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R,4 "'a -1.;: LS :1't:.r-•. I:>Y, .Y1 tt::r:[ ❑ INITIAL SERVICE ❑ REGULAR SERVICE ❑ EXTRA SERVICE . Til MEW lis(:•7 }lr .l._ti y I.-4:b is 'E' 1 Ma � r ra anal q Ai{courrr Frr L PHa iei Fnt�, c11S nAY 'i°RZ fir'q�PRC�P.�1crroN7t ; IMEJ ME,PLYT41111110 !C..t471�+ '; !'`():°�?C '(.)`w)''btiarwi• ::rr';~� r r9f ��y f'11 ki::'i l',tL}- z`•:€. r'i3':�' ( rti•7...�} ,6n�1,.itea6 r'atr9 I..t75....3r.32 4. 1.PIJ' „..:_ "... 11: SERVICE P.ROPERTY;l?�T BRANCH D I I.i...? i 1 F i la til!::_NTS 11'N:!:X 3:NI 1"1":R rpt A T':f CS .. N r3 A N"I .,f O F:`I Q 1•i.4 .i I •`:7 2.:5 I T.ttl;„I4•'i'ON. ,CA 9'} `s;.�F02 ,T•0i.;'Ii'';';ON c 9 `j 20 t"! 209,1 OPERATOR NAME&CERTIFICATION NUMBER . SUPERVISOR NAME&CERTIFICATION NUMBER ,II`::Rf:::iii.Y. i3i RAI"# 0R37 TargetGerman Cockrceches ❑ Pavement Ards ❑ Rats ❑ Occasional Invaders Materials k Used 0 Ueed Pests ❑ Amarl=r Cockroaches ❑ Argentine Ants ❑ Mice ❑ Stored Product Pests 450 Insiders 620 WIND-UP TRAPS ❑ 'Oderdai Cockroaches ❑ RM Ards- ❑ silverfish ❑ Other 400 Insect Monitors 610 TIN CATS. ❑ Other Cockroaches ❑ Other Ants © Flies ❑ ..Other 410 Pheromone Traps 645 Rat Bait Stations 600 Glue Traps 640 Mouse Bait Stations Pest Control Materials.Used EPA-.Reg.q TIC EIC Amount 630 Sna T s 655 Liquid Bait Stations 293 Advance Granular Ant Bait(Abamactln 131)0.011% 499-370 Areas Inspected and/or Treated 295 Advance bust Choice Ant Bah(Abameodn B1)0.011% - 499-496 - Peat Gamrvl rneteaals usedindfcal!W by codes ftM Oat at left 315 .Ascend Fire AM Bait(Abamacbri B1)0.011% - - 499.370 . - ❑Fuad areas""} - 309 Avert Roach Beit Stations(Abamectin)OA5% - - 499467 - 9�J L --i `-f OininO Avon Advance 388B Ant Gel Bait{Borax)5.40A 499-492 ❑oftcas 100 s Bodd Dust(Orthobonc scio 99%. 9444-129 ❑Public Areae 15 -Demand CS(Lamblia-cyhaiothrin) 130.015% ❑0.03% O 0.06% 100.1068 - - - - 210 DeftaGard G(Deftemethrin)0.05%-: - .432-&36 ' ❑RestlLackar Rooms . 158 TriDie Bulk Dust(Silica Geq 46%(Pyrethrins)'1.0% 499-429 ❑oiaptey Areas w i -41 Gentrol EC(Hydroprene)0.06% - 2724-351 . ❑LaundrylB6ler Room 540 Generation Mini Blocks Bait(Dliethfaione)0.0025% 7173-218 13Lin Stora9a' y 541 Generadon Slue Max Blocks Balt(DNethialone)D,p025% 7173-236 ❑warehouse Area 39 Intice Granular gait(Orthobor c Acid}5.0%• 73079-2 ❑Processing-Areas 43 