47 LARCHMONT STREET - STREET FILE Is
CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH
120 WASHINGTON STREET,4""FLOOR Prevent.Promote.
TEL. (978) 741-1800 F,-�x(978) 745-0343
KIMBERLEY DRISCOLL health ri salem.cotn
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MAYOR
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July 10,2017
Susan Shepperson
3 Whipple Street
Danvers,MA 01923
Dear Property Owner:
This office has received a complaint regarding rodents on your property located at 47 Larchmont Street in the city of
Salem, Massachusetts.
An on-site inspection was conducted on July 10,2017 by Elizabeth Gagakis,Senior Sanitarian for the Board of Health.
During the inspection rodent burrows were observed in the front yard of this property.
Raccoons,rodents,etc.are considered a neighborhood nuisance and community health hazard.
The property must be exterminated by a licensed exterminator. After extermination has taken place any burrows or
holes must be filled and monitored and you must take all necessary steps to prevent any infestation from occurring in
the future. Additionally,you must submit to the Salem Board of Health an Integrated Pest Management protocol for this
property stating what actions have been taken and what actions will be taken to prevent this infestation from occurring
in the future.
In accordance with Mass General Laws,Chapter III,Section 123 you are ordered to retain the services of a licensed
exterminator and suppress any rodent population within fourteen(14)days of receipt of this order and a copy of this
invoice and a treatment plan must be forwarded to this department upon completion of the extermination.
Should you be aggrieved by this order,you have the right to request a hearing before the Board of Health. A request for
said hearing must be received in writing in the office of the Board of Health within 7 Days of receipt of this order. At said
hearing,you will be given an opportunity to be heard and to present witness and documentary evidence as to why this
order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have
the right to inspect and obtain copies of all relevant inspection or investigation reports,orders,and other documentary
information in the possession of this Board,and that any adverse party has the right to be present at the hearing.
If you have any questions or concerns please call this office at 978-741-1800. 1 thank you in advance for your
cooperation.
For the Board of Health: Reply to:
Larry Ramdin Elizabeth Gagakis
Health Agent Senior Sanitarian
$ & B Pest Control p��t. control
r 271 Western Avenue, Suite 203 .
Lynn, MA 01904 N Contract• Service • Renewal
781-599-4317
Fax: 339-883-3049
The Termite Boys.Johnny B's Pest Control-Sachem Pest Control•`EB Pest Control NO. 24004
SERVICE INFORMATION BILLING INFORMATION
Date: Time In 'oo am rh
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Contract 0 Renewal Service Exp.Date:'�
Customer Name: Name:
Service Address: - t Billing Address:
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TYPE OF SERVICE WARRANTY TYPE Service Fee
Commercial ❑New Termite Job ❑Cust.Req.Insp. Months
Residential ❑Odd-Job Termite Onitial Service ❑6 Months Sales Tax
❑-Pest Renewal ❑Termite Renewal ❑Regular Service ❑1 Year
❑Odd-job Pest ❑Termite Transfer ❑Flea Treatment ❑5 Years Total Amount --*--
❑Six-Month Follow-up ❑Termite Retreat ❑Ant Treatment ❑ '" .0 .
❑Pest Control ❑Sub Termite Renewal ❑Bed Bugs ❑ Payment Rec
❑Yard Control oRodent Control ❑
MATERIALS USED
% NAME/EPA# AMOUNT % NAME/EPA# .AMOUNT % NAME/EPA# AMOUNT % NAME 1 EPA# AMOUNT
CONTRAC BLOX _ EXCITER TERMIDOR
G EPA 12455.79 EPA 655-792 EPA 7969-210 TIM-BOR
EPA 64405-8
_CONTRAC PLACE EPA 272ZENPROX- -MAXFORCE MAGNUM FIRSTSTRIKE
PACKS EPA 12455.78 EPA 2724004 -BAIT G.EPA 432-1460. EPA 7173-258
DITRAC TRACKING p� GENTROL MAXFORCEIMPACT BEDLAM PLUS
POWDER EPA 12455-56. o O EPA 2724.351 BAIT GEL EPA 432-1631 EPA 1021.2569
FINAL BLOX45" CB-80 VENDETTA PLUS BAR TEMPO DUST
EPA 12455.89 EPA 9444-175 GEL EPA 1021-2593 EPA 432-1373
ZP TRACKING POWDER TALSTAR P PRYOCIDE 100 ARILON
EPA 12455-16 EPA 2793206 EPA 1021.1424 EPA 352-776
SUSPEND SC STRYKER .CIMEXA CROSSFIRE
EPA 432-763 EPA 53083-308 EPA 73079.12 EPA 1021-2776
Place a check mark by each target pest:
❑Fire Ants ❑Brown Recluse Spiders ❑Spiders ❑Fleas Ticks
❑Carpenter Ants ❑Black Widow Spiders ❑Carpet Beetles ❑Pill Bugs ❑Bed Bugs
❑Pharaoh Ants ❑American Roaches ❑Earwigs ❑Sowbugs tether
❑House Ants ❑Oriental Roaches ❑Crickets ❑Subterranean Termites ❑Other
❑Silverfish ❑German Roaches ❑Roof Rats ❑Wasps ❑Other
❑Scorpions ❑Brown Banded Roaches ❑Norway Rats ❑Yellow Jackets ❑Other
❑Firebrats ❑Smokey Brown Roaches ❑House Mice ❑Bees ❑Other
TREATMENT AREAS *APPLICATION METHOD TREATMENT AREAS "APPLICATION METHOD
❑Kitchen/Dining Rm ❑ Attic
❑Living Room ❑ Closets `' ';;
❑Bedrooms Wall Voids r' s
❑Bathrooms ( '._ 12.1f exterior i Je r a" fit'
❑Garage/Storage ❑ Yard
,,Vj,asement/Crawl Spaces ❑ Offices
❑Other ❑ Other Ai `i! 7A � � c
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COMMENTS: T }
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Reorder Product#BSP7033 from•1-800.252-4011•®Copyright.CROWNMAX
B and B Pest Control SERVICE REPORT#26148
271 Western Ave. Suite 203
Lynn, MA 01904 V & V ACCOUNT#: 7770
P: 7815994317
PO#:
jboza r b mail.com,pb@bbpest.com
vvw.bpest-corn Pest Control
DATE: 07/13/2017
START: 02:00 pm
END: 03:00 pm
Billing Address Service Address
Susan Shepperson 47 Larchmont Road
47 Larchmont Road Salem, MA 01970
Salem, MA 01970
Service Date Service Report Date Due Date Billing Terms
July 13, 2017 July 13,2017 July 13,2017 Ion Completion
DESCRIPTION OTY PRICE LINE TOTAL
Rats 1.0 $350.00 $350.00
3 Month Warranty 1.0 $0.00 $0.00
Payment/Credit Applied(Stripe 2003)(-) 1$0.00
$350.00
Please Pay
TECHNICIAN NOTES
Treated this property for rats
Baited throughout the property for rats.
Installed 3 rat bait stations throughout the exterior and basement. Placed bait packs throughout the basement and ledges for
control of mice/rats. No signs or droppings seen during treatment.
Also dusted and sealed a hole in the front yard.
No materials used
CUSTOMER SIGNATURE TECHNICIAN:Jeff Perez License#45779