Stored Product Pest Report

• Client Contact: Rick Kelly or Byron Hennigar

• Client Address: 1119 Innovation Dr, Kingston ON

• Client: Tim Hortons Inc

• Report Prepared by: Greenshield Pest Control Inc

• Service Technician:

Stored Product Pest Trap #1

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #2

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #3

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests Present In Trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #4

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #5

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #6

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #8

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #9

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #10

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #11

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #12

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

Stored Product Pest Trap #13

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #14

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Pest Product Pest Trap #15

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #16

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #17

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Stored Product Pest Trap #18

• Condition of trap?

  Good

  Miss

  Dama

  Inacc

• Are Stored Product Pests present in trap?

  No

  Yes

• Types of Stored Product Pests?

  Select Indian Meal Moth Almond Moth Cockroach Confused/ Red Flour Beetle Warehouse Beetle other Stored Product Pest No Pest

  • Indian Meal Moth
  • Almond Moth
  • Cockroach
  • Confused/ Red Flour Beetle
  • Warehouse Beetle
  • other Stored Product Pest
  • No Pest

• Quantity of Stored Product Pests in trap?

  0

  1

  >1

• Is corrective action needed?

  No

  Yes

Conclusion

• Additional details

  Media

• Corrective Action Details are closed Yes/No include details

  No

  Yes

• Corrective Action Details are closed Yes/No include details

  No

  Yes

• Corrective Action Details are closed Yes/No include details

  No

  Yes

• Corrective Action Details are closed Yes/No include details

  No

  Yes

• Greenshield Technician Signoff

  Sign

• Tim Hortons Contact Signoff

  Sign

• Select date

  Date