JACKSON STREET PEST CONTROL REPORT 1-31-2024 A-1 Exterminators
P.O. Box 310 Detailed Service Report #2049682
Lynn, MA 01903-0310
781-592-2731
RECEIVED
JAN 312024
CITY OF SALEM
BOARD OF HEALTH
Client: 1240100 Service Location: 176386
SALEM BOARD OF HEALTH SALEM BOARD OF HEALTH
98 Washington St 3rd FI JACKSON ST&FRANCIS ROAD
SALEM,MA 01970 SALEM,MA 01970
Phone: 978-741-1800 Phone: 978-741-1800
Customer Signature: Technician Signature: Licenses/Certifications
CC-0036494
Customer is unavailable to sign Chad Epstein Time In: 1/15/2024 12:28 PM Terms: NET 30
Time Out: 1/15/2024 02:12 PM
Order# Service Description Quantity Unit Cost Amount
2049682 Rodent Control Special Projects 1.00
Service Comments
Order Instructions: FOLLOW UP BAITING OF SEWERS ON JACKSON STREET FROM FRANCIS ROAD TO JACKSON TERRACE AND JACKSON TERRACE DETAIL REPORT
TO BE SENT TO MAUREEN PO 20240042
Tech Comment: Inspected sewers listed for rodent activity.Sewers remain baited as no new evidence or bait consumption was detected at this time
Materials Summary EPA# Active Ingredient Finished Quantity Application Method Application Rate
Material Applied Lot# Al Concentration Undiluted Quantity Application Equipment Sq/Cu/L Ft
Severity Created
Open Conditions Responsibility Last Inspected
No Conditions .
Added or Updated
this Service
Severity Created
Conditions Resolved This Visit Responsibility Last Inspected
No Conditions
Added or Updated
this Service
Pest Summa With Without Total Device Exceptions
Quantity Device Summary Activity Activity Inspected Replaced Removed Skipped
None Noted 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
Printed: 1/15/2024 Page: 1/2
A-1 Exterminators
P.O. Box 310 Detailed Service Report #2049682
Lynn, MA 01903-0310
` 781-592-2731
Device Inspection Details
Area Device Name Device Type Activi,; Pest Findings Time
None Noted None
Material Application Details
Material Applied Active Ingredient AI% Application Method Application Rate
EPA# Lot# AI Concentration Application Equipment Sq/Cu/L Ft
None Noted
N/A N/A
Weather:
Printed: 1/15/2024 Page: 2/2
M- ANHOLE AND CA TICHBASIN SArl jNG-3;
SArl AhMLWIS,
A=0
31,
ij
IL
IF
1 1 7
Oua-Ice
corlsmmrcom
l=W-7lALW—lsNM
'=Sr