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HOME OF PEUCAN ISLAND
1225 MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5330 • FAX (772) 589-5570
December 31, 2012
William Eggleston
129 Keystone Drive
Sebastian, FL 32958
RE: Hold Harmless Agreement and Authorization to Volunteer Aquatic Life Treatment
Dear Mr. Eggleston:
Please keep and have this Hold Harmless and Authorization Agreement for a formai record. This
document will provide you authorization to continue providing volunteer aquatic life treatment services on
ponds, swales, lakes and other water bodies in around the Keystone Drive area, as approximately
depicted on the map attached hereto. The City recognizes that you take these activities on a volunteer
basis and will provide all chemicals and labor at no charge to the City. Further, as applications are made,
the City understands and you agree to keep current all required registrations and training as required for
aquatic application from all regulatory agencies and Florida Statutes. As a volunteer for the City of
Sebastian, you shall hold harmless the City of Sebastian, its agents, officers or representatives from any
and all ciaims that may arise from treating aquatic life at the aforementioned location. You are hereby
further informed that only you have authorization to apply such treatments and no other person or
persons may accompany you in this process.
This Agreement shall be in fuli force and effect untii December 31, 2013. This Agreement will be
reviewed on an annual basis.
Please sign and return a copy of this Agreement, as your signature indicates your concurrence with these
terms. A current copy of all application certificates is also needed at this time. Also, note that a copy of
this agreement will remain in the City Attorney's office and be on file with the City Clerk, City Manager,
Public Works Director and Police Chief.
On behalf of the Gity of Sebastian, I would like to thank you for your volunteer efforts. We appreciate
vour efforts and cie�lication.
R sp ully, As to Form and Substance,
� � ����
� er Robert A. Ginsburg
ity Manager City Attorney
_. �
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William Eggleston
129 Keystone Driv
Cc: Sally Maio, City Clerk
Jerry Converse, Public Works Director
Michelle Morris, Chief of Poiice
Mr. Minner:
Please find the current copy of my Aquatics spray license. Also the label for the glyphosate based
chemical that I am currently using (Rodeo). At this time my plans are to use only the "Rodeo" and, if
necessary, the diquat based chemical "Reward". I aiso have the current Hold Harmless Agreement. My
plan is to take back the lake and the canals. If possible, could you get Mr. Converse to knock down the
growth in the NW canal from the lake at least to the overflow, as I would like to get this area treated
within the next couple of weeks. The taking back of the lake will take some time and it probably will
look worse before it gets better. However, we both realize that this is the best for the water quality and
the overall general health of the system. I would suggest that if someone has a problem with this
agenda then they should get the state or other authority to contact me. I will not, however, deal with
anyone not associated with an official entity. Thank you for your continued support.
Respectfully submitted
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Herbicide
For controi of annual and perennial weeds and
woody plants in forests, non-crop sites, and in and
around aquatic sites; also for use in wildlife habitat
areas, for perennial grass release, and grass growth
suppression and grazed areas on these sites.
Avoid contact of herbicide with foliage, green
stems, exposed non-woody roots or fruit of
crops, desirable plants and trees, because severe
injury or destruction may result.
�Active Ingredient(s):
glyphosate? N-(phosphonomethypglyane. �
isopropylamine salt..,....___._.. ....._............_......538%
Other Ingredients.......__._...._..._......_.,......._._._._.._._.462%
Total Ingredients.........._..._........__.... __... _.,.__._..,.....100.0 %
t Contains 5.4 pounds per gallon glyphosate. isopropylamine�
salt (4 pounds per gallon g�yphosate aadl.
Agricultural Use Requirements
Use this product only in accordance with its labeling and m�ith
the Worker Protection Standard, 40 CFR part 170. Refer to
the label booklet under "Agricultural Use Reqoirements" in the
Directions for Use section for information about this standard.
For additional Precautionary Statements, First Aid, Storage
and Disposal and other use information see inside this label.
Notice: Read the entlre label. Use only according to label
directions. Before using this product, read Terms and
Conditions of Use, Warranty Disclaimer, Inherent Risks
ot Use, and Limitatio� of Remedies at end of label boqklet.
