Welcome to the Department of Pesticide Regulation

Inspection and other forms used by County Agricultural Commissioners

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Form Number Form Description

PR-ENF-110, (PDF, 42 kb)
(Rev. 11/06)

Agricultural/Structural PCB Pest Control Records Inspections

PR-ENF-105, (PDF, 50 kb)
(Est. 3/03)

Commodity Fumigation Use Monitoring Inspection

DPR-161, (PDF, 449 kb)
(Rev. 8/07)

Decision Report

DPR-161A, (PDF, 531 kb)
(Est. 8/07)

Decision Report Supplement

PR-ENF-046, (PDF, 63 kb)
(Rev. 6/01)

Enforcement/Compliance Action Summary  (Instructions and Procedures)

PR-ENF-106, (PDF, 49 kb)
(Est. 3/03)

Field Fumigation Use Monitoring Inspection

PR-ENF-103, (PDF, 57 kb)
(Est. 3/03)

Field Worker Safety Inspection

DPR-197, (PDF, 95 kb)
(Rev. 10/08)

Forms Requisition

PR-ENF-111, (PDF, 20 kb)
(Est. 3/03)

Inspection Report Supplement

PR-ENF-097, (PDF, 19 kb)
(Est. 8/98)

Pesticide Illness Investigation Request for Time Extension

PR-ENF-102, (PDF, 25 kb)
(Est. 3/03)

Pesticide Pre-application Site Inspection

PR-ENF-099, (PDF, 59 kb)
(Rev. 3/03)

Pesticide Regulatory Activities Monthly Report

PR-ENF-104, (PDF, 54 kb)
(Rev. 11/06)

Pesticide Use Monitoring Inspection

PR-PML-045, (PDF, 20 kb)
(Rev. 12/06)

Private Applicator Certificate Application

PR-ENF-109, (PDF, 41 kb)
(Rev. 11/06)

Production Ag/Other/Dealer/PCA Pest Control Records Inspections

PR-ENF-107, (PDF, 39 kb)
(Est. 3/03)

Structural--Branch 1 Use Monitoring Inspection

PR-ENF-108, (PDF, 34 kb)
(Est. 3/03)

Structural--Branch 2 & 3 Use Monitoring Inspection

PR-ENF-101, (PDF, 36 kb)
(Rev. 3/03)
Violation Notice

Pesticide use reporting forms



For content questions, contact:
Roy Rutz
1001 I Street, PO Box 4015
Sacramento, California 95814-4015
Telephone: (916) 445-4279
E-mail: rrutz@cdpr.ca.gov