PHILLIPS STREET PEST CONTROL REPORT 8-6-2024 A-1 Exterminators RECEIVED
P.O. Box 310
Lynn, MA 01903-0310
800-525-4825 781-592-2731 ORDER #: 2130690 AUG 19 2024
p l xterminators`corr WORK DATE: 08/06/2024
F'\1 6 CiTy OF SALEM
BOARD OF HEALTH
Time In: 08/06/2024 11:41:20 AM
BILL-TO 1240100 LOCATION 243044 Time Out: 08/06/2024 01:36:38 PM
Customer Signature
SALEM BOARD OF HEALTH SALEM BOARD OF HEALTH
98 Washington St 3rd FI Phillips Streeet
SALEM, MA 01970 Salem, MA 01970
Customer is unavailable to sign
Phone: 978-741-1800 Phone: 978-741-1800 x42405 Technician Signature
Chad Epstein
License#: CC-0036494
Purchase Order Terms Service Description Quantity
None NET 30 Rodent Control Special Projects 1.00
GENERAL COMMENTS/INSTRUCTIONS
FOLLOW UP BAITING OF SEWERS ON PHILLIPS ST,EMAILED DETAILED REPORT TO MAUREEN,PO 20250533
Inspected previously baited sewers at Philips Street area for rodent activity.Bait consumption found within 1 sewer at this time.Bait was replenished as needed,Active sewer at
32 Phillips Street area
CONDITIONS/ OBSERVATIONS Reported Severity Responsibility Reviewed
None Noted.
PRODUCTS APPLICATION SUMMARY
Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted Qty
WeatherBlok XT 100-1055 0.0050% n/a Brodifacoum 3.0000 Each
Target Pests: Rats
PEST ACTIVITY #Areas #Devices Pest Totals
None Noted.
DEVICE INSPECTION SUMMARY
AREA COMMENTS
None Noted.
DEVICE INSPECTION EXCEPTIONS
None Noted.
Printed:08/07/2024 Page: 1/2
A-1 Exterminators
P.O. Box 310
Lynn, MA 01903-0310
Exterminators
825 781-592-2731 ORDER#: 2130690
Al Xterr�'11r1ators.co 7a WORK DATE: OB/06/2024
INSPECTION DETAIL
None Noted.
PRODUCTS APPLIED
Material A.I.% Finished Qty Application Equipment Time
EPA# A.I.Concentration Undiluted Qty Application Method Sq/Cu/L Ft Lot#
WeatherBlok xT 0.0050% 3.0000 Each 1:36:36 PM
100-1055 n/a Bait Station
Target Pests: Rats
Weather: 0%0 MPH
Printed:08/07/2024 Page: 2/2
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