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,f <br /> ❑ INITIAL SERVICE <br /> U REGULAR SERVICE <br /> -019XTRA SERVICE <br /> { IM kyll kyj 1:11:193 . � . <br /> I BRANCH ACCOUNT: Ri' TELEPHONE :- GRD; S.DAY_ F T. 'PRODUCTION'; T:AE 1111 TIME OUT, <br /> . . . � "SER1/IBRAN CI #fCE PROPERTY AT ;� <br /> f;�-Y �f f /...1/.'J. a:f' S1F✓' j"f,+?`'-.� ,rt�'.� Y••.`/-.�',r jw.] 6 <br /> e5 <br /> " J ��,'•✓ y <br /> OPERATOR NAME&CERTIFICATION NUMBER SUPERVISOR NAME&CERTIFICATIOP NUMBER <br /> Target ©German Cockroaches ❑Pavement Ants 0 Rats U Occasional Invaders Materials u used a used <br /> Pests 0 American Cockroaches ❑Argentine Ants LJ Mice l❑Stored Product PeSis 45D Insiders 620 WIND-UP TRAPS <br /> n', <br /> F C7Oriental Cockroaches L�FreAnts �15i1ver5sh G�Other_✓'+'%^.-:%i�trr'� 400insect Monitors eioTINCATS <br /> I1 ❑Other Cockroaches 0 Other Ants ❑Flies. ❑Otherf=' 410 PheromaneTmps 645 Rat Bait Stations <br /> ' <br /> Pest Control Materials Used EPA Reg-a TIC EIC Amnum 600 G1ueTraps 640 Mouse Bait Stations <br /> 630 SnapTraps 655 Liquid Balt Stations 1 <br /> 293 Advance Granular Ant Beit(Abamactin B1)0.011% 499-370 Areas Inspected an <br /> Areas <br /> (. 295 Advance Dual Chatee Ant Batt(Abameetin 81)0.011% 499-496 Ppat Control ma 1a W rued. 9icated by codes Lnnr fist at lee. <br /> i 315 Ascend Fre Ant Bait(Abamectfn 81)0.011% 499-370 ❑Food Areas <br /> 352 Advance Cockroach Gel Bait(Dinotefuran)0.5% 499-507 <br /> 102 Alpine Dust(Dtnotefuran)0-25%(Diatomaceous Earch)95% 499-527 El Ming Areas <br /> 152 Alpine Aerosol(Dinotefuran)0.5% 499-531 ❑Offices <br /> 365 Advance 388B Ant Gel Bait(Borax}5.4% 499-492 ❑Pu6tic Areas <br /> f. 100 Borid Oust(Orthoboric acid)99% - 8444-120 ❑ResVi_ocker Rooms <br /> }! 15 Demand CS(Lambda-cyhalothrin) 00.015% ❑O.W% ❑0.05% 100-1066 ❑DispTay Areas <br /> r 2' rJeltaGard G(Dettamethrin)0.05% 432-836 <br /> II <br /> 1. iriDie Bufk Oust(Silica Gel)40%(Pyrethrins)1.09U 499-429 LI Laundry/Boiler Room <br /> 41 Gents€FC(Hydropfene)0.0694 2724-351 ❑Storage/Utility -- <br /> 540 Generation Mini Blocks Bast(Difethialono)0-0025% 7173-218 0 Warehouse Area <br /> 541. Generation Blue Max Blocks Raft(Rifethialone)0.0025% 7173-236 ❑Processing Areas - _ <br /> 542 First Strike Soft Bait(Difenthiaione)0.00250A 7173-258 <br /> ❑Patient RpomS� <br /> 43 Kicker EC(Pyrethrins) U0.05% 00.1% ❑0.2% 432-1145 "r ' <br /> �Guest Rooms <br /> 550 LiquiTox 11 Bait(Disodium Salt of Diphacinone)0.106% 12455-61 <br /> 352 Maxforce FC Roach Bait Stations(Fpronfl)0-05% 432-1257 . ❑Basement I <br /> 351 Maxforae FC Ant Rant Stations(Rpronll)0-01% 432-1256 ❑Roof - <br /> 357 Maxforce FC Ant Gal Bait(FEpronil}0.901% 432-1264 ❑Exterior Perimeter - <br /> 354 :Maxforce FC Select Roach Batt Gel(Fpronl)0.01.% 432-1259 ❑Landscaped Areas <br /> 355 Maxforce Complete Insect Bait(Hydramethytnon)1.0% 432-1255 ❑LoadFng Doc1c/0umg meter <br /> 359 Maxforoe Magnum Bait(Fiproniq 0.05% 432-1460 ❑Other <br /> 151 PT Cy-Kick Aerosol(Gyfluthrin)0.1% 499-470 <br /> 70 PTCy-KickCS(Cylluthrin) ❑DA075% 00.05% 00.1% 499-304 Precautions <br /> 312 PT Avert Gel Batt(Abamectln B1)0.051A 499-410 Keep on1 of—hof cyudm,and pets- <br /> May cause eye,nose.throat or skin b itad n. ' <br /> 69 PT 565 Plus XLO Aerosd,'(Pyrethrins)0.5% 499-290 "Id"a"vapors mist;,or doss-VarmU s serallmred. <br /> 159 PTTr1D1e Aerosol(Silica Aerogen 4.8%(Pyrethrins)0.6% 499-385 Dampen granules to adi?rate. <br /> 1M not tamper ;h mde,r ide piacemenis. <br /> 81 Tempa Ultra WP(Cylluthrin) ❑4.025% 110.(Z% 432 1304 Do not refvn to room until after%�i laton- <br /> 93 Tempo SC Ultra(Cyfluthrin) ❑0.025% ❑0.05% 432-1363 Do not touch treated areas-ntr dry- <br /> 91 <br /> ry91 ULD SP 100 ULV{Pyrethrins)1.0% 499-452/11540-9 For Pea treatments.mmain;M treated area for a minimums of four hours or Until dry. <br /> II -92 ULD BP 300 ULV(Pyrethrins,)3.0% 499-450111540-1 - <br /> (PST } Treatment Coda(TIC)C=crook&Crevice v=Veld G=General <br />}- -spot BT=Bait 'DC=Directed Contact B=3'Band SP=Space <br /> J IN�Inspection <br /> r <br /> E dpment Code(UC):. Cs=Comp.Air Sprayer T=Trap <br /> _ ,gyp BS=Bal Station HD-Hand Ouster A-Aerosol <br /> ~.,, 6G=Bait Gun PT=PwtorTreatmen! F=UL! i <br /> SP=Spreader - IP <br /> Posting Service Sticker? E]Yes ❑No l <br /> Supervisor's Cnmrnets: 1 <br /> 'SPECfAL S5F1VICE INSTRUCTIONS <br /> 7 <br /> CUSTOMER'S SIGNATURE,. it AMOUNT'PA1D <br /> �. <br /> SERViCETECHNICIAN'S-SIGQAT E-1 o > CASH UNRESOLVED PROBLEMS? <br /> p ✓' /'- ,yty> vr'� -! '' CFtGfC CALL 1 800-TEEl4VIlNix(1-800-837-6464) <br />