structural pest control board - Texas Department of Agriculture

TEXAS DEPARTMENT OF AGRICULTURE
STRUCTURAL PEST CONTROL SERVICE
CERTIFIED APPLICATOR
STRUCTURAL FUMIGATION ACTIVITY RECORDS FORM
DO NOT SEND THIS FORM TO THE STRUCTURAL PEST CONTROL SERVICE.
This record must be kept in the business/noncommercial entity files
Name of Applicator
Date of License Expiration
Business Address: State ZIP Code
Name of Business or Noncommercial Entity
Certified Applicator License No.
Date of Activity Activity (may use numbers 1 –
18 from back of form)
TPCL No. (if Commercial Appl.)
Customer Street Address City (or County)
(USE ADDITIONAL SHEETS AS NECESSARY; SEE DEFINITION OF TERMS ON BACK OF FORM)
09-01-07

DEFINITIONS OF TERMS
Date of Activity- Actual date activity took place. Includes preparation at office
and on jobsite activities.
Activity – Direct participation by applicator in identifying infestations,
recommendations, estimates, bids, and disclosures, making contracts, submitting
bids or performing services, preparing structures for fumigation, applying
fumigants, and clearing structures. Applicators must actively participate in 9 of
the following tasks on each of three fumigations to receive credit. If an
applicator participates in additional fumigations within the license year,
there is no requirement to record the additional fumigations on this form.
1. Inspect structure and identify pest(s) prior to fumigation
2. Prepare disclosure documents pursuant to the provisions of §599.4 of the
SPCS regulations
3. Measure structure and calculate volume
4. Calculate dosage of Fumigant
5. Notify local fire or police authority as appropriate
6. Secure materials left inside structure, check pilot lights & appliances
7. Tarp, place snakes, or otherwise seal structure for fumigation
8. Post the structure and secure entrances to the structure
9. Instruct the person (guard) on duty at the site on responsibilities and safety
precautions
10. Provide onsite supervision during application (only one applicator per
company may claim provision of onsite supervision)
11. Set up equipment including splash pan and fans for
12. Introduce fumigant and warning agent (if required) to the structure
13. Aerate structure
14. Take down tarps, remove snakes, remove locks, or otherwise remove
sealing material
15. Clear the structure
16. Provide onsite supervision during aeration and clearing(only one
applicator per company may claim provision of onsite supervision)
17. Store and/or dispose of fumigant containers
18. Prepare the report of fumigation required by §599.9(j) of the SPCS
regulations
09-01-07