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<br /> OPERATOR NAME&CERTIFICATION NUMBER SUPERVISOR NAME&CERTIFICATION NUMBER
<br /> Target 26 German Cockroaches ❑ Pavement Ards ❑ Rate )6 Occaeional Invaders Materials N Used 0 Used '
<br /> Pests ❑ American Cockroaches ZI Argentine Ants ❑ Mica 0 Stored Product Pests 450 Insiders 620 WIND-UP TRAPS
<br /> ❑( oc
<br /> Oriental Ckroaches - .❑ Firetmm ❑ Silverfish ❑ Cihm 400 Insect Monitors 610 TIN CATS
<br /> aJ Other Cockroaches - -)P'Other Ants ❑ Flies -`0 Other 410 Pheromone Traps 645 Rat Bait Stations
<br /> 600 Glue Tr s 640 Mouse Bait Stations
<br /> Pest Control Materials llsed EPA Re g.,# T/C E/C Amount ,631) Snap Traps 655 Liquid Bait Stations
<br /> " 293 Advance Granu)arAnt Bait(Abamectin E11)0.011% 499-370 Areas Inspected and/or Treated
<br /> p.F 295. Advance Dual Choice Ant Bait(Abamectln Bi)0.01146 - 499-496 - Pest Control materials used indicated ny codes from list at,eR.
<br /> 315 Ascend Fire Ant Bait(Abamectin 61)0.011% 499-370 ❑Food Areas
<br /> 309 Aver Roach Balt Stations(Abamectin)0.05% 499-467 ❑Dining Areas
<br /> 365 Advance 3886 Ant Gel Beit(Borax)5.4% 499-492 ❑Offices
<br /> .100 Bond Dust.(Orhaboric acid)99% 9444-129 -
<br /> 15 Demand CS(I.ambdn-cyhalothdn) 00.015% L30,03% ❑0.06% 100-1066 Ll Puallc areas
<br /> 210 DeftaGard G(Deftamathrin)0.050A 43P-66 ❑Rest/Locker Rooms
<br /> 158 TdDie Bulk Dust(Silica Ger)40%(Pyrethrins)1.0% 499-429 0 Display Areas
<br /> 41 Gentrol-EC(Hydroprene)0.0619 - 2724-351 ❑Laundry/Boller Room
<br /> 540 Generation Mini Blocks Bait(D'lfetNatcne)0.0025% - 7173-218 ❑SforogaA,tllity
<br /> 541 Generation Blue Max Blocks.Batt-(Difethialone)O.OG25% - - - _ .7173-236 - ❑warehouse Area - -
<br /> 39 Entice Granular Bait(Orhoboric Acid)5-0% 73079-2 0 Processing Areas
<br /> ,i 43 Kicker EC(Pyrethrins) -0.0.05% -00.1% 0 0.2% 432-1145 0 Patient Rooms .
<br /> 550�. Li uFrox II Bait Disodium Safi ofDi acinone 0.106% G"
<br /> Rt ) s^q ( Ph- } st Rooms
<br /> 362 Maxforoe FC Roach Bait Stations(Fipronil}0.05% 432-1257 ❑Basement
<br /> -351 Maxforce FC Ant bait Stations JRpronil)C.01% 432-1256 ❑Root - - --•
<br /> A-k ftdorce FC Ant Gel Balt(Fkpronll)0.001%. 432-1284
<br /> Maxtoroe FC Select Roach Balt Gek(Fipronlq 0.01% 432-1259 ❑Exterio Pe imet�
<br /> Maxiorce FG Insect Bah(Hydramethylnon)1.0% 432-1262 ❑Landscaped Areas
<br /> 46 NylarEC(Pyriproxyfen) ❑0.015% Z10.02% 11715-307-67076 0 Leading DockMorn , _
<br /> =15 PT Gy Kick Aerosol(CAuthl1n)0.1% 499-470 ❑Oche
<br /> 'TO PT Cy-Kick CS(Cyfluthrin)❑0.17075% ❑0.025% VO.05% 130.1% -304
<br /> -- '499 7.e,�/ re,� n5-•---..,__�,., i
<br /> 312 PT Aver Gel Bait(Abamectin B11 0.05% 499-410 Keep
<br /> 69 PT 565 Plus XLO Aerosol(Pyrethrins)0.5% 499-290 �u of reach al children and pets.
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<br /> 159 .PTTnDie Aerosol(Silica Aerogsl)4.8%(Pyrathdns)0.6% 499-385 Avoid breathing vapors mists,or dusts.Harmful K swallowed, l
<br /> :.'St Tempo Uftra WP(Cytluthrin) 0 0.025% U0.135% 00.1% - 432-1304 Dampen granules to activate.
<br /> 6o
<br /> 83 'Tempo SC Ultra(Cyituthrn)0 0.025% El0.05% 0 0:1% 432-1363 not temper with r3dardi6de placements.
<br /> � Wae[nrn•Ee•reorn•unil4ett antllatlon,
<br /> 91 ULD BP 100 ULV(Pyrethrins)1.0% 499-052111540-9 - Do not touch treated arses until dry. I
<br /> 92 UILD BP 300 ULV(Pyrethrins)3.0%, 499-450/11540-1 a ee for a minimum at four hours or until dry.
<br /> • 591 Weatherblok XT Bait.(Brodifacoum)0905% - 100-1055 - I
<br /> men,Co/tlnlrf/G7: C=Crack d Crevioa 4=Vold G=General
<br /> �S spot /6�3Bah--DG-Dratted Contact B=S'Band BP=Spaos
<br /> tN=ins on
<br /> Equipment Code(EIC): GS ,Comp.Air Sprayer 7=Trap
<br /> =Bali Station HC-Hand buster A=Aerosol
<br /> BG Bait Gun PT=Power Treatment _F=ULV
<br /> - - -Posting Service StrckorT ❑Yes ❑No
<br /> Supervisor's Comments:
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<br /> CUSTOMER'S IGNATURE - AMOUNTPAID - 'E ii';', [t.l, I„Ii3.E��'. : , , , 27'' 00 -
<br /> SERVICE . -CHNICIAN'SSIGNATURE DATE _ cAsrt - - . UNRESOLVED PROBLEMS?
<br /> .: � CHECK= CALL 1=800-TERMINIX(1-800-837-6464)
<br /> CUSTOMER'S COPY
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