Doc.

Code: YLF-PM-007

Rev. No. : 0
Eff. Date : 02 October 2017
Page Nos. : 1 of 1
INSPECTION REQUEST
TERMITE AND PEST CONTROL
PROJECT : CONTRACTOR :
LOCATION :
CLIENT :

BUILDING IDENTIFICATION :
DATE REQUESTED :

Area of Application/Location
Application Rates
Chemical Manufacture Date
Chemical Expiration Date
Warranty Period
ACTION CODE :
:
: Approved
: Approved subject to comments, work may proceed.
: For Reinspection
: Disapproved, works cannot proceed

A. APPLICABLE SPECIFICATIONS: SECTION

B. CONSTRUCTION METHOD/APPLICATION :
REMARKS
1 Site preparation
2 Safety precautionary measures
3 Total area covered
4 Others, pls. specify

NOTE : SIGNATURE OVER PRINTED NAME, INDICATE COMPANY & DATE SIGNED

CONTRACTOR INSPECTED BY:

REPRESENTATIVE YLF SITE ENGINEER

APPROVED BY:
YLF CONSTRUCTION MANAGER