If terms are unacceptable, return at once unopened.
In case of emergency endangering health or the environment
invoiving this product. call 1-800-992-5994. If you wish to
obtain additional product information. visit our web site at
.www.dowagro.com.
KeeOUt Of RGaCh OI ChIIdPeCi Agricultural Chemical Do not ship or sto!e with food. feeds.
p . � drugs or dothing.
CAUTION
PRECAUCION
Si usted no entiende la etiqueta, busque a alguien para que se
la explique a usted en detalle.. Qt you do not understand the
label, find someone to explain it to you in detail.) .
EPA Reg.No. 62719-324 EPA Est.34704-MS-01
�����900-0�4196/00�7�70�
�"'Trademark of Dow AgroSciences LLC
Producedfor
Dow AgroSciences LLC
9330 2ionsville Road .
Indianapolis, IN 46268 �
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HOME OF PELICAN ISLAND
1225 MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5330 • FAX (772) 589-5570
December 15, 2010
William Eggleston
129 Keystone Drive
Sebastian, FL 32958
RE: Hold Harmless Agreement and Authorization for Volunteer Aquatic Life Treatment
Dear Mr. Eggleston:
Please keep and have this Hold Harmless and Authorization Agreement for a formal record. This
document will provide you authorization to continue volunteer aquatic life treatment on ponds,
swales, lakes and other like water bodies in an around the Keystone Drive area, as approximately
depicted on the map attached hereto. The City recognizes that you take these activities on a
volunteer basis and will provide all chemicals and labor at no charge to the City. Further, as
applications are made, the City understands and you agree to keep current all required
registrations and training as required for aquatic application from all regulatory agencies and
Florida Statutes. Finally, as a volunteer for the City of Sebastian, you shall hold harmless the City
of Sebastian, its agents, officers or representatives from any and all claims that may arise from
treating aquatic life at the aforementioned location. You are hereby further informed that only you
have authorization to apply such treatments and no other person or persons may accompany you
in this process.
This Agreement shall be in full force and effect until December 31, 2011. This agreement will be
reviewed on an annual basis.
Please sign and return a copy of this Agreement, as your signature indicates your concurrence
with these terms. Also, note that a copy of this agreement will remain in the City Attorney's office
and be on file with the City Clerk, City Manager, Public Works Director and Police Chief.
On behalf of the City of Sebastian, I would like to thank you for your volunteer efforts.
Maintenance of our water bodies is an important item for the City. We appreciate your efforts and
dedication.
ly,
Manager
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William Egglesto
129 Keystone riv
cc: Sally Maio, City Clerk
Jerry Converse, Pub�ic Works Director
Michelle Morris, Chief of Police
As to Form and Substance,
/ ..�L�! _
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Robert Ginsbur
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City Attorney
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HOME OF PELICAN ISLAND
1225 MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5330 • FAX (772) 589-5570
December21, 2009
William Eggleston
129 Keystone Drive
Sebastian, FL 32958
RE: Hold Harmless Agreement and Authorization for Volunteer Aquatic Life Treatment
Dear Mr. Eggleston:
Please keep and have this Hold Harmless and Authorization Agreement for a formal record. This
document will provide you authorization to continue volunteer aquatic life treatment on ponds,
swales, lakes and other like water bodies in an around the Keystone Drive area, as approximately
depicted on the map attached hereto. The City recognizes that you take these activities on a
volunteer basis and will provide all chemicals and labor at no charge to the City. Further, as
applications are made, the City understands and you agree to keep current all required
r2gistrations and training as required for aquatic application from all regulatory agencies and
Florida Statutes. Finally, as a volunteer for the City of Sebastian, you shall hold harmless the City
of Sebastian, its agents, officers or representatives from any and all claims that may arise f'rom
treating aquatic life at the aforementinned location. You are hereby further informed that only you
have authorization to apply such treatments and no other person or persons may accompany you
in this process.
This Agreement shall be in full force and effect until December 31, 2010. This agreement will be
reviewed on an annual basis.
