Integrated Pest Management - Request for Individual Pesticide Application Notification
The California Healthy Schools Act (HSA) is a right-to-know law that provides parents, staff and the community with information about pesticide/herbicide use taking place at public schools and child care centers.
To meet the notification requirements of the HSA, individuals who want to be notified 72 hours before every pesticide/herbicide application must be given the opportunity to register with the school district.
Anyone may opt-in to receive such notification of pesticide/herbicide applications by completing the form below.
If you have any questions please contact:
April Thompson, Facilities Support Specialist, IPM Coordinator
Name of Parent/Guardian/Employee
John Muir Elementary
John Swett Elementary
Las Juntas Elementary
Morello Park Elementary
Martinez Junior High
Alhambra High School
Vicente High School
Martinez Adult School
Martinez Early Intervention Preschool Program
I understand that, upon request, the school district is required to supply information about individual pesticide applications at least 72 hours before application. I would like to be notified before each pesticide application at this school.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Martinez Unified School District.