Form SPCS-09-03 "Fumigation Notification" - Georgia (United States)

What Is Form SPCS-09-03?

This is a legal form that was released by the Georgia Department of Agriculture - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Georgia Department of Agriculture;
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  • Fill out the form in our online filing application.

Download a printable version of Form SPCS-09-03 by clicking the link below or browse more documents and templates provided by the Georgia Department of Agriculture.

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Download Form SPCS-09-03 "Fumigation Notification" - Georgia (United States)

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Georgia Department of Agriculture
19 Martin Luther King, Jr. Drive
Atlanta, Georgia 30334
FUMIGATION NOTIFICATION
To comply with chapter 620-8-02 of the Georgia Structural Pest Control Act Notification Requirement, the
licensee shall notify Georgia Department of Agriculture at least 48 hours prior to the scheduled time of
release of fumigant.
Company Name:_______________________________ License #:____________
Property/Owner:____________________________________________________
Address:___________________________________
___________________________________
___________________________________
Type of Structure:___________________________________________________
Operator-in-Charge:_________________________________________________
Day Phone:_______________________ Night Phone:_____________________
Fumigant:____________________________ Cubic Feet:__________________
Pest to be Controlled:____________________________ Date:_____________
Time of Releasement:________________ Exposure:_______________
Notification can be submitted by email (inspection@agr.georgia.gov), fax (404-
463-6671) or call 404-656-3641.
SPCS-09-03
Georgia Department of Agriculture
19 Martin Luther King, Jr. Drive
Atlanta, Georgia 30334
FUMIGATION NOTIFICATION
To comply with chapter 620-8-02 of the Georgia Structural Pest Control Act Notification Requirement, the
licensee shall notify Georgia Department of Agriculture at least 48 hours prior to the scheduled time of
release of fumigant.
Company Name:_______________________________ License #:____________
Property/Owner:____________________________________________________
Address:___________________________________
___________________________________
___________________________________
Type of Structure:___________________________________________________
Operator-in-Charge:_________________________________________________
Day Phone:_______________________ Night Phone:_____________________
Fumigant:____________________________ Cubic Feet:__________________
Pest to be Controlled:____________________________ Date:_____________
Time of Releasement:________________ Exposure:_______________
Notification can be submitted by email (inspection@agr.georgia.gov), fax (404-
463-6671) or call 404-656-3641.
SPCS-09-03