board of Agriculture)
KANSAS DEPARTMENT OF AGRICULTURE
WEED AND PESTICIDE DIVISION
STATE OFFICE BUILDING
TOPEKA, KANSAS 66612
APPLICATION FOR
Governmental Agency Registration
and
Equipment License
1, City of Salina
(Print name of agency)
2. P. O. Box 746 Salina, Kansas 67401
(Address)
3. N. D. Olson, City Manager, P. 0. Box 746, Salina, Kansas 67401
(Name and address of authorized agent)
Example: Mayor, City Mgr., Ch. of County Comm., Twp., Trustees, etc.
4. Equipment - Model, Make, Hp., Size.
1) Heckendorn Sprayer for 36" mower Oberdorfer 5 gpm pump, 55 gal.
2) Sun Industries Roller Sprayer Hypro 5.75 gpm 30 gal. 100 psi.
(See additional sheet)
5. Names of employees who may be applying for a "Public Equipment Operators Permit".
John Estes Gsarge �1='ips.
Wilbur E. Thompson Milton Bender
-Sid3xe�—:.-��gEjrrrst -Reber-t &ie erg
Claude Henry
James Hill
6. Number of units of power equipment 7 at $10 each $70.00
7. Registration fee . . $25.00
Total Registration Fee & Equipment License $95,00
8. I understand that records must be kept of all applications of pesticides and the
record is to be made available to the Secretary of the State Board of Agriculture
upon request. - -
Date: December 5, 1972 7?
Signature of Applicant
-City Manager.
Title
t
4 _
3) Continental Boom Sprayer 6HP 1.4 gpm @ 35 psi
200 gallon tank ser. # 125786
4) Super Lark 10 Thuron 5 HP 5 gpm @ 400 psi
16' boom or hand gun 100 gal. tank
5) Tifa 40E Fogger 9 HP 55 gal ser. #2096
6) Tifa 40E Fogger 9 HP 55 gal. ser. #1830
7) Myers Sewer Cleaner 60 HP 60 gpm/1000 psi
1000 gal. tank
Application Fee and Examination Fee shall accompany this form. Checks should be made
payable to State Board _of Agriculture.
KANSAS DEPARTMENT OF AGRICULTURE
Governmental Agency. WEED AND PESTICIDE DIVISION Calendar Year 1973
STATE OFFICE BUILDING
TOPEKA, KANSAS 66612 ( ) Aerial
Ground
APPLICATION FOR: (1) Public Equipment Operators Permit
(2) Public Equipment Operators Exam
1 Wilbur E. Thompson
print name of applicant
2. City of Salina 913 827-0221
print name of governments agency; employer) Area Code Telephone
3. P. O. Box 746 Salina Ks. 67401
Governmental agency address City State Zip Code
4. Permit Fee $10.00 Examination Fee $10.00 TOTAL ..... $20.00
5, TYPE EXAM REQUESTED.
(X) General, Safety, &Equipment (required) (x) Herbicides, Desiccants, Defoliants,
( Insecticides & Plant Growth Regulators
( xl Fungicides & Nematocides ( ) Rodenticides & Predators
( Horticulture (x) Aquatic
A Public Equipment Operator is required to take and to pass the General, Safety,
and Equipment examination. An examination covering each type of pesticide to be
used is likewise required.
There is no penalty for requesting and taking examinations for more types than is
actually used.
Applications shall be submitted at least 28 days before examination date. See your
county weed control director or county extension director for details as to exam-
ination dates and locations.
EXAM LOCATIONS: 1st choice Salina Vo—Tech
2nd choice .
(applicant shall plan to attend first choice of exam location unless otherwise
notified)
Application Fee and Examination Fee shall accompany this form: Checks should be made
payable to State
Board,of Agriculture.
_
KANSAS DEPARTMENT OF AGRICULTURE
Governmental Agency
WEED AND
PESTICIDE DIVISION
Calendar Year 19_y3
STATE
OFFICE BUILDING
TOPEKA, KANSAS 66612
( ) Aerial
(x) . Ground .
APPLICATION FOR:
(1) Public Equipment
Operators Permit
(2) Public Equipment
Operators Exam
1: John
Estes
print name
of applicant
2.city
of Salina
913 823-6621
print name
of governmental agency;
employer)
Area Code Te ephooe.
3.. P
Governmei
4. Permit Fee
Box 746 Salina
gency aaaress city
$10.00 Examination Fee $10.00
5: TYPE EXAM REQUESTED
Kansas
67401
Zip Code
TOTAL ..... $20.00
(X) General, Safety, & Equipment (required) ( ) Herbicides, Desiccants, Defoliants,
(X) Insecticides & Plant Growth Regulators
( ) Fungicides & Nematocides ( ) Rodenticides & Predators
{ ) Horticulture ( ) Aquatic
A Public Equipment Operator is required to take and to pass the General, Safety,
and Equipment examination. An examination covering each type of pesticide to be
used is likewise required.
