HomeMy WebLinkAbout2014 Sep 09 - A-1 Exterminators Work OrderBILL -TO 100477
YANKEE VILLAGE MOTOR INN
)OHN BARKER
275 MAIN ST/RTE 26
YARMOUTH, MA 02673
Phone: 508-77S-2937 x1
Alt. Phone: 508-778-4938 xHOME
Mobile: 508.775-2937 x0
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A-1 Exterminators
72 Main Street
Suite 7
West Harwich, MA 02671
508-432-5866
LOCATION 100477
YANKEE VILLAGE MOTOR INN
JOHN BARKER
275 MAIN ST/RTE 28
YARMOUTH, MA 02673
0
Phone: 508-775-2937 x1
Alt. P'ione: 508-778-4938xHOME
Mobile: 508-775-2937 )CO
SEP 112014
HEALTH DEH1-
WORK DATE' 9/9/1314
Time In: 9/9/2014 4:08 PM
Time Out: 9/9!2014 5:38 Pt,
Customer Signature
Technician Signature
James Young
License #: 15465
Purchase Order Terms 5ervieriptiQuantity Amount
None NET 3C ug Control/ROOM 103oel 1.00 250.00
--_.. Sub�ta7 2SO,OC
Fax 0.0c
T ! Due: 250.00
GENERAL COMMENTS I INSTRUCTIONS C9
one Lim? apC`pliiCalion for bed bugs to room 103. Treatment two mattresses, box springs, bednfrarne and ,L - releva� n/t1�areas In the room. James
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1t� \✓ ncit Jl /
PRODUCTS APPLICATION SUMMARY
-
Material Lot 0 EPA 0 A.I. % Active Ingredient Finished Qty Undiluted Qty
D -Force 279-9554 0.06OD96 Deltamethrin SM000 Ounce 70.000D Ounce
Temprd SC 432-1483 21.0000% Imidacloprid 16.0300 Fluid Oun 0.0600 Ruld Ounc
PEST ACTIVITY # Areas # Devices Pest Totals
None Nored.
DEVICE INSPECTION SUMMARY
AREA COMMENTS
None Pored
DEVICE INSPECTION EXCEPTIONS
Wane Noted.
INSPECTION DETAIL
Naze Noted.
CCCUPIED AREAS MUST BE VACATED FOR HOURS. THOROUGHLY VENTILATE TREATED AREAS BEFORE THEY ARE REOCCUPIED. 00 NOT ALLOW ADULTS,
CHILDREN, OR PETS ON TREATED SURFACES UNTIL DRY.
CO TR.ACTING ENTITIES HAVE RECEIVED ALL MASSACHUSETTS DEPARTMENT OF FOOD & AGRICULTURE'S PESTICEDE BUREAU CONSUMER SHEETS, N/RIT -Ed
STATEMENTS, POSTING NOTICES AND HAVE AGREED TO NOTIFY TENANTS 2-7 DAYS PRIOR TO APPLICATION TIME. THE ABOVE SERVICE HAS BEEN SATLSFACTURILY
COMPLETED.
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