11 PRINCE STREET PLACE PEST CONTROL REPORT 6-24-2021 MD Weaver Corporation MD Weaver Service Report
D P.O.Box 770
Epping,NH 03042
eav mire. 888-743-7378 ORDER#: 407642
® WORK DATE: 06/24/2021
Time In: 6/24/2021 8:36:39 AM
BILL-TO �10004995 LOCATION 10004992 Time out: 6/24/2021 10:13:23 AM
Lafayette Housing LP Customer Signature
Accounts Payable Lafayette Apartments(Prince St Pla
C/O North Shore Property Mgrs. 1-16 Prince Street Place
102 Lafayette St Salem,MA 01970
Salem,MA 01970 Customer Unavailable to Sign
Phone: 978-745-4961 Phone: 978-745-4961 Technician Signature
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Tim Smith
License#: MA-S34374044
Purchase Order Terms Service Description Quantity
None NET 30 GPC-Apt Unit Routine Roaches Mice 1.00
GENERAL COMMENTS/INSTRUCTIONS
Conf.6/24
MY Facility Urban Multi-Family Program:Cockroach and Mouse Routine Service to basements and units every 4 months Invoiced at$400.
Serviced all units.See multi family service logs for details.
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
Advion Cockroach Gel Syngenta 100-1484 0.6000% n/a Indoxacarb 4.0000 Grams 0.1412 Ounce
Target Pests: Cockroach-German
Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted Qty
BorActin Inecticide Dust 73079-4 99.0000% n/a Orthobiric Acid 0.2500 Ounce 0.2500 Ounce
Target Pests: Cockroach-German
Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted Qty
CM INSECT TRAP 288i n/a 0.0000% 1.0000 n/a 34.0000 Trap 34.0000 Trap
Target Pests: Cockroach-German - -- ----
Material Lot# EPA# A.I.4/6 A.I.Conc. Active Ingredient Finished Qty Undiluted Qty
CM Mouse/Insect Glue Board n/a 0.0000% 1.0000 n/a 21.0000 Trap 21.0000 Trap
Peanut
Target Pests: House Mice
Material Lot# EPA# A.I.% A.I.Conc. Active Ingredient Finished Qty Undiluted-Qty
Victor Mouse Snap Trap M7 M325 n/a 0.0000% 1.0000 n/a 8.0000 Trap 8.0000 Trap
Target Pests: House Mice
Printed:06/24/2021 Page: 1/1
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