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HomeMy WebLinkAboutRes 05-07 WA Adopting Academy Pest Management Program WESTLAKE ACADEMY RESOLUTION NO. 05-07 A RESOLUTION OF THE BOARD OF DIRECTORS OF WESTLAKE ACADEMY AUTHORIZING THE ADOPTION OF AN INTEGRATED PEST MANAGEMENT {IPM} PROGRAM WHEREAS, under Chapter 1951 of the Texas Occupations Code of the Texas Structural Pest Control Board Law and Regulations requires Texas schools and school districts to adopt the methods and practices of structural pest control that are necessary to protect the public's health and welfare and prevent adverse effects on human life and the environment. WHEREAS, the Westlake Academy Board of Directors authorizes the adoption of an IPM program that incorporates the standards established by this program; and WHEREAS, the Westlake Academy Board of Directors finds that the passage of this resolution is in the best interest of the Academy students, staff, and general public's health and welfare; both for school buildings and surrounding facilities. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS OF WESTLAKE ACADEMY: SECTION 1. That the Board of Directors of Westlake Academy hereby adopts the IPM statement and policy. SECTION 2. That this Resolution shall become effective upon the date of its passage. PASSED AND APPROVED ON THIS 26th DAY OF SEPTEMBER, 2005. Scott BradlAy, President ATTEST: J4&n Dwinnell, Secretary Trent Petty, Chief E cutive Officer APPROVED AS TO FORM: G� L. Stanton Lowry, Town Attorney Policy Statement Structural and landscape pests can pose a significant problem to people, properly and the environment. Pesticides and herbicides can also pose risks to people, property, and the environment. It is therefore the Policy of Westlake Academy to incorporate Integrated Pest Management(IPM)procedures for control of structural and landscape pests. Pest are populations of living organisms (animals, plants, microorganisms)that interfere with the day-to- day operations of Westlake Academy (WA). Strategies for managing pest populations will be influenced by the pest species and whether that species poses a threat to the students, staff, property and/or the environment. Pest management plans will be developed for the Academy and will include pest management measures. Pest will be managed to reduce any potential human health hazards to protect against a significant threat to public safety,to prevent damage to Academy structure or property,to prevent pests from spreading into the community and to enhance the quality of life for students and staff. The choice of using chemical pesticides will be based on a review of all other known options and a determination that these options are not acceptable or feasible. Cost or staffing consideration alone will not be adequate justification for use of chemical control agents. Selected non-chemical pest management methods will be implemented,whenever possible to provide the desired control. It is the policy of WA to utilize IPM principles to manage pest populations adequately. The full range of alternatives, including no action will be considered. When it is determined that a pesticide or herbicide must be used in order to meet the pest management goals,the least hazardous material will be chosen. The IPM Coordinator, Administrator and staff will be educated about the potential school pest problems and the IPM policies and procedures to be used to achieve the desired pest management objectives. The IPM Coordinator will maintain records of pesticide and herbicide use and will notify the Academy staff and students of upcoming pesticide treatments. Notices will be posted in designated areas at each site. Pesticide purchase will be limited to the amount authorized for use in one year. Pesticide will be stored and disposed in accordance with the label directions and state regulations. Pesticides will be stored in an appropriate secure site not accessible to students or unauthorized personnel. Pesticide applicators will be educated and trained in the principles and practices of integrated pest management and use of pesticides. They will follow regulations and label precautions. Applicators will be certified and comply with the Academy policy. IPM Management The 1PM Coordinator will be trained through a Texas State Pesticide Control Board approved IPM Coordinator training course. The IPM Coordinator will design a pest management system and maintain IPM Policies. The IPM Coordinator is the person who observes and evaluates the site or directs others to do so and decides what needs to be done to achieve the site management objectives. WA will contract with a commercial pest control company(s) to meet the needs of the facility. The contractors will make detailed site-specific recommendations for structural and procedural modifications to achieve pest suppression. The contractor shall provide evidence of sufficient expertise in pest control and IPM principles and practices. 