California Forms Requisition Page 4
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5State of California
Department of Pesticide Regulation
FORMS REQUISITION
DPR-197 (Rev. 1/16)
Page 4 of 5
FORM NUMBER
FORM NAME
QUANTITY
PR-PML-042
Pest Control Business License Application Packet (Rev. 05/07)
_________
PR-PML-043
Pest Control Dealer Designated Agent License Application (Rev. 05/07)
_________
PR-PML-045
Private Applicator Certificate Application (Rev. 12/06) 50/pad
_________
PR-PML-059
Pest Control Business County Registration (Rev. 03/02) 3/sheet
_________
PR-PML-084
Agricultural Pest Control Adviser License Application Packet (Rev. 06/08)
_________
PR-PML-123
Continuing Education Record Renewal Summary (Rev. 07/03)
_________
PR-PML-131
Continuing Education Approval Request (Rev. 09/03)
_________
PR-PML-132
Continuing Education Additional Presentation Request (Rev. 09/03)
_________
PR-PML-179
County Agricultural Commissioner’s Staff Continuing Education Record
(Rev. 09/02) 50/pad
_________
PR-PML-217
Pesticide Broker License Application Packet (Rev. 05/07)
_________
(N/A)
Private Applicator Certificate Cards (Tan) 8/sheet
_________
DPR-PML-704
Notice to Maintenance Gardeners (English) (Rev. 12/02)
_________
DPR-PML-704S
Notice to Maintenance Gardeners (Spanish) (Rev. 12/02)
_________
Scantron Sheets
F-158 (500/pkg)
_________
882-E (500/pkg)
_________
WORKER HEALTH AND SAFETY (HS)
(N/A)
Glove Category Selection Key W allet Cards (50)
_________
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