Please sign and return a copy of this Agreement, as your signature indicates your concurrence
with these terms. Also, note that a copy of this agreement will remain in the City Attorney's office
and be on file with the City Clerk, City Manager, Public Works Director and Police Chief.
On behalf of the City of Sebastian, I would like to thank you for your volunteer efforts.
Maintenance afi our water podies is ari imp�itant iierr� for tF�e City. b1i� appreciate y�ur �ifo�-ts an�
dedication.
Manager
. C�/
William Eggleston /
129 Keystone Drive ��
cc: Sally Maio, City Clerk
Jerry Converse, Public Works Director
Michelle Morris, Chief of Police
As to Form and Substance,
�N��1 �
Robert Ginsburg
City Attorney
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'�- AQUATIC �lERBSCIDE
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�1�i�0�E E�E.�2�e����e�i� f:
Glypnosate. i�-(phosahono;r,efl �yl)giy�i� iE.
in the forni of its isopropylamine SGIt' ............ 53.8%
�.' E ��� FC�C-F���.�I�h. f;`:...�
.................................... �:5.2°io
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'@'fleM``,e ........... 'I�U.�}�i�
'Contains 648 grams per !iira cr 5.�': pou; ;as �er v.S. ciaiic,r. ef the active
i;i��ec �iii. cl,phosa,�, in ihe forr� o* its isopropylar,in•a salt. Equivaler: io '
180 grams per litre o;• ���ounds per U.S. c�alion or th� acid. glypf �osate.
;
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S�E IFS�;l7E 6Qp?�(,E i FOR FiRS7 AtD A�NC) A3r�! � iGN�i_ FRF.�.;Ai! s�vntqR': STA'8'cNlf:IVTS
- ror i:h�mica; 6�ili, Leak, Fire, or �xcos!�r�, Ca!! C+-!Fn�T�?��;� ;����� a��_q,;,�_..._
For !�;sejical Emercencie� Cnly, (.',aR (?; 7) :,�,,-•;; :^
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MATERIAL SAFETY DATA SHEET
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AquaNeat Aquatic Herbicide
For Chemtcal Emergency, Spill, Leak, Fire, Exposure, or Acctdent,
Call CHEMTREC Day or Night: 1-800-424-9300.
Nu�arm For Medical Emergencies Only, Ca111-877-325-1840.
1. CHEMICAL PRODUCT AND COMPANY IDENTIFICATION
Product Name:
Synonyms:
EPA Reg. No.:
Company Name:
Date of Issue:
Sections Revised:
AquaNeat� Aquatic Herbicide
Isopropylamine Salt of Glyphosate; Glyphosate IPA Salt
228-365
Nufarm Americas Inc.
150 Harvester Drive, Suite 200
Burr Ridge, IL 60527
April 5, 2007 Supersedes: March 29, 2005
New or updated information all sections
2. HAZARDS IDENTIFICATION
Emersaencv Overvfew:
Appearance and Odor: Colorless viscous solution with little odor.
Warning Statements: Keep out of reach of children. CAUTION. Harmful if inhaled. Avoid breathing spray
mist.
Potential Health Effects:
Likely Routes of Exposure: Skin contact and inhalation.
Eye Contact: Slightly irritating based on toxicity studies.
Sktn Contact: Slightly toxic and slightly irritating based on toxicity studies.
Ingestion: Slightly toxic based on toxicity studies. No significant adverse health effects are expected to
develop if only small amounts (less than a mouthful) are swallowed.
Inhalatlon: Low inhalation toxicify.
Medical Conditions Aggravated by Exposure: None known
See Section 11: TOXICOLOGICAL INFORMATION for more information.
Potential Environmental Effects:
Available data on similar formulations suggest that this product would be slightly to moderately toxic to
aquatic organisms and practically non-toxic to avian species, honeybees and earthworms.
See Section 12: ECOLOGICAL INFORMATION for more information.
