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DPR FORM 39-030 Rev* 9/03 Page 1 of 6 APPLICATION FOR PESTICIDE REGISTRATION DPR USE ONLY Tr. ID Reg* No* R*S* Assigned New CA Registrant 1. Firm Name 2. Mailing Address of Firm 3. Street Address if different from above City State Zip Code Check box if new address 4. Name of Authorized Representative 5. Telephone Number of Representative 6. Fax Number 7. E-mail Address 8. Product Brand Name exactly as shown on label 9. U*S*EPA Registration Number 11. Type of California registration action...
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How to fill out dpr form 39-030
How to fill out DPR FORM 39-030
01
Obtain a blank DPR FORM 39-030 from the appropriate authority or website.
02
Start by filling in the date at the top of the form.
03
Provide your full name and contact information in the designated fields.
04
Indicate your current employment status and provide details of your employer if applicable.
05
List any previous job titles or relevant experience in the specified section.
06
Fill out any required personal identification numbers such as Social Security Number.
07
Complete the section concerning your educational background, including institutions attended and degrees earned.
08
Review the sections concerning additional qualifications or certifications, and provide relevant information.
09
Sign and date the form at the bottom to certify that the information provided is accurate.
10
Submit the completed form to the designated agency or individual as instructed.
Who needs DPR FORM 39-030?
01
Individuals applying for a specific permit or license, as required by the agency.
02
Employees seeking regulatory compliance documentation.
03
Contractors or businesses needing to fulfill requirements set by a government body.
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What is DPR FORM 39-030?
DPR FORM 39-030 is a form used by the California Department of Pesticide Regulation (DPR) for reporting pesticide use data, specifically for the purpose of monitoring environmental and public health impacts.
Who is required to file DPR FORM 39-030?
Entities that handle, use, or apply pesticides within California are required to file DPR FORM 39-030, including agricultural producers, commercial pesticide applicators, and specific businesses operating in pest control.
How to fill out DPR FORM 39-030?
To fill out DPR FORM 39-030, individuals or organizations must provide information such as the type and amount of pesticides used, the location of application, and any safety practices followed, ensuring all entries are accurate and complete.
What is the purpose of DPR FORM 39-030?
The purpose of DPR FORM 39-030 is to collect comprehensive data on pesticide usage in California to assess environmental impacts, promote safe pesticide practices, and ensure compliance with pesticide regulations.
What information must be reported on DPR FORM 39-030?
The information that must be reported on DPR FORM 39-030 includes pesticide product names, active ingredients, application sites, pesticide quantities used, dates of application, and details about the applicator.
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