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C Current J )n File? <br />1 �' 1861 Wallets Court, Ste, IJ, Fairfield, CA 94533 <br />(707) 399-9596 UiYes 0 No <br />Ln Dates) snt(.Time of service: 2. L (f} <br />Ci Pesticide Used Detection Equlpmenl Used: <br />Cusforrter: .• EPA Regislralion # Dale of Last Calibratlon: <br />Address: Co <br />mmadlty Treated Expiration Date of Tubes.- <br />city. <br />ubes:City, State: _ - Target pest Atmosphere Tested For; <br />CononlmUon Pestl life T ans rted Vta: <br />Billing Address- = Q Carnman Carrier— Atlach lvlanifests <br />- <br />Less lion Labgf7 ❑ 1 FC — Attach Manifests <br />q) Balch or Lot 4❑Stored On Site <br />rn <br />QuanllJy . Cammodi <br />� RegcarlTraifere• tY External <br />n Used A Ilcatlon Rate Seal # Temp. T Temp. J3 Wind/ <br />a Cu. Ft A Jied Molature <br />Hum6dit MPH Safely tubo hating <br />OR A1LCA RAILER AERATION: <br />AMC will of <br />Amount cf Fumigant as Saloo Disk Finer <br />Reilearrrreller 0. Fumigant per BMW or Weather Seal#! Once Frnal <br />ate i :Seal. R oVed Removed. Placerdf.SI n Security Seal tt Readlrlg a1- Reading al <br />l Ilett ShleJd Used » Aeration Final . Fu Kew Transfer <br />Durtri Aarallon 5arety lvlor�iloring i! a lie WE 5 (e, <br />E Site <br />a o;t�'� / �� � .. _ � ,tri � � ,fir• c�, r. <br />L <br />a 'Sa18ly rrioniloring consists of mnnllo[Ing in worker <br />r bkalhin tone and around Teated sde. <br />ND = Nnae Detected <br />i "afore & License # of Applical In Charge <br />} Pliant Superuisory Personnel <br />Date <br />- iuroa.ave.rww�pso,/.w„611.,4r1LLRA nTurnw+wMX.r,.rawnntq... <br />