Form# 10 Annual Pesticide Notification Letter - Please click here to download a printable version.
Dear Parent or Guardian,
The Healthy Schools Act of 2000 requires all California school districts to notify parents and guardians of pesticides they expect to apply during the year. We intend to use the following pesticides in your school this year:
Name of Pesticide (Common Name) Active Ingredient(s)
Bifenthrine and similar bifenthrin-based products bifenthrin (synthetic pyrethroid)
You can find more information regarding these pesticides and pesticide use reduction at the Department of Pesticide
Regulation’s Web site at http://www.cdpr.ca.gov.
Parents or guardians may request prior notification of individual pesticide applications at their school site. If you would like to be notified at least 72 hours before a scheduled pesticide application at your school site, please contact the Maintenance Department at (650) 697-5693 ext. 988 to request a Pesticide Application Notification Form.
If you have any questions, please contact Raul Fregozo, Maintenance Supervisor (650) 697-5693 ext. 988 or by email at email@example.com.