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09/21/2009 11:57 2094743Qg9 MOTELG PAGE 01101 <br /> 01 R .r t 60f13251&71 <br /> s-' 1674 <br /> P,0 BO) 50 7 lr, Florida Call; 1•BUO 325 D <br /> {�3ANp FLAKS, Nn 5A2pn 5n07 <br /> f ' nCCt>Uti'C INF Of1NAtlON, <br /> t�1Ll-INC AoaRC55; pCCOt�IT NV, MQILOIZ9-otlnt <br /> 20714 Q <br /> OEL 6 #1323 SV5P# CISNMOS, MRTIN 1, @ <br /> 11717 PLYQTA RO CA 5V5P NAME FB 34365 <br /> 'MCKIDN <br /> 95207 -851.61?.0 CXIIC�f1EF H 39M <br /> BILI,PFi x <br /> SERVICE PERIUO SERVICE DATE <br /> NOIEL 6 #132 gllst2p <br /> 6717 PLV011 1 M;, CA <br /> STCLYTON us I <br /> 952672369 ERT; I <br /> I SERV N: 2N-951-0120 <br /> UNIT #, 1#73 1 <br /> SERVICE, -- ........ <br /> Caekrcach/RodentV Protlram <br /> SPECIAL INS1MCI IONS; I <br /> QUANTITY IAT NUMBER <br /> MW z. <br /> ET 115T4+N1OI3UCT IPaEO SITES' PRM COQE" AWL INFD <br /> NETkS' .---- m <br /> OFNANO CS INSF.CI ICIDC U,20 <br /> GA <br /> $ed4x�{s 33388 <br /> 0 <br /> 0pt,0p7 CI5 a <br /> I . <br /> PR00 p..MF." EPA NUfl9£9 <br /> pHODUCT MSEC UESCRIPTION <br /> N 'r <br /> 338 � <br /> Tlerh�rd M 100'1066 t o,0 t6%l <br /> NETi1DU5" S 11L5` c <br /> C16 PatientlGuest ROOMS <br /> 001 Crack 2r Cteyicc W <br /> a <br /> 002 Spot <br /> This mn0 denlial report Ix provided to IclenliIV g4nitkliou deficfern iPs' I <br /> Structural defecle, arld iiry7ropel slarnge luncllces con 0 lbuiing <br /> to pest Infestations. y <br /> fCtDITIONS FOUN[1IACI IONS TAKEN; m <br /> I <br /> SERVICE AELATJ]COMMENTS: . <br /> follow uptreaW oil Ipom 224 no liveriaed 6rLLllrack a�munclnYalu reS stmnl , <br /> Ii � <br /> all beddinp w o <br /> rratrrss box 5p,h� <br /> Iv0p rmve box,sPrin9 3 mairess m <br /> (Na) <br /> PEST ACTIVITY found durim servi6e; <br /> STRl1CTURAL 0213M that rnutd rt,use pent prnblerna, <br /> {NO) $ <br /> SANITATION Ica5l1FS that could rause pest problems: lN0) n � <br /> FACILITY PREPARATION ISSUES, (NO) m l <br /> I <br /> Thank yosr far Va},r businossl <br /> N <br /> aI <br /> Q <br /> '0 <br /> SVSP GNATURE <br /> i _ I <br /> CUSTOMER SIGNATURE <br /> Sta:I OatelTl,ne 911(312449 223 PM <br /> 911812009 3:01 PN i <br /> End Da tellimo <br /> SV$P copy SEAVIGE REPORT <br /> f �' <br />