6 The WA IPM program includes educating all that is involved in the program. This education should include the administrators,teachers and auxiliary staff. Pest Management Objectives • Manage pests that may occur on campus to prevent interference with the learning environment of the students • Eliminate injury to students, staff and others • Preserve the integrity of the buildings and structure • Provide the safest playing or athletic surfaces possible IPM Cycle • INSPECTION— Inspection of all facilities and grounds will be conducted monthly basis by district personnel or by pest management contractors. • IDENTIFICATION — Accurate identification of pest is a vital part of ensuring that proper control methods will be used.Local resources will be used to help in identification. • ACTION — Habitat modifications, exclusions, repair, and sanitation efforts will be the first actions considered. Action threshold will be considered before any other actions are considered. Then action threshold will reflect how many pests can be tolerated for a specific site.The presence of some pests does not in itself necessarily refigure action. • EVALUATION—If it is determined that further action is needed then there will be a follow up with an appropriate pesticide approved by the IPM Coordinator 7 WA Res - 7 Westlake Academy Integrated Pest Management Program 2650 JT Ottinger Rd. Westlake, TX 76262 W� W 4ZW 1 , � 1 Table of Contents 1. Integrated Pest Management Program I. Policy Statement II. IPM Management III. Pest Management Objectives IV. IPM Cycle V. Indoor IPM Strategies VI. Outdoor IPM Strategies VII. Chemical Pesticide/Herbicides VIII. Evaluation and Recordkeeping 2. Training Records 3. Material Safety Data Sheets 4. Action Thresholds 5. IPM Materials List 6. Completed Approval forms for Red and Yellow List Product 7. Registration Notification for Pesticide Application 8. Notice of Pest Control Treatment 9. Commercial and Non-Commercial Pest Control Use Records 10. Recordkeeping Pod A-D Pod E-F Pod G Integrated Pest Management Program I. Policy Statement Structural and landscape pests can pose a significant problem to people, property and the environment. Pesticides and herbicides can also pose risks to people,property, and the environment. It is therefore the Policy of Westlake Academy to incorporate Integrated Pest Management (IPM) procedures for control of structural and landscape pests. Pest are populations of living organisms (animals, plants, microorganisms) that interfere with the day-to- day operations of Westlake Academy(WA). Strategies for managing pest populations will be influenced by the pest species and whether that species poses a threat to the students, staff, property and/or the environment. Pest management plans will be developed for the Academy and will include pest management measures. Pest will be managed to reduce any potential human health hazards to protect against a significant threat to public safety, to prevent damage to Academy structure or property,to prevent pests from spreading into the community and to enhance the quality of life for students and staff. The choice of using chemical pesticides will be based on a review of all other known options and a determination that these options are not acceptable or feasible. Cost or staffing consideration alone will not be adequate justification for use of chemical control agents. Selected non-chemical pest management methods will be implemented,whenever possible to provide the desired control. It is the policy of WA to utilize IPM principles to manage pest populations adequately. The full range of alternatives, including no action will be considered. When it is determined that a pesticide or herbicide must be used in order to meet the pest management goals,the least hazardous material will be chosen. The IPM Coordinator, Administrator and staff will be educated about the potential school pest problems and the IPM policies and procedures to be used to achieve the desired pest management objectives. The IPM Coordinator will maintain records of pesticide and herbicide use and will notify the Academy staff and students of upcoming pesticide treatments. Notices will be posted in designated areas at each site. Pesticide purchase will be limited to the amount authorized for use in one year. Pesticide will be stored and disposed in accordance with the label directions and state regulations. Pesticides will be stored in an appropriate secure site not accessible to students or unauthorized personnel. Pesticide applicators will be educated and trained in the principles and practices of integrated pest management and use of pesticides. They will follow regulations and label precautions. Applicators will be certified and comply with the Academy policy. 