13 March Street US M INFO ATION
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Cjl/ AFI-DIIAN FLOOR LEVEL PESTCONTRDL Address �� SST !
s7a-soo-s8ss INSPECTIONS REPORT
Store# Ph#
Time in 'ss fl _ _ O� ��� Manager- _
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Time out ��2�� O COMPANY INFORMATION
Date 22 Q J Q OJT ��C� J Name _ Ph#
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Svc.Tech Rt#
IrApeZcGr--Print Name Svc.Time Frequency—
Line LOCATION /Yes/No o��,�"P a�o�' DESCRIBE ACTION REQUIRED
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Additional Comments 4041,fe-eyy'N�� is Sty C,ClO r TOW /40--7'
Does Customer Have: Yes No Yes No
Hands Free Flushing Drain Odor Present
Restroom Odor Control Floor Drains Clean
Flying Insect Traps Door Sweeps Needed
Floor Care Program in Place
Inspector 61 J, Customer
Signature !x Signature