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Occupants Fumigation Notice and Pesticide Disclosure

IMPORTANT - READ CAREFULLY

THIS BUILDING WILL BE FUMIGATED WITH LETHAL GASES ON THE DATE(S) INDICATED. ALL PERSONS AND ANIMALS MUST VACATE THE PREMISES ON OR BEFORE ARRIVAL OF THE FUMIGATION CREW.

UNDER NO CIRCUMSTANCES CAN ANYONE ENTER THE BUILDING UNTIL THE FUMIGATION COMPANY'S NOTICE IS POSTED GIVING THE TIME AND DATE FOR SAFE RE-ENTRY.

"State law that you be given the following information: Caution-Pesticides are Toxic Chemicals. Structual pest control companies are registered and regulated by the Structual Pest Control Board, and apply pesticides which are registered and approved for use by the California Department of Pesticide Regulation and the United Sates 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 risks depends upon the degree of exposure, so exposure should be minimized.

If within 24 hours you experience symptoms of dizziness, headache, nausea, reduced awareness, slowed movement, garbled speech or difficulty in breathing, leave the structure immediately and seek medical attention by contacting your physician or Poison Control Center and notify your pest control company. The warning agent, chloropicrin, can cause symptoms of tearing, respiratory distress and vomiting. Chloropicrin will be used as a warning agent with fumigant. Entry into the space during fumigation can be fatal.

For further information, contact any of the following: For health questions - the County Health Department; for Application Information - the County Agricultural Commissioner and for Regulatory Information - the Structural Pest Control Board, 800-737-8188, 1422 Howe Avenue, Sacramento, CA 95825."

FOR HEALTH QUESTIONS:

County Health Dept. County Agricultural Comm. Poison Control Center
213-250-8055....LA
714-834-3131....OR
909-358-5000....RV
909-387-6280....SB
626-575-5466....LA
714-447-7100....OR
909-955-3000....RV
909-387-2105....SB
800-876-4788....LA
800-876-4788....OR
800-876-4788....RV
800-876-4788....SB
Structural Pest Control Board
State Wide 800-737-8188

I hereby acknowledge receipt of a copy of this document as well as a list that includes the instructions for the necessary preparations for the fumigation, procedures for leaving the structure, and the following documents; Fact Sheet, Preparation Sheet.
*Vikane is a registered trademark of DowElanco.

 

            

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