3 i II. IPM Management The IPM Coordinator will be trained through a Texas State Pesticide Control Board approved IPM Coordinator training course. The IPM Coordinator will design a pest management system and maintain IPM Policies. The IPM Coordinator is the person who observes and evaluates the site or directs others to do so and decides what needs to be done to achieve the site management objectives. WA will contract with a commercial pest control company(s) to meet the needs of the facility. The contractors will make detailed site-specific recommendations for structural and procedural modifications to achieve pest suppression. The contractor shall provide evidence of sufficient expertise in pest control and IPM principles and practices. The WA IPM program includes educating all that is involved in the program. This education should include the administrators,teachers and auxiliary staff. III. Pest Management Objectives • Manage pests that may occur on campus to prevent interference with the learning environment of the students • Eliminate injury to students, staff and others • Preserve the integrity of the buildings and structure • Provide the safest playing or athletic surfaces possible IV. IPM Cycle • INSPECTION—Inspection of all facilities and grounds will be conducted monthly basis by district personnel or by pest management contractors. • IDENTIFICATION—Accurate identification of pest is a vital part of ensuring that proper control methods will be used. Local resources will be used to help in identification. • ACTION — Habitat modifications, exclusions, repair, and sanitation efforts will be the first actions considered. Action threshold will be considered before any other actions are considered. Then action threshold will reflect how many pests can be tolerated for a specific site. The presence of some pests does not in itself necessarily refigure action. • EVALUATION — If it is determined that further action is needed then there will be a follow up with an appropriate pesticide approved by the IPM Coordinator k 4 ;i V. Indoor IPM Strategies • Typical Pests: Mice, Rats, Cockroaches, Ants, Flies, Spiders, Termites, and Microorganisms • Entr Mays: Doorways, Overhead doors, Windows, and Openings around pipes, Electrical fixtures and Duct(s). 1. Keep exterior doors shut when not in use 2. Place weather stripping around doors 3. Caulk and seal openings in walls 4. Keep vegetation at least one foot from the structure • Classrooms/Offices: Including Performance Hall, Gymnasiums, Hallways, Offices and Classrooms 1. Allow food and Beverages only in designated areas 2. Keep indoor plants healthy 3. Keep areas dry as possible by removing standing water and water damaged and wet materials 4. In the all class rooms store animal foods in sealed containers and regularly clean cages 5. In all areas remove dust and debris 6. Routinely clean lockers and desks 7. Frequently vacuum carpeted areas. • Food Preparation and Serving Areas: Dinning Hall, Kitchen, Teacher's Lounge, Vending Machine areas and Food Storage Rooms 1. Store food in containers that are inaccessible to pest 2. Store waste in containers that are inaccessible to pests 3. Remove all waste at the end of each day 4. Place screens on vents,windows and floor drains. 5. Remove all food debris including crumbs 6. Fix dripping faucets and other water leaks 7. Promptly clean food preparation equipment after use 8. Caulk or paint to seal cracks and crevices • Rooms with Extensive Plumbing: Bathrooms, rooms with sink, locker rooms and crew spaces. 1. Promptly repair leaks and correct other plumbing problems 2. Routinely clean floor drains, strainers and grates 3. Keep areas dry 4. Store paper products or cardboard boxes away from moist areas and direct contact with the floors. • Maintenance Areas: Mechanical rooms,Janitorial rooms, etc. 1. Allow eating only in designated eating rooms 2. Clean trash cans regularly 3. Use plastic liners in trashcans 4. Keep areas clean and dry as possible 5 5. Store paper products or cardboard boxes away from moist areas and direct contact with the floors and walls. VI. Outdoor IPM Strategies • Typical Pest: Mice and Rats. Turf Pest such as board-leaf and grassy weeds. Insects such as beetle grubs or sod webworms and turf disease. • Ornamental pest such as plant diseases, insects such as trips, aphids,Japanese beetles and bagworms. • Parking Lots, Loading Docks, Refuse Dumpsters 1. Regularly clean trash containers and ug tters 2. Regularly remove all waste and paper debris 3. Secure lids on trash containers 4. Repair cracks in pavement and sidewalks 5. Provide adequate drainage • Turf. Lawns,Athletic Fields and Playgrounds 1. Select turf types best adapted for the area 2. Adjust mowing height to grass type 3. Vary mowing patterns to reduce soil compaction 4. Do not over or under water turf water in the"A.M." 5. Provide good drainage 6. Periodically inspect turf for evidence of pest or diseases 7. Have soil analyzed to determine fertilizer requirements 8. Time fertilizer applications on an appropriate time 9. Aerate soil periodically • Ornamental Shrubs and Trees L Apply fertilizer to annual and perennials during active growing season 2. Apply fertilizer to trees and shrubs early in the growth season or during the dormant season 3. Prune branches to improve plants and prevent access by pest to structures 4. Periodically inspect plants for evidence of pest or disease . 5. Remove susceptible plants if a plant disease recurs and requires too many resources to keep healthy 6. Select replacement plants from among the disease resistant types 6 • Pesticide/Herbicide Applications 1. The IPM coordinator must approve applications 2. An appropriate application uses the least toxic and most effective pesticide or herbicide 3. Applications should be applied by qualified applicators 4. Applications will be applied when occupant are not expectedt to be present for at least 12 hours. A sign will be posted 48 hours before the application. 5. Applications will be applied according to label directions 6. Proper protective clothing or equipment will be used when applying chemicals. 7. Areas will be properly vented after application. • Storing Pesticides 1. Pesticide and herbicides will be stored off site or in buildings that are locked and inaccessible to all undesignated personnel. The storage area will have adequate ventilation. 2. Pesticide and herbicides will be stored in separate locations. 3. Storage facilities will be such that the risk of flooding and contaminating the environment will be minimal. 4. The storage are will be free of ignition sources 5. All pesticide and herbicides will be stored in their original containers with secure lids. 6. If pesticide and herbicides are stored in occupied buildings precautions will be taken to ensure that the air in the storage space has no chance of mixing with the air in the central ventilation system. Containers will be inspected routinely for leaks. • Posting and Notification State law requires schools to notify students and staff of impending pesticide applications 48 hours in advance. Notices will be posted in the areas to be treated. VII. Evaluation and Recordkeeping 1. Recordkeeping allows the IPM Coordinator to evaluate the IPM Program. 2. A pest management log will be maintained for the district and kept in the office of the IPM Coordinator. It will include pesticide use records that meet the requirements of the Structural Pest Control Board. 3. Copies of the Integrated Pest Management Plan will be kept in the Director Head of School Office and the IPM Coordinator's Office. 4. A copy of the EPA-registered label and the current MSDS for each pesticide and herbicide product used on WA property. 5. The Following forms will be filled in the IPM Coordinator's Office. a. Approval for Yellow and Red List Products b. Emergency Treatment Request c. Registration Notification Documentation d. Pest Management Log e. Incidental Use Letters f. Documentation of Training g. Prioritized list of needed structural and landscape improvements h. Request/Complaints relating to pest problems i. Contracts and records dealing with professional pest control services. 7 �l� END OF SECTION Section Two: Training records Section Three: Action Thresholds 10 IPM Action Thresholds The following guidelines are set in place to assist WA in establishing the point at which"Action"is taken to reduce a pest number. These"Action Thresholds"shall be reviewed and will be adjusted as necessary. Ants (common house-infesting) • Classrooms and other public areas: 5 ants per room • Infirmary: 5 ants per room • Kitchen: 5 ants per room • Maintenance and storage areas: 20 ants per 100 square feet in two successive monitoring periods • Outside grounds: 2 field ant mounds per 250 square feet Ants (Carpenter) • Classrooms and other public areas: 3 ants per room • Infirmary: 3 ants per room • Kitchen: 5 ants per room • Immediate action if ant colony inside or within 25 feet of any building Ants(Fire) • Classroom and other public areas: 3 ants per room • Infirmary: 3 ants per room • Kitchen: 3 ants per room • Maintenance and Storage areas: 10 ants per 100 square feet in two successive monitoring periods. • Outside Grounds: Any fire ant mound Bao_worms ® Control on conifers when two (2) or more large bags per tree or bush. In light infestations,hand pick and destroy; in heavily infestations, spray it with a `;Systemic"like product. Bees(Ronev) • Classrooms, Infirmary,Kitchen and Public Areas: 3 bees • Maintenance areas: 10 bees • Outdoors: No Action unless children are threatened and to be relocated by qualified beekeepers whenever possible. Handled by a qualified beekeeper whenever possible. Bees (Bumble) • Classrooms, Infirmary,Kitchen and Public areas: 1 bee • Maintenance areas: 3 bees • Outdoors: Action necessary if communal nest are present in student activity area. Also action whenever children are threatened. Bees (Carpenter) • Classrooms, Infirmary,Kitchen and Public Areas: 3 bees • Maintenance areas: 5 bees • Outdoors: 1 carpenter bee per 5 linear feet if susceptible, unfinished wood. Also action whenever children are threatened.Handled by qualified beekeeper whenever possible. 