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_ VOrCE 1s4iMBER: 2414671 INVOICE NUaR; 2414870 ClJ5T0M1:4+ StRVICE ECOLAB PEST FLIM. DIV, CUSTOMER SERVICE .01AB PEST El IM, DIV. RIPORTP O BOK 6007 REPORT O BOX 6007 '1-60D-325-1671 GRAND FORKS, NO 58206-6007 1-800-325-1671 IANO FORKS, ND 58206-6007 In Florida Call: 1-000-325-1674 In Florida CatI; 1-600-325-1674 IaING ADDRESS ACC(1l)NT INFORMATION: BILLING ADDRESS, ACCOUNT INFORMALION: ACCOUNT NO. MOTE0129-0001 MOTEL 6 #'1323 ACCOUNT NO, MOTE0129-0001 STEL 6 91323 SVSP4 20714 6717 PLVROUTH RD SVSP# 20714 717 PLYMOUTH RDSVSP NAME CISNEROS, MAR1lN I. STOCKTON CA SVSP NAME CISNEROS, MARTIN T. CA TOCKTON LISP NA q FR 3066 95207 US LICENSE N FR 30365 5207 US CORP AEF # 3934 BILL PH: 209-951.8120 EXT: CQRP REF # 3934 ILL PH: 209-951-8120 EXT; PON SIRV'CE PERIOD SERVICE UATt; LE DALE RV I CE OWSS: . . .. . SERVICE ADDRESS: SERVICE PERI SERVILE MOTEL 6 #1323 {OTEL 6 91323 i 90612 6717 PLYMOUTH RI) I 9114/2009 i717 PLYMOUTH RDCA STOCKTON CA �-- ;TOCI(TON US 952072309 US 352072309 FK1 SERV PH: 209-951-8120 EXT: SERV PH: 209.951-8120 UNIT 1323 LIMIT It: 1323 SERVICE; SERVICE; -------------------------- ..._...---------- Bed Bug Inspection Only Bed Bug Treatment SPECIAL INSTRUCTIONS: SPECIAL INSTRUCTIONS: ------ --- WANTtIY LOT NUMBER TARGET PEST PRODUCT USED QUANTIIY LOT NIMER [AW—J PEST PRODUCT 115ED PROD CODE- A l_ INF=O METHODS* SITES" PROD CODE AOO'L INFO METOS" SITES" --- - _ 1.00 GA "NIA" ^NtA* 0,00 EA Bedbugs DEMAND CS INSECT1C10F 338 002,001 C16 SUSPEND St INSECTICIDE 0.fi0 GA bedbugs C16 201 PROb CODE" EPA NUMBER 601,002 PRODUCT USED DESCRIPTION 3.00'flZ .. ------ ----- Bedbugs DELTA DUST INSFCTICI[)t:: 86 001 C16 METHODS" SITES" PROD CODE" EPA NIMIER This'cbofitlantial report is provided to ident.lty:-sanitation deficiencies, 1 PRODUCT USED DE9MIK.10N structural defects, and linproper storage-piacfices contributiim ------- l00 to pest infestations. { 338 ------ Oerrand CS 160-1066 (0.015%) CONDITIONS FOUNDIACTIONS TAKEN: 201,.3 -<„ - ,;.:432-763 ------------------------------- Sus end SC Insecticide(0,01%) SERVICE RELATED COMMENTS: a IL u. 86 432-772 ins*tiun of room 224 rotes live bed bug activity ; inspected room Delta Dust Insecticide (0,05%) 223.219-124- no bed bug activity found ' will be }rack tomorrow to inspect N SITES" room 225 when customer leaves METHODS" 001 Crack 8 Crevice (:16 Pa6ent(Guest Rooms PEST ACTIVITY found during service: (YES) m Apartments m 002 Spot The following pest(s) were noted during service bed bugs be back tuinurrow This confidential report is provided to Identify sanitation del ieiencics, STRUCTURAL CONCERNSthatcould c-ause pest problems; (ND) v' structural defects, and unproper storaue practices conlribulirx� a to pest infestations, SANITATION A SSUES that could cause pest problems:.., (NO) m CONDITIONS FOUNDIAC-11W TAKEN: FACILITY PREPARATION ISSUES: (ND) .-.- - D pEST ACTIVITY found during service: Thank you for your business! rn PatlenilGumr t Rooms m were rx�led durir ; serv:ire serviced r�"rsulled track c The tul;tnGiing pest(s) 223-224-225-219-124 , bed buy actio}ti seri�t�� added rridl dcralPFx dust for o of carpet where bed bug activitY.wasp N N elimivalion of bugs, this area.'was-insp;Cft'ed and'sesviced- x !t �.`'1 !l Er iii STRUCTURAL CONCERNS that could rause pe;l p roblems SVSP SIGNATURE m SANITATION ISSUES that could cause pest problems: ;.- ... �. FACILITY PREPARATION ISSUES: 'f 1 x = c CUSTR'511614TURE Thank you for your business! Start Date/Time 9114,(20'119 1:53-Pr(' End Date/Time 9114165,2:22 PM }+ r CUSTOMER COO-Y SERVJCE REPORT SVSP SIGNATURE s CL ;