Form DPR-ENF-046 "Enforcement/Compliance Action Summary" - California

What Is Form DPR-ENF-046?

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:

  • Released on February 1, 2013;
  • 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 DPR-ENF-046 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 DPR-ENF-046 "Enforcement/Compliance Action Summary" - California

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STATE OF CALIFORNIA
DEPARTMENT OF PESTICIDE REGULATION
ENFORCEMENT/COMPLIANCE ACTION SUMMARY
ENFORCEMENT BRANCH
DPR-ENF-046 (REV. 2/13) PAGE 1 OF 2
INSTRUCTIONS: (Please see reverse for codes and instructions.)
A. ENFORCEMENT/COMPLIANCE ACTION TYPE and STATUS.
(Only one enforcement type or compliance group, per form.)
Date of Incident
Date of Action
Date Closed
Susp/Revoke Date
Case Number (numeric only)
County
Administrative Action (check only one):
Judicial Action (check only one):
Administrative Civil Penalty (Agricultural)
Notice to Appear (Citation)
Administrative Civil Penalty (Structural)
Case Submitted to DA/Circuit Prosecutor
County Registration Suspended/Revoked
Compliance Actions (check all that apply):
Private Applicator Certificate Suspended/Revoked
Cease and Desist Order
Serial Number:
Restricted Materials Permit Suspended/Revoked
Documented Compliance Interview
Referred for State Action (check only one):
Warning Letter/Violation Notice (VN)
DPR
SPCB
OTHER
VN Serial Number:
Administrative Action Status (check one):
Action Reference:
Notice of Proposed Action (NOPA)
Inspection Form Serial #:
OR
DPR Priority Investigation #:
Signed Stipulation
Withdrawn
Worker Health and Safety (WHS) Case #:
Closed After Hearing
Closed No Hearing
District Attorney/Prosecutor or Other Case #:
B. ACTION DETAIL.
(Attach additional page(s) as necessary.)
PROPOSED
MODIFIED
DISMISSED
SECTION(S) CITED (One per line)
Fine ($)
Suspension (days)
Fine ($)
Suspension (days)
(Check if dismissed)
Cont.
C. INDIVIDUAL/BUSINESS INFORMATION.
If the individual is affiliated with a business or organization, you may complete both individual and
business sections. Indicate whether the individual (IND) or business/organization (BUS) is being cited in this action by checking the appropriate 'respondent' box:
Last Name
First Name
M.I.
License Code Individual License Number
IND
Unregistered
Business/Organization Name
License Code Business License Number
BUS
Unregistered
Employment Code (see reverse)
SPCB Branch
Private Applicator Certificate Number
Operator ID #
Restricted Materials Permit #
D. ACTIVITY/INCIDENT INFORMATION.
*See Reverse for Codes
*Category
*Setting
*Activity
PESTICIDE PRODUCT NAME(S)
PRODUCT REG. NUMBER
Comment on Category/Setting/Activity:
County Contact (please print):
Telephone (Include Area Code)
STATE OF CALIFORNIA
DEPARTMENT OF PESTICIDE REGULATION
ENFORCEMENT/COMPLIANCE ACTION SUMMARY
ENFORCEMENT BRANCH
DPR-ENF-046 (REV. 2/13) PAGE 1 OF 2
INSTRUCTIONS: (Please see reverse for codes and instructions.)
A. ENFORCEMENT/COMPLIANCE ACTION TYPE and STATUS.
(Only one enforcement type or compliance group, per form.)
Date of Incident
Date of Action
Date Closed
Susp/Revoke Date
Case Number (numeric only)
County
Administrative Action (check only one):
Judicial Action (check only one):
Administrative Civil Penalty (Agricultural)
Notice to Appear (Citation)
Administrative Civil Penalty (Structural)
Case Submitted to DA/Circuit Prosecutor
County Registration Suspended/Revoked
Compliance Actions (check all that apply):
Private Applicator Certificate Suspended/Revoked
Cease and Desist Order
Serial Number:
Restricted Materials Permit Suspended/Revoked
Documented Compliance Interview
Referred for State Action (check only one):
Warning Letter/Violation Notice (VN)
DPR
SPCB
OTHER
VN Serial Number:
Administrative Action Status (check one):
Action Reference:
Notice of Proposed Action (NOPA)
Inspection Form Serial #:
OR
DPR Priority Investigation #:
Signed Stipulation
Withdrawn
Worker Health and Safety (WHS) Case #:
Closed After Hearing
Closed No Hearing
District Attorney/Prosecutor or Other Case #:
B. ACTION DETAIL.
(Attach additional page(s) as necessary.)
PROPOSED
MODIFIED
DISMISSED
SECTION(S) CITED (One per line)
Fine ($)
Suspension (days)
Fine ($)
Suspension (days)
(Check if dismissed)
Cont.
C. INDIVIDUAL/BUSINESS INFORMATION.
If the individual is affiliated with a business or organization, you may complete both individual and
business sections. Indicate whether the individual (IND) or business/organization (BUS) is being cited in this action by checking the appropriate 'respondent' box:
Last Name
First Name
M.I.
License Code Individual License Number
IND
Unregistered
Business/Organization Name