4 N� 11 Cockroaches • Classrooms and other public areas: 4 per room o If 4-10 cockroaches track down infestations, review sanitation, trash handling, clutter, open equipment, check accessible areas; vacuum and otherwise clean room and apply baits (see Texas Structural Pest Control Regulations)or other insecticides as necessary. • Infirmary: 3 cockroaches per room • Kitchen: 3 cockroaches per room • Maintenance areas: 5 cockroaches per room • Outside grounds: No action unless noticeable infestation Crickets • Classrooms and other public areas: 5 crickets per room • Infirmary: 3 crickets per room • Kitchen: 5 crickets per room • Hallways: 10 crickets per hall • Maintenance areas: 10 crickets per room • Outside grounds: No action unless causing problems Grain and Flour pests • Found in food for human consumption: 1 per package or container • Pet food: 1 if escaping from packaging Mouse Flies • Classrooms and other public areas: 5 flies per room • Infirmary: 2 flies per room • Kitchen: 2 flies per room • Maintenance areas: 8 flies per room • Outside grounds: 10 flies around any one trashcan or 20 flies around a dumpster. '° 12 Landscape plants (genera) B Whenever pest damage approaches 10 percent per plant Lawn pests(insects,nematodes, disease) ® Whenever visible damage approaches 10 percent in any 100 square foot area Lice(head or body) ® Take no action: refer to nurse Mice: • Indoors: Any mouse sightings or evidence of mice (droppings, tracks, etc) triggers pest management action. • Outdoors: Any noticeable burrows or activity in student areas Millipedes • Classrooms and other public areas: 5 millipedes per room • Infirmary: 3 millipedes per room • Kitchen: 3 millipedes per room • Maintenance areas: 10 millipedes per room • Outside grounds: No action unless noticeable infestation Pigeons • Roof ledges: 5 per building for 3 consecutive inspections • Public areas or roof. Whenever droppings accumulate more than 1/2—inch or nests obstruct gutters or equipment Poison Ivy • Student activity areas 1 plant • Wooded areas: No control necessary unless path or student activity area. Eats • Indoors: Any rat sighting or evidence of rats (such as droppings,tracks)triggers pest management action • Outdoors: Any active burrows or activity Scorpions • Indoors: Any sightings of scorpions triggers pest management action • Outdoors: If students are threatened Silverfish • Library, files, and book rooms: 3 per room • Other indoor areas: 5 per room `° 13 Spiders • Black Widow or Brown: Take immediate action • Other Spiders: • Classrooms: 2 spiders per room • Infirmary: 2 spiders per room • Kitchen/Cafeteria: 3 spiders per room • Hallways: 3 spiders per room • Maintenance and unoccupied areas: 5 spiders per room • Outdoors: only if in large numbers causing problems. 'Pent Caterpillars • Desirable ornamental plants: 1 tent or egg mass per tree • Woodland trees or non-ornamental trees: If potentially damaging, aesthetically intolerable or after two complaints in two weeks (to prevent repeated infestation remove wild cherry hosts) 'Picks • Outdoor-Any species: 3 ticks of any species keep wooded and areas of low student activity grass and weeds trimmed. • Blacklegged ticks: Treat wood edges and if moderate to heavy take action. Weeds • Lawns: Whenever weeds approach 15 percent in any 100 square foot area • Ornamental Planting: Whenever competing with ornamental plants or whenever aesthetically displeasing. Yellow-jackets/Hornets • Classrooms and public areas: 1 yellow jacket or hornet and any area if children are threatened. • Outdoors: Action necessary if nests are present in or near student activity area. • Trash can or dumpster: 10 in 10 minutes at trash can or dumpster END OF SECTION 14 Section Four IPM Materials List And Materials Safety Data Sheets ( S ) See Volume Two for MSDS information 15 Material List Ran l�n� As per the Structural Pest Control Board Laws and Regulations (October 2001) 595.11(h) Pesticides approved for use on school property must be mixed outside student occupied areas of the building and are classified as follows: 1. Green List. All products must be from the following: inorganic pesticides (i.e. boric acid, disodium octoborate tetrahydrate, silica gels, diatomaceous earth); insect growth regulators; insect and rodent baits in tamper-resistant containers or for cracks and crevice placement only; microbe-based insecticides;botanical insecticides (not including synthetic pyrethoids0 containing not more than 5.0 % synergists; biological (living) agents. Green products may be used at the discretion of the licensee. 2. Yellow List. All EPA category III and IV pesticides (i.e., products carrying a "CAUTION" signal word)not included in the Green List,with the exception of restricted-use or state-limited use pesticides as defined under the Federal Insecticide,Fungicide,and Rodenticide Act and/or the Texas Agricultural Code. Use of Yellow list products shall require written approval from the certified applicator. A copy of the approval must be sent to the IPM Coordinator. Yellow list approvals shall have duration of no longer than six (6) months or six (6) applications per site, whichever occurs first. 