124 HIGHLAND AVENUE EXTERMINATOR'S REPORT 10-8-2021Detailed Service Report #1781270
A-1 Exterminators
P.O. Box 310
Lynn, MA 01903-0310
781-592-2731
Client:207765
Thomas Rice
10 Warwick Ter
Marblehead, MA 01945-1204
Service Location:207765
Thomas Rice
124 Highland Ave
Salem, MA 01970-2724
Phone:978-239-4914 Phone:978-239-4914
Mobile:781-983-6961
Licenses/CertificationsCustomer Signature:Technician Signature:
0049541
Customer is unavailable to sign Anthony DiBona Time In:10/8/2021 04:58 PM Terms:COD
Time Out:10/8/2021 06:34 PM
Order #Service Description AmountQuantityUnit Cost
1781270 RODENTS $150.001.00 $150.00
2 @ $34.00 each VM EZ Secure Bait
Stations
$68.002.00 $34.00
8 @ $3.00 each MOUSE BAIT
STATION
$24.008.00 $3.00
$5.75
$242.00SubTotal:
Tax:
$247.75Total:
$0.00Amount Due:
Payment Date Applied AmountMethodReferencePayment Amount
10/8/2021 VISA ************1170 $247.75$247.75
Service Comments
Order Instructions:Mice bsmt only $150+prod ccrd on file, Also would like 2 ext station placed already has 1 on prop, treat burrow, detailed srvc report needed for
BOH, call wn on way 978-239-4914/dc
Tech Comment:on site to perform rodent control. Upon arrival spoke with homeowner on the phone and he told me just to set up basement and 2 exterior rodent
control devices. I placed a total of 8 bait stations throughout basement area and put one easy secure VM station on each side of home and replaced
bait in already existing exterior station. Did not see a lot of droppings or any Big signs of mice at time of service, however I was able to recycle
about 6 bait stations found in basement.
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/A14.000 Each
N/A
12455-139 BrodifacoumFinal Softbait
N/A 0.0025 0.000 Each
Bait Station
Target Pests: Rodents
Areas Applied: General/Other
1/310/18/2021
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 #1781270
A-1 Exterminators
P.O. Box 310
Lynn, MA 01903-0310
781-592-2731
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/A30.000 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
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
Final Softbait
12455-139
Target Pest:
Area/Device Name
Rodents
Finished Quantity Technician Name
N/A
Brodifacoum
N/A
Bait Station
N/A
Undiluted Quantity
0.0025%
06:33 PM14.0000 EachGeneral/Other Anthony DiBona
Weather:0°, 0 MPH
N/A
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%
06:32 PM30.0000 EachGeneral/Other Anthony DiBona
Weather:0°, 0 MPH
N/A
2/310/18/2021
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 #1781270
A-1 Exterminators
P.O. Box 310
Lynn, MA 01903-0310
781-592-2731
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%
3/310/18/2021
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: