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Weevil (Iphthimorhinus australasiae)
For(Enter Name of School District or Building here)
(Insert Date of Application here)
This school district utilizes an Integrated Pest Management program, applying appropriatepesticides only when needed. Our applicators will select the most appropriate pesticide(s) fromthe following list of pesticides to control pests identified during their inspections. Not everypesticide listed maybe used.
Brand Name and EPA Registration Number(Enter Brand Names and EPA registration numbers for any pesticide, which may be usedhere)
(Enter Applicator Name)(Enter Applicator Address)(Enter Applicator Telephone Number)
This information is being provided to all school staff and to parents and guardians who have requested this information to meet the requirements of Act 36 of 2002.
(Note: The Pest Control Information Sheet is not required to be of any specific size. It may be inprinted form, or transmitted electronically to all affected)
Thank you for your submission!