3. Iced List. All category I and II pesticides (i.e., products carrying a "Warning" or "Danger" signal word), not included in the Green list or restricted use pesticides, or state- limited-use pesticides as defined under the Federal Insecticide, fungicide, and Rodenticide Act and/or the Texas Agricultural Code. Use of Red List products requires prior written approval from the certified applicator and the IPM Coordinator. A copy of the approval must be kept in a separate file in the pest control use records for the school and clearly marked as Red List Approvals. Red List Approvals shall have a duration no longer than three (3)months or three 93) applications per site,whichever is first. Written approvals for use of Yellow and Red List products shall be made on a form developed by the Structural Pest Control Board. The approvals shall include a description of the problem and justification for use of the Yellow and Red List products. Approvals shall be kept by the IPM Coordinator of the WA for a minimum of two(2)years. 16 COMPLETED '° 17 COMPLETED RED LIST APPROVALS End of Section 18 CONSUMER INFORMATION SHEET The structural pest control industry is regulated by the Texas Structural Pest Control Board located at 1106 Clayton Lane, #100LW, Austin, Texas 78723. The Board licenses the businesses, certified applicators and technicians who perform structural pest control work. Certified applicators and technicians must pass a written examination in order to receive their licenses. Pesticides must be registered with the United States Environmental Protection Agency and the Texas Department of Agriculture before they may be used in Texas. Environmental Protection Agency registration is not a finding of product safety. Pesticides are designed to kill or control pests. Your risk of harm depends upon the degree of your exposure and your individual susceptibility. Specific health and safety information varies between pesticides and types of exposures and is available on the label information or MSDS sheet,which can be supplied to you upon request from the licensed applicator. Take precautions when a treatment has been performed to avoid exposure to vulnerable individuals. Pesticides may be harmful if swallowed, inhaled, or absorbed through the skin. Avoid breathing dust or spray mist and any unnecessary contact with treated surfaces. If you desire specific information on precautions,refer to the pesticide label. The law requires that the application procedures specified on the label be followed. If you have questions about the application, contact the business or person making the application. If you suspect a violation of the law regarding structural pest control,contact the Structural Pest Control Board. In case of a health emergency, seek immediate medical attention. Pest Control signs must be posted prior to treatment in many instances. The signs should be posted in an area of common access at least 48 hours prior to treatment. The information sign will allow you to contact someone who can tell you what pesticide is being used. If you are contracting for pest control services due to a home solicitation,you have the right to cancel the contract within 72 hours. You may exercise this right by notifying the pest control company that you do not wish to receive their service. For general information on pesticides contact the National Pesticide Telecommunications Network at 1- 800-858-7378. For information concerning structural pest control laws, contact the Structural Pest Control Board at(512) 451-7200. For information concerning the formulation and registration of pesticides, contact the Texas Department of Agriculture at(512)463-7476. For non-emergency health information relating to pesticides, contact Texas Department of Health(512) 458-7111. VIII. REDUCED IMPACT SERVICE In order to minimize the reliance on pesticides and reduce pest populations, a Reduced Impact Pest Control operator may recommend that you consider the sanitation or physical alteration of your work place or residence. It is your responsibility to follow those recommendations. Your pest control operator may or may not offer these services upon request. A proper inspection will provide the information necessary for you to choose the method of pest control which best suits your situation. Many pest problems can be solved without using pesticides. � ' 19 This Reduced Impact Service will include an inspection report and treatment recommendations. You should review these and keep a copy for your records. Your cooperation in following the recommendations made by your service provider is essential to a reduced impact service program. Pesticides may be used in a responsible and professional manner in a reduced impact pest control service. If you do not want a specific pesticide used or any pesticides used at all,you must note this in writing on the contract prior to the initiation of the service. If any specific pesticide or classes of pesticides are not excluded,the provider may use it. REQUIRED BY THE TEXAS STRUCTURAL PEST CONTROL BOARD 20 R p 21 Section Five Blid Specifications c e s 22 Section ix Pest Complaint and Pest Monitoring Document 23 Pest Complaint Document Date: Campus/Facility: Location of Pest Problem (Room and location in the room) Pest Identified: In-House IPM Action taken as a result of a pest problem: ❑ Place Glue Boards ❑ Other: Signature(IPM Coordinator): Date: Pest Control Firm to fill out this part: Action taken as a result of a pest problem: o Apply baits o Apply pesticide o Glue boards o Other: Note: This filled out document must be kept in the IPM Coordinator's files as part of the Texas Structural Pest Control records.Attach work order to this document. 