License Code Business License Number
BUS
Unregistered
Employment Code (see reverse)
SPCB Branch
Private Applicator Certificate Number
Operator ID #
Restricted Materials Permit #
D. ACTIVITY/INCIDENT INFORMATION.
*See Reverse for Codes
*Category
*Setting
*Activity
PESTICIDE PRODUCT NAME(S)
PRODUCT REG. NUMBER
Comment on Category/Setting/Activity:
County Contact (please print):
Telephone (Include Area Code)
DPR-ENF-046 Codes and Instructions
PAGE 2 OF 2
Employment/Sector Codes
License/Certificate Codes
Category for QAL/QAC & AG PCB Licensees
Commercial
COM
Animal Agriculture
INDIVIDUAL CODES:
(incl. FLCs, MGBs, PCBs, etc. )
Antifouling Tributyltin
Apprentice Pest Control Aircraft Pilot
APC
Government Agencies
GOV
Aquatic
Journeyman Pest Control Aircraft Pilot
JPC
Grower
GRO
Demonstration and Research
Operator ID
OID
Homeowner
HOM
Field Fumigation
Pest Control Adviser
PCA
(associations, apartments, etc.)
Forest
DDA
Pest Control Dealer Designated Agent
Private Sector
PRI
Health Related
Private Applicator Certificate
PAC
(hotels, motels, restaurants, golf
Industrial
Qualified Applicator Certificate
QAC
courses, cemeteries)
Institutional
QAL
Qualified Applicator License
SCH
Landscape Maintenance
Schools
Restricted Materials Permit
RMP
Microbial Pest Control
RA
Structural Pest Control Control Applicator
Plant Agriculture
Structural Pest Control Field Representative
FR
Regulatory
OPR
Structural Pest Control Operator
Residential
Activity
VCT
Vector Control Technician
Right-of-Way
Seed Treatment
Advising
Sewer Line Root Control
Aerating - field/structure
BUSINESS CODES:
Wood Preservation
Applying
Farm Labor Contractor
FLC
No Category
Chemigating
Maintenance Gardener
MGB
Disinfecting
Operator ID
OID
Setting
Disposing
Pest Control Business
PCM
Field Worker Activities
Aquatic
Farm
PCB
Pest Control Business Branch
(incl. harvesting, thinning, packing, pruning)
Forest
Golf Course
Pest Control Dealer
PDM
Flagging
Greenhouse
HQ/Office
Pest Control Dealer Branch
PDB
Fumigating - structure/field/commodity
PBM
Home Use
Industrial
Pesticide Broker
Irrigating
Institutional
Landscape Maint.
Pesticide Broker Branch
PBB
Licensing
RMP
Nursery
Research
Restricted Materials Permit
Maintaining equipment
PR
Recreational
Regulatory
Structural Pest Control Co. - PRINCIPLE
(e.g., cleaning/repairing)
Structural Pest Control Co. - BRANCH
BR
Residential
Right-of-Way
Mixing/Loading
Public Health
School
Processing/Packing
Storage
Other
(Ag Commodities, not in field)
Record Keeping
CODES for INDIVIDUAL or BUSINESS:
SPCB Branch
Registering
Not Required
NR
Storing
1 Fumigation
Uncertified
UNC
Transporting
2 General Pest Control
Unlicensed
UNL
3 Termite Control
Other
PART A. Complete all items. Action Type - For All enforcement actions (administrative, judicial, referral), check only one per form. For
compliance actions, check all that apply. Do not report enforcement and compliance actions on the same form. Case Number - May be any
county assigned number, although sequential numbers are preferred for Administrative Civil Penalties. This is a numeric field only; DO NOT
incorporate county names or special characters.
PART B. Enforcement actions: Complete all items applicable to the status of the action. Compliance actions: complete section(s) cited only.
Suspension (days) - The number of days (duration) of the suspension; record the beginning date in Part A. "Susp/Revok Date".
PART C. Complete all items. Individual License # field: Record the license number as listed on license or certificate. Business License #
field: Record the license number as printed on the business license. SPCB Branch field: Record appropriate Branch number for individual or
business licensees. Operator ID/Restricted Materials Permit # field: Check only one box. Record the entire number as issued
(cc/yy/cc/#####). If Respondent is a business and RMP box is checked, list name and PAC# of permit holder. Leave blank if not applicable.
Unregistered field: Check the box only if the individual or business is not registered in your county.
PART D. Pesticide Product Name(s) and Product Registration Number(s): Record both if applicable. License Category: Required for
QAL/QAC & PCB licensees. List only the category applicable to incident. If the respondent worked out of category, record remarks in
Comments field. Setting and Activity are required fields. If the appropriate terms are not listed on the back of the form for Setting or
Activity, record Other then describe the activity or setting in the Comments field. If the violation is for general record keeping, then setting is
HQ/Office and the activity is record keeping.
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