ECOFORPEST EXTERMINATOR

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Office : Jelen Kebo lwa Utero Gg. XV Block C-4 Denpasar I Phone: +62 619 1709 5560 / +62 8 12 3934 1768
Email : ecoforpest.servlce@gmall .com I Website : www.ecopestcontrolaervlca.coom

PEST CONTROL SERVICE TREATMENT REPORT

Client Name
Address
Date of Treatment
. ::{~~~~(:
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: --- ~-!J __ ~J_8_____ __ Time in : ___________ ____ Time out :___________ ___ _

0 INSECT CONTROL 0 RODENT CONTROL ~ERMITE CONTROL O OTHERS ..... .... .... .... ..

E6'1nitial Treatment D Reguler Treatment D Monitoring D Follow Up D One Job

Inspection Areas / Area Pengecekan :

Pest Finding After Inspection / Temuan Hama Setelah lnspeksi :

D Common Ants D Cockroches □ Flies □ Mosquitoes □ Rats I Micescaptured: .. .............

□ Termites D Ticks/Bed Bugs □ Others : ...... ........ .. .............. ...... .... ..... .... ... ........ ... ..... ....... .

Termite Control Report / Laporan Anti Rayap: l!f1nitial Treatment O Reguler Treatment D Monitoring OFollowUp

D Dampwood Termite D Drywood Term ite D Formosan Termite 5!('subterranean Termite D Conehead Termite
D Zootermopsis spp. D Cryptotermes spp. D Coptotermes D Macrotermes spp. D Nasutitermes comiger.
formosanus.
D Neotermes spp. D lncisitermes spp. 0"coptotermes spp.
g'Microtermes spp.
Next Monitoring:

Scope Work Areas/ Skup Area Pekerjaan:

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2 . ........ .......... .. ....... ....... .... ........ .... .... .. .. ... .... ... .. ... .. .. ..... .... ..... .. .. ........ ........ .... .. .... .. ......... ... ........... ... ..... ............ ............... .

3 .... ... .... ........ ....... .... .. ..... .... .... ... ..... ..... .. ... ............................... ...... ... ....... ..... ... ..... ........ ....... .. .... ........ .. ........ ........ .. ..... .... ..

4 .. .. ................ ..... ..... .... .... .... .... .. .... ...... .. ... ......... ... .... ....... ..... .... ... ...... .... ........ .... .... ........ .... .... .. ....... ...... .... .. ..... ....... .. ....... .
~Pesticides Treatmented 0 Non Pesticides Use D Repellent
PRODUCT USED ACTIVE INGREDIENTS AMOUNT TOOL

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Recomendations :

Technician by, Acknowledge by (Customer) Customer Comment

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