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

Service Inspection Report Detailed Service Report #2618599

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:

Licenses/Certifications

Technician Signature:

MA - 29082

J Damone

Thomas Perkins

Time In: Time Out:

Order #

Service Description

A1853204

MONTHLY SERVICE YEARLY BILL

11/13/2014 01:57 PM 11/13/2014 02:11 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 None Noted

Quantity

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 -> ENTRANCE

Printed:

11/13/2014

Time 2:02 2:09 2:09 2:09 2:09

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 #2618599

Area Inspections Area Inspected

Pest Findings

INTERIOR -> OFFICES INTERIOR -> RESTROOMS INTERIOR -> UTILITY ROOM

Time 2:05 PM 2:09 PM 2:09 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:

11/13/2014

Page:

2/2

ADM Inspection ReportNov 2014.pdf

INTERIOR -> RESTROOMS 2:09 PM. INTERIOR -> UTILITY ROOM 2:09 PM. Device Inspection Details. Area Device Name Device Type Activity Pest Findings ...

129KB Sizes 1 Downloads 164 Views

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