Waltham Services 317 Libbey Ind Prkway Suite 200 Weymouth, MA 02189 866-974-7378

Service Inspection Report Detailed Service Report #2642292

Waltham Services 817 Moody Street Waltham, MA 02453 781-893-1810

Client: 118352 DENNIS YARMOUTH REGIONAL SCHOOL SANDY CASHENS 296 STATION AVE SOUTH YARMOUTH, MA 02664

Service Location: 118352 DENNIS YARMOUTH REGIONAL SCHOOL ADM SANDY CASHEN 296 STATION AVE SOUTH YARMOUTH, MA 02664

Customer Signature:

Technician Signature:

Licenses/Certifications

J Damore

Thomas Perkins

Time In: Time Out:

Order #

Service Description

A1872761

MONTHLY SERVICE YEARLY BILL

01/15/2015 01:21 PM 01/15/2015 01:34 PM

Terms: PO #:

30NET contract

Quantity 1

Service Comments Tech Comment:

Inspected all areas. No current visible activity noted or reported at this time.

Materials Summary

EPA #

Active Ingredient

Finished Quantity

Application Method

Application Rate

Material Applied None Noted

Lot #

AI Concentration

Undiluted Quantity

Application Equipment

Sq/Cu Ft

Open Conditions

Severity Responsibility

Created Last Inspected

Severity Responsibility

Created Last Inspected

No Conditions Added or Updated this Service

Conditions Resolved This Visit No Conditions Added or Updated this Service

Pest Summary

Quantity

None Noted

Device Summary

With Activity

Without Total Activity Inspected

Device Exceptions Replaced

Removed

Skipped

None Noted

Additional pest findings may have been observed. Please see conditions and comments for more details.

Area Inspections Area Inspected

Pest Findings

EXTERIOR INTERIOR INTERIOR -> BREAKROOM INTERIOR -> COMMON AREAS INTERIOR -> CONFERENCE ROOM

Printed:

01/16/2015

Time 1:27 1:33 1:33 1:29 1:33

Page:

PM PM PM PM PM

1/2

Waltham Services 317 Libbey Ind Prkway Suite 200 Weymouth, MA 02189 866-974-7378

Service Inspection Report Detailed Service Report #2642292

Area Inspections Area Inspected INTERIOR INTERIOR INTERIOR INTERIOR

-> -> -> ->

Pest Findings

ENTRANCE OFFICES RESTROOMS UTILITY ROOM

Time 1:27 1:33 1:33 1:30

PM PM PM PM

Device Inspection Details Area Device Name None Noted

Device Type

Activity

Pest Findings

Time

Material Application Details

Material Applied

Active Ingredient

Application Method

Application Rate

EPA # None Noted

Lot #

AI Concentration

Application Equipment

Sq/Cu Ft

None

N/A

N/A

Weather:

Printed:

01/16/2015

Page:

2/2

Adm Inspection Report Jan 2015.pdf

J Damore Thomas Perkins Time In: 01/15/2015 01:21 PM Terms: 30NET. Time Out: 01/15/2015 01:34 PM PO #: contract. Order # Service Description Quantity.

129KB Sizes 2 Downloads 199 Views

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