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
athompson@martinez.k12.ca.us or 925-335-5928
Email Address *
Name of Parent/Guardian/Employee *
Address
Phone
School Site
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. *
Required
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