3. COMPOSITION / INFORMATION ON INGREDIENTS
COMPONENT
Glyphosate, N-(phosphonomethyl) glycine, in the form of
its isopropylamine salt
Other Ingredients
CAS NO. % BY WEIGHT
38641-94-0 53.8
46.2
Page 1 of 6 April 5, 2007
MATERIAL SAFETY DATA SHEET AquaNeat Aquatic Herbicide
4. FIRST AID MEASURES
If Inhaled: Move person to fresh air. If person is not breathing, call 911 or an ambulance, then give
artificial respiration, preferably by mouth-to-mouth, if possible. Call a poison control center or doctor for
further treatment advice.
If in Eyes: Hold eye open and rinse slowly and gently with water for 15 to 20 minutes. Remove contact
lenses, if present, after the first 5 minutes, then continue rinsing eye. Call a poison control center or
doctor for treatment advice.
If Swallowed: Call a poison control center or doctor immediately for treatment advice. Have person sip a
glass of water if able to swallow. Do not induce vomiting unless told to do so by the poison control center
or doctor. Do not give anything by mouth to an unconscious person.
If on Skin: Take off contaminated clothing. Rinse skin immediately with plenty of water for 15 to 20
minutes. Call a poison control center or doctor for treatment advice.
5. FIRE FIGHTING MEASURES
Flash Point: Not applicable due to aqueous formulation
Autoignition Temperature: Not determined Flammability Limits: Not determined
Extinguishing Media: In case of fire, use water (flood with water), dry chemical, CO2, or alcohol foam.
Special Fire Fighting Procedures: Firefighters should wear NIOSH/MSHA approved self-contained
breathing apparatus and full fire-fighting turn out gear. Dike area to prevent runoff and contamination of
water sources. Dispose of fire control water later.
Unusual Ftre and Explosion Hazards: Containers will burst from internal pressure under extreme fire
conditions. If water is used to fight fire or cool containers, dike to prevent runoff contamination of
municipal sewers and waterways.
Hazardous Decomposition Materials (Under Fire Conditions): May produce gases such as oxides of
carbon, nitrogen, and phosphorous.
National Fire Protection Association (NFPA) Hazard Ratins�:
Rating for this product: Health: 1 Flammability: 1 Reactivity: 0
Hazards Scale: 0= Minimal 1= Slight 2= Moderate 3= Serious 4= Severe
6. ACCIDENTAL RELEASE MEASURES
Personal Precautions: Wear appropriate protective gear for the situation. See Personal Protection
information in Section 8.
Environmental Precautions: Prevent material from entering public sewer systems or any waterways.
Do not flush to drain. Large spills to soil or similar surfaces may necessitate removal of topsoil. The
affected area should be removed and placed in an appropriate container for disposal.
Methods for Containment: Dike spill using absorbent or impervious materials such as earth, sand or
clay. Collect and contain contaminated absorbent and dike material for disposal.
Methods for Cleanup and Disposal: Pump any free liquid into an appropriate closed container.
Thoroughly scrub floor or other impervious surface with a strong industrial detergent and rinse with water.
Collect washings for disposal. Decontaminate tools and equipment following cleanup. See Section 13:
DISPOSAL CONSIDERATIONS for more information.
Other Information: Large spills may be reportable to the National Response Center (800-424-8802) and
to state and/or local agencies.
7. HANDLING AND STORAGE
Handlin�:
Avoid breathing spray mist. Remove contaminated clothing and wash clothing before reuse. Wash
thoroughly with soap and water after handling.
Page 2 of 6 April 5, 2007
MATERIAL SAFETY DATA SHEET AquaNeat Aquatic Herbicide
Spray solutions of this product should be mixed, stored and applied using only stainless steel, aluminum,
fiberglass, plastic or plastic-lined containers.
DO NOT MIX, STORE OR APPLY THIS PRODUCT OR SPRAY SOLUTIONS OF THIS PRODUCT IN
GALVANIZED STEEL OR UNLINED STEEL (EXCEPT STAINLESS STEEL) CONTAINERS OR SPRAY
TANKS. This product or spray solutions of this product react with such containers and tanks to produce
hydrogen gas which may form a highly combustible gas mixture. This gas mixture could flash or explode,
causing serious personal injury, if ignited by open flame, spark, welder's torch, lighted cigarette or other
ignition source.
