Pesticide Use The district complies with state law requiring use of effective and least toxic pest management practices, and provides annual notification to all parents/guardians of students enrolled at a district school with a listing of all pesticides that may be applied at their site. Parents/guardians may request prior notification of individual pesticide applications for their school site. People listed on this registry will be notified at least 72 hours before pesticides are applied. In an emergency that requires spraying of pesticides, the site will be notified and signs posted; however, those listed on the registry will not be notified. To be included on the notification registry, fill out form below and return to SMCOE Facilities Services DO NOT RETURN TO SCHOOL SITE PLEASE PRINT _______________________________ Date _______________________________ Name of School or Daycare Center _______________________________ Student Name _______________________________ Parent/Guardian Name _______________________________ Home Address, Apt. # _______________________________ City, State, Zip _______________________________ Email Address I prefer to be contacted by: ____ Email ____ US Mail I understand that, upon request, the public school district listed 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 the school listed. Return Form by U.S. Mail to: San Mateo County Office of Education Facility Services 101 Twin Dolphin Drive Redwood City, CA 94065 San Mateo County Office of Education IPM Pesticide List Pesticide Avert Borid Contrac Cy-Kick CS Dragnet Drione Glyphosate Pro 4 Gopher Getter Bait type 2 Gopher Getter Bait type 1 Knighthawk Maxforce Ant Bait Stations Maxforce Roach Bait Stations Maxforce Ant Killer Bait Gel Maxforce Roach Killer Bait Gel Mecomec 2.5 Microcare P.C.Q. Phantom Precor 2000 Pyrocide 300 QuikPro Roundup Pro Speedzone Suspend SC Talstar Tempo Ultra WP Turflon Ester Manufacturer Whitmire Micro-Gen Waterbury Companies Bell Laboratories, Inc Whitmire Micro-Gen FMC Corporation Bayer Environmental Prokoz, Inc Wilco Distributors Wilco Distributors Phoenix Environmental Bayer Environmental Bayer Environmental Bayer Environmental Bayer Environmental PBI/Gordon Corp Whitmire Micro-Gen Bell Laboratories BASF Corp Wellmark International MGK Monsanto Monsanto PBI/Gordon Corp Bayer Environmental FMC Corp Bayer Environmental Lawn & Garden Products Active Ingredient Abamectin Boric Acid Bromadiolone Cyfluthrin Permethrin Pyrethrins Glyphosate Diphacinone Srychnine Alkaloid Prodiamine Fipronil Fipronil Fipronil Fipronil Potassium Salt Pyrethrins Diphacinone Chlorfenapyr Permethrin Pyrethrins Glyphosate Glyphosate 1-2% Dicamba/2-4/mcpp Deltamethrin Bifenthrin Cyfluthrin Triclopyr Physical Form Powder Powder Solid Powder Liquid Dust Liquid Granule Granule Solid Solid Solid Gel Gel Liquid Liquid Pellet Liquid Spray Liquid Liquid Liquid Liquid Liquid Granule Powder Liquid