Pesticide Applicator Licensing Formmar16.docx

DOCX document 17 KB Posted

Attached to
7841101000, Maintenance Herbicides
Solicitation number
6100037667
Issued by
Allegheny County, Brodheadsville CDP, Pennsylvania

About this file

This document appears to be a form for certified pesticide applicator licensing. The form requires the applicant's full name, license number, license categories, and expiration date. It is to be provided to PennDOT prior to the commencement of the initial equipment demonstration. PennDOT will review the form and indicate whether the applicant has passed or failed, and provide any additional comments.

The form does not contain information about a state or local contract opportunity. It is solely focused on the requirements for certified pesticide applicator licensing.

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Other files

File Type Posted
Addendum 1.pdf PDF
Addendum 2.pdf PDF
Contract Specifications for Hourly Herbicide_Feb 2016.doc DOC document

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Text version

Attachment 2- Certified Pesticide Applicator Licensing Form

Applicators Full Name (as it appears on License)
License Number
Categories
Expiration Date
For PennDOT Use Only

Personnel Review (Pass/Fail) Comments

Name of Company:_____________________________ Date: _____________ Provide this list prior to commencement of the initial equipment demonstration.

For PennDOT Use Only:

· Date Received: _____________________

· By: _________________________________________

· Pass/Fail: ________________

· Notes: __________________________________________________________________

File details come from the government source that posted it. Updated .