Pesticide Application Notice Disclosure & Service Request Form
In accordance with the laws and regulations of the State of California, we
are required to provide you with the following information prior to any
pesticide application to your property. Please take a few moments to read
and become familiar with this notice.
CAUTION - PESTICIDES ARE TOXIC CHEMICALS.
Structural Pest Control Companies are registered and regulated by the Structural Pest Control Board and apply pesticides which are registered and approved for use by the California Department of Pesticide Regulation and the United States Environmental Protection Agency. Registration is granted when the State finds that based on existing scientific evidence there are no appreciable risks if proper use conditions are followed or that the risks are outweighed by the benefits. The degree of risk depends upon the degree of exposure, so exposure should be minimized. If within 24 hours following application you experience symptoms similar io common seasonal illness comparable to the flu: Contact your physician or the poison control center at (800) 222- 1222 and your pest control company immediately. For further information, contact any of the following: Newport Exterminating (949) 261-0700; for Health Questions — County Health Dept.: Orange (714) 433-6000; Los Angeles (714) 744-3070; San Diego (619) 515-6770; Riverside (951) 955- 3045; San Bernardino (909) 387- 6280; for Application Information — County Agricultural Commissioner: Orange (714) 995-0100; Los Angeles (626) 575-5466; San Diego (858) 694-8980; Riverside (951) 955-3000; San Bernardino (909) 387-2105 and for Regulatory Information — the Structural Pest Control Board, 2005 Evergreen Street, Suite 1500, Sacramento, CA 95815-3831 (916) 561-8708.
The following pesticides are commonly used by Newport Exterminating. One or more of these materials may be used in your unit. You may request specific information about which pesticides are to be applied and when they are to be applied from the building owner/manager or from Newport Exterminating.
CAUTION - PESTICIDES ARE TOXIC CHEMICALS.
Structural Pest Control Companies are registered and regulated by the Structural Pest Control Board and apply pesticides which are registered and approved for use by the California Department of Pesticide Regulation and the United States Environmental Protection Agency. Registration is granted when the State finds that based on existing scientific evidence there are no appreciable risks if proper use conditions are followed or that the risks are outweighed by the benefits. The degree of risk depends upon the degree of exposure, so exposure should be minimized. If within 24 hours following application you experience symptoms similar io common seasonal illness comparable to the flu: Contact your physician or the poison control center at (800) 222- 1222 and your pest control company immediately. For further information, contact any of the following: Newport Exterminating (949) 261-0700; for Health Questions — County Health Dept.: Orange (714) 433-6000; Los Angeles (714) 744-3070; San Diego (619) 515-6770; Riverside (951) 955- 3045; San Bernardino (909) 387- 6280; for Application Information — County Agricultural Commissioner: Orange (714) 995-0100; Los Angeles (626) 575-5466; San Diego (858) 694-8980; Riverside (951) 955-3000; San Bernardino (909) 387-2105 and for Regulatory Information — the Structural Pest Control Board, 2005 Evergreen Street, Suite 1500, Sacramento, CA 95815-3831 (916) 561-8708.
The following pesticides are commonly used by Newport Exterminating. One or more of these materials may be used in your unit. You may request specific information about which pesticides are to be applied and when they are to be applied from the building owner/manager or from Newport Exterminating.
- Avitrol (4-Aminopyridine)
- BP-100 (Pyrethrin)
- BP-300 (Pyrethrin)
- Contract Bait Blox (Bromadiolone)
- Deadline M.P.S. (Metaldehyde)
- Delta Dust (Deltamethrin)
- Demand C.S (Lambda-Cyhalothrin)
- Drione (Pyrethrin/Silica Gel/Piperonyl Butoxide)
- Essentria IC3 (Rosemary Oil/Geraniol/Peppermint Oil)
- Fumitoxin (Aluminum Phosphide)
- Gentrol (Hydroprene)
- Gopher Bait (Strychnine)
- Maxforce (Hydramethylon)
- P.I. (Pyrethrin/Piperonyl Butoxide)
- Precor (Methoprene)
- PT230 - Tridie (Pyrethrin/Silica Gel/Piperonyl Butoxide)
- PT515 - Wasp Freeze (d-Trans Allethrin)
- PT565 - Plus Xlo (Pyrethrin/Alletivin)
- Purge III (Pyrethrin/Piperonyl Butoxide)
- Gopher Getter (.50 Strychnin Alkaloid)
- Tengard SFR (Permethrin)
- Termidor (Fipronil)
- Tempo (Cyfluthrin)
- Timbor (Disodium Octoborate Tetrahydrate)
- Wisdom (Bifenthrin)
- Wisdom TC (Bifenthrin)
- ZP Rodent Bait (Zinc Phosphide)
- ZP Tracking Powder (Zinc Phosphide)
California law also requires persons in the course of doing business whose
activities may result in exposures to substances regulated under the Safe
Drinking and Toxic Enforcement Act of 1986, commonly referred to as
“Proposition 65,” to provide a clear and reasonable warning. As some of
the pesticides listed above contain chemicals regulated under Proposition
65, you are advised as follows:
WARNING: The area within your building contains a substance known to the State of California to cause cancer, birth defects or other reproductive harm.
WARNING: The area within your building contains a substance known to the State of California to cause cancer, birth defects or other reproductive harm.
