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PESTICIDE USE REPORTING FOR SCHOOL AND CHILD CARE CENTER EMPLOYEES STATE OF CALIFORNIA DPR-HSA-118 REV. DO NOT report pesticide use by pest management professionals contracted to apply pesticides at schoolsites. 01/15 Page 1 of 2 DEPARTMENT OF PESTICIDE REGULATION PEST MANAGEMENT LICENSING BRANCH APPLICATION YR SCHOOL DESIGNEE IPM COORDINATOR DISTRICT/CENTER NAME Ahmad Sheikholeslami LICENSE /CERTIFICATE NUMBER optional Menlo Park City School District REPORT PREPARED BY E-MAIL ADDRESS CITY...
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DPR-HSA-118 rev is a form used for reporting certain health and safety incidents.
Employers are required to file dpr-hsa-118 rev if certain health and safety incidents occur in the workplace.
To fill out dpr-hsa-118 rev, you need to provide information about the incident, including the date, time, location, and details of what happened.
The purpose of dpr-hsa-118 rev is to document and report health and safety incidents in the workplace.
Information such as the date, time, location, nature of the incident, injuries sustained, and any corrective actions taken must be reported on dpr-hsa-118 rev.
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