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HomeMy WebLinkAboutService Inspection ReportService Inspection Report
ORDER #:
WORK DATE:
127398
12/17/2021
Choice Pest Management, Inc.
3101 Matthews Road
Fort Pierce, FL 34945
License #:
Brian Mauro
Time In:
Time Out:
12/17/2021 10:49:47 AM
12/17/2021 12:02:29 PM
Technician Signature
Customer Signature
Customer Unavailable to Sign
107096LOCATION
772-519-1305
Wade Tindall
11652 Orange Ave
Fort Pierce, FL 34945-2022
Phone:
772-519-1305Mobile:
107096BILL-TO
772-519-1305
Wade Tindall
11652 Orange Ave
Fort Pierce, FL 34945-2022
Phone:
772-519-1305Mobile:
Purchase Order AmountService Description QuantityTerms
NET 30None 400.001.00Post termite treatment
Subtotal
400.00Total Due:
0.00
400.00
Tax
GENERAL COMMENTS / INSTRUCTIONS
Post construction soil termite treatment. Treated the home and placed treatment sticker inside the electrical panel box.
ReviewedResponsibilitySeverityCONDITIONS / OBSERVATIONS Reported
None Noted.
PRODUCTS APPLICATION SUMMARY
Finished QtyA.I. Conc.Undiluted QtyEPA #A.I. %Active IngredientMaterialLot #
0.8000Termidor Termiticide 9.1000%40.0000 Gallon7969-210 Fipronil 32.0000 Ounce
Target Pests:Subterranean Termites
Pest TotalsPEST ACTIVITY # Areas # Devices
None Noted.
DEVICE INSPECTION SUMMARY
Printed: 12/17/2021 Page:1/1