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Appendix D - Advisory proforma for use when herbicides/

fungicides/pesticides are to be used in a playspace

Important Notice to all Parents and Staff


(Date) Pesticide/herbicide/fungicide spraying will be carried out on

(Time) spraying will take place at approximately....................................am/pm

(Area) we will be spraying the...............................................................................................

(Product) with.......................................................................................................................
(Website information) A product Material Safety Data Sheet (MSDS) can be down loaded
from......................................................................................................................................

(Staff Contact) Or if you have any questions or concerns, please see ................................. prior to the
spray application.

The area can be safely re-entered after........................................am/pm on

Director/Principal/Coordinator....................................................................

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