Storas�e:
STORE ABOVE 10°F (-12°C) TO KEEP PRODUCT FROM CRYSTALLIZING. Crystals will settle to the
bottom. If allowed to crystallize, place in a warm room 68°F (20°C) for several days to redissolve and
shake, roll or agitate to mix well before using. Do not contaminate water, foodstuff, feed or seed by
storage or disposal.
8. EXPOSURE CONTROLS / PERSONAL PROTECTION
En�ineerin�t Controls:
Where engineering controls are indicated by specific use conditions or a potential for excessive
exposure, use local exhaust ventilation at the point of generation.
Personal Protective Equipment:
Eye/Face Protection: To avoid contact with eyes, wear chemical goggles or shielded safety glasses An
emergency eyewash or water supply should be readily accessible to the work area.
Skin Protection: To avoid contact with skin, wear long pants, long-sleeved shirt, socks and shoes. An
emergency shower or water supply should be readily accessible to the work area.
Respiratory Protection: Not normally required. If vapors or mists exceed acceptable levels, wear
NIOSH approved air-purifying respirator with cartridges/canisters approved for use against pesticides.
General Hygiene Considerations: Personal hygiene is an important work practice exposure control
measure and the following general measures should be taken when working with or handling this
material: 1) do not store, use and/or consume foods, beverages, tobacco products, or cosmetics in areas
where this material is stored; 2) wash hands and face carefully before eating, drinking, using tobacco,
applying cosmetics or using the toilet.
F�cposure Guidelines:
OSHA ACGIH
Com onent TWA STEL TWA STEL Unit
Iso ro lamine Salt of GI hosate NE NE NE NE
NE = Not Established
9. PHYSICAL AND CHEMICAL PROPERTIES
Appearance and Odor: Colorless viscous solution with little odor.
Botling Point: Not determined Solubility in Water: Miscible
Density: 10.00 pounds/gallon Specific Gravity: 1.201 @ 20°C
Evaporation Rate: Not determined Vapor Density: Not determined
Freezing Point: 10°F (-12°C) Vapor Pressure: Not determined
pH: 5.0 - 5.4 Viscosity: 67.9 cPs @ 20°C
Note: Physical data are typical values, but may vary from sample to sample. A typical value should not be
construed as a guaranteed analysis or as a specification.
Page 3 of 6 April 5, 2007
MATERIAL SAFETY DATA SHEET AquaNeat Aquatic Herbicide
10. STABILITY AND REACTIVITY
Chemical Stability: This material is stable under normal handling and storage conditions.
Conditions to Avoid: Excessive heat. Do not store near heat or flame.
Incompatible Materials: Strong oxidizing agents: bases and acids. This product reacts with galvanized
steel or unlined steel (except stainless steel) to. produce hydrogen gas that may form a highly
combustible gas mixture which could flash or explode.
Hazardous Decomposition Products: Under fire conditions may produce gases such as oxides of
carbon, nitrogen, and phosphorous.
Hazardous Reactions: Hazardous polymerization will not occur.
11. TOXICOLOGICAL INFORMATION
Toxicological Data:
Data from laboratory studies conducted on a similar, but not identical, formulation:
Oral: Rat LDSO: >5,000 mg/kg
Dermal: Rabbit LDSO: >5,000 mg/kg
Inhalation: Rat 4-hr LC50: >4.24 mg/I
Eye Irritation: Rabbit: Minimally irritating
Skin Irritation: Rabbit: Non-irritating
Skin Sensitization: Not a contact sensitizer in guinea pigs following repeated skin exposure.
Subchronic (Target Organ) Effects: Repeated overexposure to glyphosate may decrease body weight
gains and effects to liver.
Carcinogenicity / Chronic Health Effects: Prolonged overexposure to glyphosate may cause effects to
the liver. There was no evidence of carcinogenicity in animal studies using glyphosate. EPA has given
glyphosate a Group E classification (evidence of non-carcinogenicity in humans).