There is no penalty for requesting and taking examinations for more types than is
actually used.
Application Fee and Examination Fee shall accompany this form. Checks should be made-',
payable to State Board of Agriculture.
KANSAS DEPARTMENT OF AGRICULTURE
Governmental Agency WEED AND PESTICIDE DIVISION Calendar Year 1973
STATE OFFICE BUILDING
TOPEKA, KANSAS 66612 ( ) Aerial
APPLICATION FOR: (1) Public Equipment Operators Permit
(2) Public Equipment Operators Exam
1 James Hill
(print name of applicant
2. City of Salina
(print name of government agency; employer Area Code Telephone
3. P. O. Box 746 Salina Ks 67401
Governmental agency address City State Zip Code
4. Permit Fee $10.00 Examination Fee $10.00 TOTAL ..... $20.00
5. TYPE EXAM REQUESTED
(X) General, Safety, & Equipment (required) ( ) Herbicides, Desiccants, Defoliants,
(x) Insecticides & Plant Growth Regulators
( ) Fungicides & Nematocides ( ) Rodenticides & Predators
O Horticulture ( ) Aquatic
A Public Equipment Operator is required to take and to pass the General; Safety,
and Equipment examination. An examination covering each type of pesticide to be
used is likewise required.
There is no penalty for, requesting and taking examinations for more types than is
actually used.
Applications shall be submitted at least 28 days before examination date: See your
county weed control director or county extension director for details as to exam-
ination dates and locations.
EXAM LOCATIONS: 1st choice Salina Vo -Tech
2nd choice
(applicant shall plan to attend.first choice of exam location unless otherwise
notified)
Date:
e.�
r signature of aQplicant
owner - employee - official titles
Application Fee and Examination Fee shall accompany this form. Checks should be made
payable to State Board.of Agriculture.
KANSAS DEPARTMENT OF AGRICULTURE
Governmental Agency WEED AND PESTICIDE DIVISION Calendar Year 19 73
STATE OFFICE BUILDING
TOPEKA, KANSAS 66612 _ ( ) Aerial
(x) Ground
APPLICATION FOR: (1) Public Equipment Operators Permit
(2) Public Equipment Operators Exam
1. Milton Bender
print name of applicant)
2 City of Sa]ina
agency; employer
[4
3. P. O. Box 746 Salina, Ks. 67401
Governmental agency address City State Zip Code
4. Permit Fee $10.00 Examination Fee $10.00 TOTAL ..... $20.00
5. TYPE EXAM REQUESTED
(X) General, Safety, & Equipment (required) (g) Herbicides, Desiccants, Defoliants,
(X) Insecticides & Plant Growth Regulators
() Fungicides & Nematocides ( ) Rodenticides & Predators
O Horticulture ( ) Aquatic
A Public Equipment Operator is required to take and to pass the General, Safety,
and Equipment examination. An examination covering each type of pesticide to be
used is likewise required.
There is no penalty for requesting and taking examinations for more types than is
actually used.
Applications shall be submitted at least 28 days before examination date. See your
county weed control director or county extension director for details as to exam-
ination dates and locations.
EXAM LOCATIONS: 1st choice Salina Vo -Tech
2nd choice
(applicant shall plan to attend first choice of exam location unless otherwise
notified)
.Date:
(signature of applicant)
owner - employee official title
Application Fee and Examination Fee shall accompany this form. Checks should 'be made,
payable to State Board of Agriculture.
KANSAS DEPARTMENT OF AGRICULTURE
Governmental Agency, WEED AND PESTICIDE DIVISION Calendar Year 19 73
STATE OFFICE BUILDING
TOPEKA, KANSAS 66612 ( ) Aerial
(x) Ground .
.APPLICATION FOR: (1) Public Equipment Operators Permit
(2) Public Equipment Operators Exam
1. Claude Henry
print name of applicant
2. City of Salina"
print name of governmental agency; emp oyer rea Coe Te ep one
3. P. 0. Box 746 Salina. Ks. 67401
Governmental agency address City State Zip Code
4. Permit Fee $10.00 Examination Fee $10.00 TOTAL ..... $20.00
5. TYPE EXAM REQUESTED
(X) General, Safety, & Equipment (required) (x) Herbicides, Desiccants, Defoliants,
(x) Insecticides .& Plant Growth Regulators
O Fungicides & Nematocides ( ) Rodenticides & Predators
(x) Horticulture ( ) Aquatic
A Public Equipment Operator is required to take and to pass the General,. Safety,
and Equipment examination. An examination covering each type of pesticide to be
used is likewise required. .
There is no penalty for requesting and taking examinations for more types than is
actually used.
Applications shall be submitted at least 28 days before examination date. See your
county weed control director or county extension director for details as to exam=
ination dates and locations.
.EXAM LOCATIONS: 1st choice Salina Vo—Tech
2nd choice
(applicant shall plan to attend first choice of exam location unless otherwise