24 Pest Monitoring Document Date: Facility/Campus Location of Pest Monitoring done at(Use glue boards): • Kitchen • Entry/Exit Doors • Investigate • Other: Pest Identified: o Crickets o Spiders o Beetles o Scorpions o Roaches o Ants o Mice/Rats o Other: Action taken as a result of glue monitoring: • Replace monitor glue boards • None • Other Signature of IPM Coordinator: Date: Note:Document must be kept in the IPM Coordinator's file as part of the Structural Pest Control Document. 25 Emergency Waiver for Facility/Campus Green list products may be used at the discretion of the licensee. Use of a Yellow List product requires a written approval from the certified applicator. A copy of the approval must be sent to the IPM Coordinator. Use of Red List products requires a written approval from the certified applicator and IPM Coordinator. A copy of the approval must be kept in a separate file in the pest control use records for the school and clearly marked as Red List approvals. Emergency treatments will be permitted in the localized area of infestation when there is an imminent threat to health or property or an infestation is imminent. Records of the reason for emergency treatments shall be kept in the pest control use records together with the work order and the Red or Yellow list approval form. Name of Facility/Campus: Application Site or Areas: Date of Treatment: Name of Pesticide: Green List Yellow List Red List Approval of IPM Coordinator: Approval of Certified Applicator: 26 �� ��� ��� � �� ������� �� ���m u �am��� ��������� ���� ��� ����� � u������ Description of Pest Problems: Justification for Use: Application Site orArea: Name ofPesticide: EPA Registration#: • Green List products may bmused at the discretion of the licensee. • Use ofu Yellow List product requires written approval from the certified applicator and IPM Coordinator. Yellow list approvals shall have duration of no longer than six(6)months or six(6) applications per site,whichever occurs first. • Use of Red List product requires u written approval from the certified applicator and IPM Coordinator. A copy of the approval must 6e kept iou separate file iobe pest use records for the mubnol and clearly marked as Red Ijxt approvals. Red list upArvvoJa mhuD have duration of no longer than three(3) months or three(3)applications per site,whichever is first. • Signature uf Certified Applicator (For Application ofu Yellow or Red List Product) • Signature of the IPM Coordinator: Approvals shall be kept by the IPM Coordinator of the district for a minimum of two (2) year. 27 An Integrated Pest Management (IPM) approach for controlling insects, rodents and weeds is used at Westlake Academy. Our IPM approach focuses on making the academy buildings and grounds an unfavorable habitat for these pests by removing food and water sources and eliminating their hiding and breeding places. We accomplish this through routine cleaning and maintenance. We routinely monitor the academy building and grounds to detect any pests that are present. The pest monitoring team consists of our building maintenance, office, and teaching staff and includes our students.Pest sightings are reported to our IPM coordinator who evaluates the "pest problem" and determines the appropriate pest management techniques to use to address the problem. The techniques can include increased sanitation, modifying storage practices, sealing entry points, physically removing the pest,etc. We only use chemicals (pesticides) when necessary to eliminate a pest problem. WA will try to use the least toxic products when possible. Applications will be made only when unauthorized persons do not have access to the area(s) being treated. These areas will be secured against access as necessary for the period specified and taking into account all precautions found on the pesticide product label. We will provide notice of specific pesticide use to any academy staff,student or parent who requests this notification. You can request this notification by contacting the IPM Coordinator at 817-490- 5735 and providing your name, address and day phone number. You can make this request at any time. We will provide notice either in writing or by phone at least 48 hours prior to the application, if possible. Notice of pesticide applications made to control emergency pest problems will be provided as soon as possible after the application.The notice will include the following information: o Who will make the pesticide application o Name of the pesticide to be used o EPA Registration number o Purpose for making the pesticide application o Area to be treated. o Date and approximate application time of the scheduled 28