Reproductive Toxicity: In laboratory animal studies with glyphosate, effects on reproduction have been
seen only at doses that produced significant toxicity to the parent animals.
Developmental Toxicity: In animat studies, glyphosate did not cause birth defects in animals; other
effects were seen in the fetus only at doses which caused toxic effects to the mother.
Genotoxicity: Glyphosate has produced no genetic changes in a variety of standard tests using animals
and animal or bacterial cells.
Assessment Carcinogenicity: None listed with ACGIH, IARC, NTP or OSHA.
See Section 2: HAZARDS IDENTIFICATION for more information.
12. ECOLOGICAL INFORMATION
Ecotoxicity
Data on Glyphosate technical:
96-hour LC� Bluegill: 120 mg/I
96-hour LCso Rainbow Trout: 86 mg/I
48-hour LC50 Daphnia: 780 mg/I
Bobwhite Quail 8-day Dietary LCso: >4,500 ppm
Mallard Duck 8-day Dietary LC50: >4,500 ppm
Environmental Fate:
In the environment, salts of glyphosate rapidly dissociate to glyphosate, which adsorbs strongly to soil
and is expected to be immobile in soil. Glyphosate is readily degraded by soil microbes to AMPA
(aminomethyl phosphonic acid) that is further degraded to carbon dioxide. Glyphosate and AMPA are
unlikely to enter ground water due to their strong adsorptive characteristics. Terrestrially-applied
glyphosate has the potential to move into surface waters through soil erosion because it may be
adsorbed to soil particles suspended in the runoff. Aquatic applications registered for certain formulations
may also result in glyphosate entering surface waters. Complete degradation is slow, but dissipation in
Page 4 of 6 April 5, 2007
MATERIAL SAFETY DATA SHEET AquaNeat Aquatic Herbicide
water is rapid because glyphosate is bound in sediments and has low biological availability to aquatic
organisms. These characteristics suggest a low potential for bioconcentration in aquatic organisms and
this has been verified by laboratory investigations of glyphosate bioconcentration in numerous marine
and freshwater organisms with and without soil. The maximum whole body bioconcentration factors for
fish were observed to be less than 1X. Bioconcentration factors for sediment dwelling mollusks and
cra�sh tended to be slightly higher, but were always less than 10X. In addition, any residues
accumulated in organisms were rapidly eliminated.
13. DISPOSAL CONSIDERATIONS
Waste Disposal Method:
Wastes resulting from the use of this product that cannot be used or chemically reprocessed should be
disposed of in a landfill approved for pesticide disposal or in accordance with applicable Federal, state or
local procedures. Emptied container retains vapor and product residue. Observe all label safeguards until
container is destroyed.
Container Handlin� and Disposal:
Plastic Bottles and Non-Returnable Plastic Drums: Do not reuse container. Triple rinse container.
Then puncture and dispose of in a sanitary landfill, or by incineration, or, if allowed by state and local
authorities, by burning. If burned, stay out of smoke.
Returnable/Refillable Containers: Close all openings which have been opened during use and replace
all caps. Contact Nufarm Customer Service at 1-800-345-3330, to arrange for return of the empty
refiltable container.
14. TRANSPORTATION INFORMATION
Follow the precautions indicated in Section 7: HANDLING AND STORAGE of this MSDS.
DOT
Non Regulated — See 49 CFR 173.132(b)(3)
1MDG
Non Regulated — See IMDG 2.6.2.1.3
IATA
Non Regulated — See IATA 3.6.1.5.3
15. REGULATORY INFORMATION
U.S. Federal Resiulations:
TSCA Inventory: This product is exempted from TSCA because it is solely for FIFRA regulated use.
SARA Hazard Notification/Reqorting:
Hazard Categories Under Criteria of SARA Title III Rules (40 CFR Part 370): Immediate
Section 313 Toxic Chemical(s): None
Reportable Quantity (RQ) under U.S. CERCLA: None
RCRA Waste Code: None
Page 5 of 6 Aprif 5, 2007
MATERIAL SAFETY DATA SHEET AquaNeat Aquatic Herbicide
State Information:
Other state regulations may apply. Check individual state requirements.