Kcker-EC(Pyrathdr>,$)-❑0.05% ❑0.1% 00.2% 432.1145 hpageMRooms 1 - �i 550 Uqu7ox i]Bah(Disodium 5a"of Diphacinone)0.106% - -12455.61 - ❑Guest Rooms I 352' Maxforce FC Roach Raft Stations(Flpronii)0.05% 432-1257 ❑Basement 351 Maxfome FC-Ant BaitStations(Fipronil}0.01%- 432-1256 CI Roof Roof 357 Maxforce FC Arlt Gel Baft(Fipronfl)0.001% 432-1264 Exterior Perimeter i 4 354 Maxforce FC Select Roach Baft Ge[('ripronl j 0.01%- 432-1259 355 Maxforce FG Insect-Balt(Hydramethyinon)1.0% 432-1262 U.Landecaped Ami" 46 1Nytar EC iPyriproxyfen) '❑0.015% ❑O,D2% 11715-307-57076 ❑1-ceding Do0uMumpsttr 151 PT Cy-Kick Aerosol(Gyfluthrin)DAIA -- - - - - 499-470. - ❑' - - Ft 70 `PT Cy-Kick CS(Cyfluthdn)`❑0.0075%❑0.025% ❑0.05% ❑0A% 499-304 3 312 PT Avert Gel Bait(Abamectin,Bi)0.05%. 499.410 Precautions -69 PT 565 Plus XLO Aerosol hrins 0.5%- - - 499-2104 Keep out mach of,throat.and para. - ,(Pylar ) May cause bye,nese,throat,or skin Irritation. 159 PT TriDie Aerosol(Silica Aerogel)4.6%(Pyrathnns}0.6% - 499-3Avoid breathing vapona mists,or dusts.Harmful a swallowed. {. '81 Tempo Ultra WP(Cyfiuthrin) ❑0.025% 130.05% ❑0.1% 432-13Dampen granules to activate. 83 Tempo SC Ultra(Cyduthdn)0 0.025% ❑0.05% ❑0.1% 432.13 Do not tamper with mdeng[3da placements. 91 UID BP 1 QQ ULV rethnns 1.0% 499-052/1IPy ) Do not touch treated amas until dry. 92 ULD SP 300 ULV(Pyrethrins)3.0% - 49945011Fwllea beahnents,remain orf tmated area for a minimum of tour hours or untll dry.591 Weatherblok XT Bak(Brodlfacoum)0.045% 1DO-1Treatment Code(TIC): C-Crack&Crevice V=\told G=General .. '7q/ b. f �// l= .- - S-Spot -BT=Balt DC=Dhected Callao B-3'Band 'SP=Space IN-Inspection . -- -Equipment Code fflq: CS=Comp.Air Sprayer T-Trap BS=Bait Station tiD=Hand Duster A=Aerosol BG=Bae Gun PT=Power Treatment F=ULV .Posting Service Sticker? ❑Yes CJ No Supervisor's Comments: ' ri• _ I'F r 1.S}T` �:'it:I.:-i Yt r t:" , :€.k»t•.+ . ti5 C.) J:NC,L.!3l)E: '12 i•9HTTS :11JN1:.E:RT('.,1R ,.< AI...I.. '..;11,miC1H tlPI,As � IE:IRMONT:1-1 ''I•:•f1C I i-'PP 3:1T':1:0 N!"it... t„#m[:.T .W"I:4..L. SF': . 1=1 ' i I."rt._14 I.# set#:.. fri't:t ! sa6°. ' Zi►�rit.. & 'tJ 'trGlit��.It cusTOMEsIGNATURJ AMOUNT PAID 71•o i:.sa .1. 11 t3;:.) S 2? JSERVIC NICIAN 5 SIGNATOR ; OAT�F .-� )�CASHa UNRESOLVED PROBLEMS? t p, r ;.; f GE Ii Cit;(' . " CALL 1 800-TERMINIX(1-800-837-6464) --, r,i+ZTnnAGe1R rl.Oov