Title Page
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Property name
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Property owner
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Conducted on
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Inspected by
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Location
Assessment
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Is there evidence of damage and debris caused by insects
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Are the doors or other openings to the outside tight fitting?
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Are there gaps around windows and/ or doors?
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Are there water sources near the building?
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Is there waste disposal near the building?
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Is there vegetation or mulch placed against or near the building?
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Is there nonessential lighting near the building?
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Is there evidence of damage and debris caused by insects within the building?
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Are there cracks or holes in or around the walls, doors or windows?
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Is there food waste in undesignated areas?
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Do all food containers have lids?
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Are there moisture leaks or condensation around plumbing, windows, or climate control equipment?
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Are garbage containers clean and properly covered?
Signs of Infestation (Rodents)
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Rodent droppings on the floor and other surfaces especially where food is stored.
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Greasy rub marks on vertical surfaces.
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Squeaking, gnawing or movement sounds in walls, cupboards, ceilings.
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Nests made from rags, paper, cardboard, straw and other materials.
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Gnawing damage to materials including wood, soft metals, soap, cables, conduits and food containers.
Signs of Infestation (Cockroach)
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Smell.
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Small spindle shaped droppings.
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Dead cockroach bodies.
Completion
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Additional comments/reccomendations .
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Name & Signature of Inspector