California Proposition 65: Not listed
16. OTHER INFORMATION
This Material Safety Data Sheet (MSDS) serves different purposes than and DOES NOT REPLACE OR
MODIFY THE EPA-ACCEPTED PRODUCT LABELING (attached to and accompanying the product
container). This MSDS provides important health, safety and environmental information for employers,
employees, emergency responders and others handling large quantities of the product in activities
generally other than product use, while the labeling provides that information specifically for product use
in the ordinary course.
Use, storage and disposal of pesticide products are regulated by the EPA under the authority of the
Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) through the product labeling, and all
necessary and appropriate precautionary, use, storage, and disposal information is set forth on that
labeling. It is a violation of Federal law to use a pesticide product in any manner not prescribed on the
EPA-accepted label.
Although the information and recommendations set forth herein (hereinafter "Information°) are presented
in good faith and believed to be correct as of the date hereof, Nufarm Americas Inc. makes no
representations as to the completeness or accuracy thereof. Information is supplied upon the condition
that the persons receiving same will make their own determination as to its suitability for their purposes
prior to use. In no event will Nufarm Americas Inc. be responsible for damages of any nature whatsoever
resulting from the use of or reliance upon Information. NO REPRESENTATIONS OR WARRANTIES,
EITHER EXPRESS OR IMPLIED, OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE
OR OF ANY OTHER NATURE ARE MADE HEREUNDER WITH RESPECT TO INFORMATION OR THE
PRODUCT TO WHICH INFORINIATION REFERS.
AquaNeat is a registered trademark of Nufarm Americas Inc.
Page 6 of 6 April 5, 2007
�
FAX
Date: 05/28/08
To: ATTN: RUP Applicator
Florida Department of Agriculture � Consumer Services
Bureau of Compliance Monitoring
Pesticide Cert�cation Section
3125 Conner Bivd. Bldg 8(L-29)
Tailahassee, Florida 32399-1650
(850) 488-3314, Fax (850) 922-6961
Fax N , pH: .
,
Fror�i.� j��achel Nicholson, Pesticide Certification & Licensin Clerk
(FAX# 850-922-6961; TEL#488-6481) g
S��bject; Requested Information
Per your requ�st, see attachment.
Visit our website at www.flaes.oro for more information under NQUICK LINKS" (ciick on
"SEARCHES" for CEU c{ass search/availabie CEU classes, Exam Score Search,
Eamed CEUs search; Appiicators/Licensed) - - -
For FORMS click on "PESTICIDES CERTIFICATION AND LICENSING" then ctick on
the "FORMS AND DOCUMENTS" link for commercial, public, private and dealer
applications, etc.).
If you have any questions or concems, please contact me at (850) 488-6481 for �
additional assistance.
Thank you and have a wonderfiul day.
/rn
Florida Degartment of Agricultiil�x and Consumer Services . PAGES
License Cateeories
I A 1 Ag Row Crop
1 A2 Ag Tree Crop
1 B Ag Animal
� C private Applicator Ag
1 D Soil and Greenhouse Fum
� g Raw Ag Commodity Furn
2 Foreshy
3 Ornamental and Turf
4 Seed Treatment
ISp pquatic Pest Control
SB
6
7A
7B
7C
9
10
11
20
ZI
Organotin Paint
Right of Way
Wood Treatment
Chlorine Gas Infusion
Sewer Root Control
Regulatory Pest Control '
Demonstrarion and Research
Aerial Application
Regulatory Insp. and Samp '
Natural Areas Weed Mgmt !
FoT information, call (850) 488-3314
� . _ ; . .....
; .
_ _ ._ . .. ...._._ .: ... .. . . - -
�• Fl�rlda Deoartment of AarM.ulWre a� Consumer Services
; • Pesticide Certiffpttlon Ofllce
Commercinl Applic4tor License
License ii CM9183
EGGLESTON, W[LLiAM A
129 KEYSTONE DR
SEBAS'f[AN, FL 32958
Cpteaories
3, SA
i
Js�ved: � May I ros: pril �0, 201Z
� ,��,,.r.,.► i ��.
