142 CANAL STREET EXTERMINATOR REPORTDetailed Service Report #1973383
A-1 Exterminators
P.O. Box 310
Lynn, MA 01903-0310
781-592-2731
Client:171859
BRIDGETON PROPERTIES
ATTN: MADISON SYMES
50 DODGE ST STE 100
Beverly, MA 01915
Service Location:234939
SYME'S ASSOCIATES
142 Canal St Rear
Salem, MA 01970-4673
Phone:978-922-7800 xoffic Phone:978-922-5300
Mobile:978-778-4055 xmadso
Licenses/CertificationsCustomer Signature:Technician Signature:
AL-0049541
Customer is unavailable to sign Anthony DiBona Time In:5/11/2023 02:23 PM Terms:NET 30
Time Out:5/11/2023 04:09 PM
Order #Service Description AmountQuantityUnit Cost
1973383 OUTSIDE RODENT CONTROL-DEMO $325.001.00 $325.00
VM EZ Secure Bait Stations $204.006.00 $34.00
$12.75
$529.00SubTotal:
Tax:
$541.75Total:
$541.75Amount Due:
Service Comments
Order Instructions:PARTIAL RODENT DEMO - REAR BLDG - $325 + PROD - **OK TO INVOICE** - APPROX 6 ORC STATIONS - 4 GARAGE BAYS AT REAR AND REAR
LEFT SIDE - PLEASE EMAIL ALL REQUIRED COMPLETION PAPER WORK AND INVOICE TO MARKS EMAIL ADDRESS. **MUST CALL MARY 30MIN B4
ARRIVAL FOR ACCESS @ 978-836-8127...MARY
Tech Comment:Onsite to perform Exterior rodent control demo. Upon arrival i added 6 Exterior baitstations to the back of building as needed near 3 garage doors.
Thank you for choosing
A1 Exterminators
Materials Summary
Material Applied
EPA #Active Ingredient Finished Quantity
Lot #AI Concentration Undiluted Quantity Application Equipment
Application Method
Sq/Cu/L Ft
Application Rate
N/A35.000 Each
N/A
100-1055 BrodifacoumWeatherBlok XT
N/A 0.0050 0.000 Each
Bait Station
Target Pests: Rats
Areas Applied: General/Other
Open Conditions Severity
Responsibility
Created
Last Inspected
No Conditions
Added or Updated
this Service
1/25/11/2023
OCCUPIED AREAS MUST BE VACATED FOR _______ HOURS. THOROUGHLY VENTILATE TREATED AREAS BEFORE THEY ARE REOCCUPIED. DO NOT
ALLOW ADULTS, CHILDREN, OR PETS ON TREATED SURFACES UNTIL DRY.
CONTRACTING ENTITIES HAVE RECEIVED ALL MASSACHUSETTS DEPARTMENT OF FOOD & AGRICULTURE'S PESTICIDE BUREAU CONSUMER SHEETS,
WRITTEN STATEMENTS, POSTING NOTICES AND HAVE AGREED TO NOTIFY TENANTS 2-7 DAYS PRIOR TO APPLICATION TIME. THE ABOVE SERVICE
HAS BEEN SATISFACTORILY COMPLETED.
INS 5-1
Printed:Page:
Detailed Service Report #1973383
A-1 Exterminators
P.O. Box 310
Lynn, MA 01903-0310
781-592-2731
Open Conditions Severity
Responsibility
Created
Last Inspected
Conditions Resolved This Visit Severity
Responsibility
Created
Last Inspected
No Conditions
Added or Updated
this Service
Pest Summary Quantity
None Noted
Device Summary Activity Activity Inspected Replaced Removed Skipped
Device ExceptionsWithWithoutTotal
None Noted
Additional pest findings may have been observed. Please see conditions and comments for more details.
Area Inspections
Area Inspected Pest Findings Time
None Noted
Device Inspection Details
Device Name Device Type TimeActivityPest FindingsArea
None Noted None
AI Concentration
Active Ingredient
Application Equipment
Application MethodMaterial Applied
Lot #EPA #
Material Application Details
Sq/Cu/L Ft
AI%
Time
WeatherBlok XT
100-1055
Target Pest:
Area/Device Name
Rats
Finished Quantity Technician Name
N/A
Brodifacoum
N/A
Bait Station
N/A
Undiluted Quantity
0.0050%
04:09 PM35.0000 EachGeneral/Other Anthony DiBona
Weather:0°, 0 MPH
N/A
2/25/11/2023
OCCUPIED AREAS MUST BE VACATED FOR _______ HOURS. THOROUGHLY VENTILATE TREATED AREAS BEFORE THEY ARE REOCCUPIED. DO NOT
ALLOW ADULTS, CHILDREN, OR PETS ON TREATED SURFACES UNTIL DRY.
CONTRACTING ENTITIES HAVE RECEIVED ALL MASSACHUSETTS DEPARTMENT OF FOOD & AGRICULTURE'S PESTICIDE BUREAU CONSUMER SHEETS,
WRITTEN STATEMENTS, POSTING NOTICES AND HAVE AGREED TO NOTIFY TENANTS 2-7 DAYS PRIOR TO APPLICATION TIME. THE ABOVE SERVICE
HAS BEEN SATISFACTORILY COMPLETED.
INS 5-1
Printed:Page: