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CUSTOMER INFORMATION,%, <br /> i4 <br /> Service Areas-Activity and Conditions Observed <br /> This IPM report details where pests were found in and around the facility.The report also lists those steps you can take to help limit or <br /> minimize pest invasions.For each of the areas listed below,numbers represent the type of pests found in the area,and letters represent <br /> any conditions present that may be contributing to a current,or possibly a future,pest infestation. <br /> Interior Areas Pests Conditions Food Areas Posts Conditions <br /> 0 Offices U Dining Area <br /> J Lobby/Public Areas 0 Stove/Oven Line <br /> A " -'-. 1 11 <br /> 0 Food StoreroomJ,Ehtryways�­ <br /> Lj Rest/Locker Rooms - D Dishwashing Area - <br /> U Janitor Closets - El Deli/Bakery <br /> U Laundry - CI Processing Area - <br /> J Boiler/Furnace Room - Q Packaging Area - <br /> U Storage Utility Q Produce Area - <br /> U Warehouse El Meat/Seafood Shop <br /> U Basement Exterior Areas <br /> U Patient Rooms Ll Exterior Walls-North - <br /> ZI ICU IZI Exterior Walls-South - <br /> 0 Linen Storage Rooms 0 Exterior Walls-East - <br /> LJ Kitchenettes 0 Exterior Walls-West - <br /> C3 Nurses Stations Q Loading Dock <br /> D Guest Rooms LJ Dumpster <br /> C)Banquet/Meeting Rooms U Exterior Storage Rooms - <br /> C)Display Aisles# J Roof - <br /> El Other D Other - <br /> LI Other r-U Other- <br /> 1.German Cockroaches 6.Pharaoh Ants 11.Occasional Invaders 16,Rats <br /> 2.American Cockroaches 7.Pavement Ants 12.Hunting Spiders 17.Mice <br /> 3.Oriental Cockroaches 8.Fire Ants 13.Web-Building Spiders 18.Stored Product Pests <br /> 4.outdoor Cockroaches 9.Argentine Ants 14.Brown Recluse Spiders 19.Other <br /> 5.Silverfish 10. Ants 15.Black Widow Spiae,,s 20.Other <br /> K Drain Clogged/Dirty I. Paper/Litter Q. Poor Storage Practices Y. Move Dumpster Away From Bldg <br /> B. Food Debris Under Table J. Water leak R. Repair Water Damaged Wood Z. Dumpster Area Needs Cleaned <br /> C. Food Debris On Shelf K. Mops Improperly Stored S. Seal Exterior Cracks/Holes AA, Mercury Vapor Lights Outside <br /> D. Food Debris Under Appliance L. Trash Containers Need Cleaning T. Trim Back Tree/Shrub Branches BB.Keep Doors Closed <br /> E. Wet Organic Matter in Cracks M. Heavy Dust/Dirt Deposits U. Remove Piles of Debris CC.Repair Door/Screen <br /> F Grease Deposits on Floor N. Numerous Cobwebs Present V. Cut Tall Grass/Weeds DID.Replace Dooffleatherstripping <br /> G. Greaso!beposits an Equipment 0. Repair RoorMies/Wall/Ceiling W. Improve Outside Drainage EL, Poor Outdoor Storage Practices <br /> H. Soiledpishes Left Over Night P. Seal Holes/Cracks in Walls X. Install Gravel Foundation Barrier FF Other <br /> Comments <br /> Y-) <br /> 'j <br /> Customer's Signature Service Professional's Signature Date <br /> r�^nv <br />