�� Signahme Of LicenSee CHARLES H. BRONSON, COMMIS£.[ONER.!'�
. 7:a �lm�e ImlividoJ is 1 de pml�lan� ofCS�per u7. F.S. w W rtMacc .na .pply «c+�:�.a use
penicides.
.-�— .
CRY OF
�
HOME OF PELICAN ISLAND
1225 MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5330 • FAX (772) 589-5570
December 18, 2008
William Eggleston
129 Keystone Drive
Sebastian, FL 32958
RE: Hold Narmless Agreement and Authorization for Volunteer Aquatic Life Treatment
Dear Mr. Eggleston:
Please keep and have this Hold Harmless and Authorization Agreement for a formal record. This
document will provide you authorization to continue volunteer aquatic life treatment on ponds,
swales, lakes and other like water bodies in an around the Keystone Drive area, as approximately
depicted on the map attached hereto. The City recognizes that you take these activities on a
volunteer basis and will provide all chemicals and labor at no charge to the City. Further, as
applications are made, the City understands and you agree to keep current all required
registrations and training as required for aquatic application from all regulatory agencies and
Florida Statutes. Finally, as a volunteer for the City of Sebastian, you shall hold harmless the City
of Sebastian, its agents, officers or representatives from any and all claims that may arise from
treating aquatic life at the aforementioned location. You are hereby further informed that only you
have authorization to apply such treatments and no other person or persons may accompany you
in this process.
This Agreement shall be in full force and effect until December 31, 2009. This agreement will be
reviewed on an annual basis.
Please sign and return a copy of this Agreement, as your signature indicates your concurrence
with these terms. Also, note that a copy of this agreement will remain in the City Attorney's office
and be on file with the City Clerk, City Manager, Public Works Director and Police Chief.
On behalf of the City of Sebastian, I would like to thank you for your volunteer efforts.
Maintenance of our water bodies is an important item for the City. We appreciate your efforts and
dedication.
As to Form and Substance,
���
Robert Ginsburg
City Attorney
rr��ie�isiw.�►'—�_
William Eggleston
129 Keystone Drive
cc: Sally Maio, City Clerk
CIIY OF
S��S�'��N
HOME OF PELICAN ISLAND
1225 MAIN STREET • SEBASTIAN, FLORIDA 32958
TELEPHONE: (772) 589-5330 • FAX (772) 589-5570
December 14, 2007
William Eggleston
129 Keystone Drive
Sebastian, FL 32958
RE: Hold karmiess Agreement and Authorization for Volunteer Aquatic Life Treatment
Dear Mr. Eggleston:
Please keep and have this Hold Harmless and Authorization Agreement for a formal record. This
document will provide you authorization to continue volunteer aquatic life treatment on ponds,
swales, lakes and other like water bodies in an around the Keystone Drive area, as approximately
depicted on the map attached hereto. The City recognizes that you take these activities on a
volunteer basis and will provide all chemicals and labor at no charge to the City. Further, as
applications are made, the City understands and you agree to keep current all required
registrations and training as required for aquatic application from all regulatory agencies and
Florida Statutes. Finally, as a volunteer for the City of Sebastian, you shall hold harmless the City
of Sebastian, its agents, officers or representatives from any and all claims that may arise from
treating aquatic life at the aforementioned location.
This Agreement shall be in full force and effect until December 31, 2008. This agreement will be
reviewed on an annual basis.
Please sign and return a copy of this Agreement, as your signature indicates your concurrence
with these terms. Also, note that a copy of this agreement will remain in the City Attorney's office
and be on file with the City Clerk, City Manager, Public Works Director and Police Chief.
On behalf of the City of Sebastian, I would like to thank you for your volunteer efforts.
Maintenance of our water bodies is an important item for the City. We appreciate your efforts and
dedication.
R pec ly, '
City Manager
.E��'/�"` J ,
William Eggleston `
129 Keystone D
cc: Sally Maio, City Clerk
Jerry Converse, Public Works Director
Jim Davis, Chief of Police
orm and Substance,
` .-� �
Rich Stringer
City Attorney
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