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Title

Ga pesticide sign in sheet - getting the best of pests

Description
Provisions of my state's pest control act, including license, certification ... to uga center for urban agriculture, 1109 experiment st., griffin, ga 30223. 1 page
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12 * Place the desired Category Credit Number in the *CAT # column. See the announcmement or http://gtbop.com/schedule/ for the approved categories or check with your Site Facilitator.3* CAT # Time In Time Out Log In Log Out Total TimeSignaturePrinted Name 10SignaturePrinted Name 10SignaturePrinted Name 10SignaturePrinted Name 10SignaturePrinted Name 10Commercial Applicator License #Private Applicator License #Commercial Applicator License #Private Applicator License #Commercial Applicator License #Private Applicator License #Commercial Applicator License #Private Applicator License #StateAbbreviationStateAbbreviationI have read and agree to the following fraud statement: "I am aware that I may be subject to penalties if I have made any misrepresentation of facts knowing that such statement is falsefor the purpose of defrauding or deceiving for the benefit of myself or anyone else. I am aware also that this voluntary agreement may make me subject to a penalty under theprovisions of my ...