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U INITIAL SERVICE 'Q REGULAR SERVICE RA SERVICE. � 1 • y r • � w • . • BRANCH `ACCOUNT RT. TELEPHONE ' - GRI❑ S.DAY F T PRODucT1oN - TIME IN TIME OUT "j � I i ? SERVICE PROPERTY AT BRANCH 1 . OPERATORf NAME.&CERTIFICATIION NUMBER SUPERVISOR NAME&CERTIFICATION NUMBER Target ❑German Cockroaches ❑Pavement Ants ❑Rats _ ❑Occasional Invaders Materials a Used a used Pests ❑American Cockroaches CIArgentine Ants 0 Mice ❑Stored Product(fPests 450 Insiders 620 WIND-UPTRAPS ❑Oriental Cockroaches 11 Fire Ants El silverfish )❑Other!' ''F? .1 409 Insect Monitors 610 71 N CATS Q Other Cockroaches ❑Other Ants .❑Flies ❑Other !' 410 PheromoneTraps - 645 Rat Bait Stations € Best Control Materials Used EPA Reg.# T/C EJC Amount 600 Glue Traps 640 Mouse Bait Stations 630 Snap Traps 655 Liquid Bait Stations 293 Advance Granular Ant Bait(Abamectin B1)0.011% .499-370 Areas Inspected and/orTreated 295 ' Advance Dual Choice Art Ball(Abamectfn61)0.011% . 499-496 Pest Control materials used indicated by codes fromfist atlaft. 315 Ascend Fire Ant Bait(AbamectinBI)0.011% 499-370 352,. Advance Cockroach Gel Raft(Drnotefuran)0.54/0 - - 499-507 11Food Areas 102 Alpine Dust(Dinctefuran)0.25%(Diatomaceous Earch)95% 1 499-527 ,'r' !f rhf- .. ❑Dining Areas 152 Alpine Aerosol(Dinotefuran)0,6% 499-531 ❑Offices 365 Advance 3686 Ant Gel Bait(Borax)5.4% 499-492 ❑Public Areas 100 Borid Dust(Ortheborfc acid)99% - 9444-129 ❑Rest l-ocker Reoms 15 Demand CS(Lambda-cyhafothrin) ❑0.015% EI 0,0% [3 0.06% 100-1066 D Display Areas 210 DeltaGard G(Deltamethrfn)0.05% - - - 432-836 ❑Laundry/Boiler Room 158 TrfDis Bulk Dust{Silica Gel)40%(Pyrethrins)1.0% - 499-429 - ' 41 Gentrol EC(Hydroprene)0.06% - 2724-351 ❑Storage/Utility - 540 Generation Mini Blocks Bait(Difethialone)0.0025%- -7173-218 ❑Warehouse Area - 541 Generation Blue Max Blocks Bait(Difethialone)0,0025% 7173-236 - ❑Processing Areas 542 First Strike Soft Bait(Difenthialone)0.0025% 7173-258 ❑patient Rooms 43 Kicker EC(Pyrethrins) ❑0.05%-❑DA% ❑0.2% 432-1145 °�_ . ❑Guest Rooms 550 UquiTox II Bait(Disodium Salt of Dipheclnone)0.105% 12455-61 - - 352 ' Maxforce FC Roach Batt Stations(FipreniQ 0.059/6- - 432-1257 LJ Basement 351 Maxforce FC Ant Bait Stations(Fipreniq 0.01% _ - 432-1256. - - ❑Roof 357 Maxforce FC Ant Gel Bait(Fipronil)0.001% 432-1264 ❑Exterior Perimeter _ 354 Maxforce FC Select Reach Bait Gel(Fipronil)0.01% 432-1259 ❑Landscaped Areas 355 Maxforce Complete Insect Bait(Hydramethytnon)1.0% 432-1255 - ❑Loading Dock/Dumpster - 359 Maxtorce Magnum Bait(Fipronil)0.051A 432-1460 ❑Other - 151 PT Cy-Kick Aerosol(Gyfiuthrin)0.1% 499-470 .70.E PTCy-KickCS(Cyfluthrin) ❑0.0076% E1005% ❑D.1% -499-304 " �� Precautlons Keep outat each of children and pets... r,69 PT 565 Plus XLO Aerosol(Pyrethrins)0.5% .49U-290 r� '" ' May cause eye,nose,throat,or skin irritation. 159 PTTrfDie Aerosol(SIIiCa Aeroget 4.80/c(Pyrethrins)0.6% 499385 - Avoid breathing vapors mists,or dusts.Harmful if svrallovred. - 81 - Tempo Ultra WP(Cyfiuthrin) ❑0.025% ❑0.05% 432-1304- 0a pen granules to activate.- -- 83 Tempo SCUltra(Cyfluthrin) ❑0.025% [30.05% 432-1353 Do not tamper with rodenticide placements. Do not return to room until after ventilation. 91 ULD BP 100 ULV(Pyrethrins)1.0% - '- '499-452111540-9 Do not touch treated areas until dry. - 92 ULD RP 300 ULV(Pyrethrins)3.0% - - 499-450/11540-1 ,,��-- For fee treatments,remain oS treated area for a minimum of four hours or until tlry. f.�;�t,y-,V,.-r ;..•t - - `'��,,")4•G-C--'Creatment Code(T/6)-C-Crack a Crevice(,8 V=Void G=General 5=Spot BT=Rait DC=Directed Contact =3'Band S?=Space IN=inspection. Equipment Code(EIC): C5--Camp.Air Sprayer r-T-=a rap 85=Bait Station (,HR-Rand Duster '6--A='Aerosol `ze,! f�- „�,� _1 f'I {.%; -! f r ',BG=Bait'Gun PT-Povrer7reatment F=ULV' ( �T l t.'. 1' �.r: �)t� fSp=Spreader -7-""1 f`'',/: 1:=`4[.7(/ E c,d• �; •f <� ""-'"}'1.l`ri[. t� {" ^f, 1:�� i {"y�..'��'. - Posting Service Sticker? ❑Yes ❑No Supervisor's Cotnmets: ry -,� ,� SPECIAL SERVICE INSTRUCTIONS CUSTOMER'S SIGNATURE A AMOUNT PAID -j f' O.V:3 PROBLEMS?ASH UNp SERVICE TECHNICIANSSIGNATURE// f DATE CALL 1-800-TERMINIX(1-800-837-6464) CHECK