Title Page
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Name of Customer
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Address
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Contact No
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Service / Contract Type
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Type of Premise
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Total no. of Floors
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Treated area situated on : Ground Floor / 1st Floor /
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Covered area (in Sq.ft.)
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Conducted on
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Prepared by
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Pest Infestation observed
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Specimen collected and identified as
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1 . Key Characteristic features that helped in identification
- House Mouse
- Roof Rat
- Norway Rat
- Lesser Bandicoot
- Greater Bandicoot
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2. Pest's sign of infestation noitced
- House Mouse
- Roof Rat
- Norway Rat
- Lesser Bandicoot
- Greater Bandicoot
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3. Specific area where infestation noticed
- House Mouse
- Roof Rat
- Norway Rat
- Lesser Bandicoot
- Greater Bandicoot
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4. Pests 'hot spots' and hide outs noticed
- House Mouse
- Roof Rat
- Norway Rat
- Lesser Bandicoot
- Greater Bandicoot
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5. Type of pest related damages noticed
- House Mouse
- Roof Rat
- Norway Rat
- Lesser Bandicoot
- Greater Bandicoot
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6. Prevailing hygiene & Sanitation conditions
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7. Do's and Don'ts suggested by Technician
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8. Customer queries (if any)
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9. Other observations, queries & Service USPs
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Details of Rodenticide / Traps used by Technicians
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Total quantity of Bromodialone used (In gms.)
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Bromodialone Cake used Per Rodent Station
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Total no. of Glue traps used - Economy
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Total no. of Glue traps used - Regular
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List all other equipment / PPEs used during service
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Name & Signature of Mentor
