03-22-2017 Attachment 2, Cerified Pesicide Applicator Licencing Form.pdf
PDF 142 KB Posted
- Attached to
- Landscape Services in Five (5) Counties
- Solicitation number
- 6100042168
- Issued by
- Montgomery County, Koppel Borough, Pennsylvania
About this file
This document is a Certified Pesticide Applicator Licensing Form for the Pennsylvania Department of Transportation (PennDOT). The form requires the name of the company, the applicator's full name as it appears on their license, the license number, the license categories, and the expiration date. PennDOT will use this form to review the applicator's qualifications and indicate whether they have passed or failed the review, as well as provide any additional comments.
The form does not contain information about a state or local contract opportunity. It is focused solely on the licensing requirements for certified pesticide applicators working with PennDOT.
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Text version
Attachment 2- Certified Pesticide Applicator Licensing Form
For PennDOT Use Only:
Date Received: _____________________
By: _________________________________________
Pass/Fail: ________________
Notes:
Name of Company: ____________________________ Date: _____________
Applicators Full
Name (as it appears on
License)
License
Number Categories
Expiration
Date
For PennDOT Use Only
Personnel
Review
(Pass/Fail)
Comments
File details come from the government source that posted it. Updated .