Merced County, CA · Merced County
Restricted Materials Alternatives & Mitigation Measures Considered
This form records alternatives and mitigation measures considered by growers and pest control advisers applying for a restricted materials permit in Merced County.
At a glance
- Issued by
- City of Merced County · Merced County, Merced County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- countyofmerced.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Merced County requires this information for a Restricted Materials Permit application to be considered complete and will not process incomplete applications. For each restricted material requested, the applicant lists feasible non-chemical pest management practices and reduced-risk chemical alternatives considered. The form also requests the permit name and number, date, authorized representative’s name and signature, and the active ingredient requested.
Who needs it
Growers applying for a restricted materials permit and their pest control advisers use this form to document alternatives and mitigation measures considered.
How to submit it
The form identifies the Merced County Department of Agriculture at 2139 Wardrobe Avenue, Merced, CA 95341-6495, and lists fax number (209) 725-3536.
About notarization
This document is signed without a notary; the authorized representative certifies the information is true and accurate, then signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Restricted Materials Alternatives & Mitigation Measures Considered form.
- 2
Complete the Form
Enter permit details, the active ingredient requested, and alternatives and mitigation measures considered.
- 3
Add Supporting Pages
Attach additional pages if needed to list the alternatives and mitigation measures for each restricted material.
- 4
Submit to the County
Use the Department of Agriculture address or fax number listed on the form.
Frequently asked questions
- What does the Restricted Materials Alternatives form document?
- It records feasible non-chemical pest management practices and reduced-risk chemical alternatives considered for each restricted material requested in a permit application.
- Who uses this form?
- Growers applying for a restricted materials permit and their pest control advisers use it to document alternatives and mitigation measures considered.
- Do I need a notary for the Restricted Materials Alternatives form?
- No. The authorized representative certifies the information is true and accurate, then signs and dates the form; no notary block is included.
- How do I submit the Restricted Materials Alternatives form?
- The form lists the County Department of Agriculture at 2139 Wardrobe Avenue, Merced, CA 95341-6495, and fax number (209) 725-3536.