Form L-7 "Pesticide Use, Storage and Disposal Checklist" - California

What Is Form L-7?

This is a legal form that was released by the California Department of Pesticide Regulation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the California Department of Pesticide Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form L-7 by clicking the link below or browse more documents and templates provided by the California Department of Pesticide Regulation.

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Download Form L-7 "Pesticide Use, Storage and Disposal Checklist" - California

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Pesticide Use, Storage
and Disposal Checklist
General
❒ Pesticides used in school are registered in California.
❒ Copy of each appropriate label is available at use site.
❒ Applicators using restricted materials are licensed or certified to apply the material or under the
direct supervision of someone who is.
❒ Records kept of pesticide use. Records must include the following to comply with the Healthy
Schools Act:
date and place of application
amount used
product names
active ingredient(s)
manufacturer’s name
U.S. Environmental Protection Agency’s product registration number.
❒ Pesticide use records kept for 4 years in an area accessible to the public.
Training
❒ School keeps written records of applicator training.
Applicators are trained in at least the following:
Meaning of precautionary statements on the pesticide label
Routes pesticides can enter the body and the signs and symptoms of pesticide over-exposure
Emergency first aid and how to obtain emergency medical care
Safety requirements and procedures
Environmental concerns such as drift, runoff, and wildlife hazards
Applicable regulations and the Material Safety Data Sheet
The location of the completed Hazard Communication for Employees Handling Pesticides in
Noncrop Settings (Pesticide Safety Information Series N-8 from the Department of Pesticide
Regulation Appendix P or your County Agricultural Commissioner).
Equipment
❒ Equipment in good repair and safe to operate.
❒ Equipment for mixing, loading, transferring, or applying pesticides is inspected before each day
of use.
Emergency Plans
❒ List of emergency phone numbers in vehicles and/or an accessible area near a phone.
❒ List of first aid procedures in vehicles and/or at use sites.
❒ Name, address, and phone number of facility at which medical care is available is prominently
posted in vehicles and/or at use sites.
Storage and Disposal
❒ Pesticides with signal words “Danger” or “Warning” stored in locked area that is dry, separate
from food and feed, and away from children and pets.
❒ Sign reading “Danger: Poison Storage Area. All unauthorized persons keep out.” posted on
storage area.
❒ Pesticides with signal word “Caution” stored in dry areas away from children, preferably under
lock and key.
L-7
Pesticide Use, Storage
and Disposal Checklist
General
❒ Pesticides used in school are registered in California.
❒ Copy of each appropriate label is available at use site.
❒ Applicators using restricted materials are licensed or certified to apply the material or under the
direct supervision of someone who is.
❒ Records kept of pesticide use. Records must include the following to comply with the Healthy
Schools Act:
date and place of application
amount used
product names
active ingredient(s)
manufacturer’s name
U.S. Environmental Protection Agency’s product registration number.
❒ Pesticide use records kept for 4 years in an area accessible to the public.
Training
❒ School keeps written records of applicator training.
Applicators are trained in at least the following:
Meaning of precautionary statements on the pesticide label
Routes pesticides can enter the body and the signs and symptoms of pesticide over-exposure
Emergency first aid and how to obtain emergency medical care
Safety requirements and procedures
Environmental concerns such as drift, runoff, and wildlife hazards
Applicable regulations and the Material Safety Data Sheet
The location of the completed Hazard Communication for Employees Handling Pesticides in
Noncrop Settings (Pesticide Safety Information Series N-8 from the Department of Pesticide
Regulation Appendix P or your County Agricultural Commissioner).
Equipment
❒ Equipment in good repair and safe to operate.
❒ Equipment for mixing, loading, transferring, or applying pesticides is inspected before each day
of use.
Emergency Plans
❒ List of emergency phone numbers in vehicles and/or an accessible area near a phone.
❒ List of first aid procedures in vehicles and/or at use sites.
❒ Name, address, and phone number of facility at which medical care is available is prominently
posted in vehicles and/or at use sites.
Storage and Disposal
❒ Pesticides with signal words “Danger” or “Warning” stored in locked area that is dry, separate
from food and feed, and away from children and pets.
❒ Sign reading “Danger: Poison Storage Area. All unauthorized persons keep out.” posted on
storage area.
❒ Pesticides with signal word “Caution” stored in dry areas away from children, preferably under
lock and key.
L-7