Pest Control Service Checklist
PARTICULARS TechDoc/SC/SQPMS-MJS-07052019
Dessert Station Date of Service:
Technician Name
15420 E. Rodriguez Avenue, Moonwalk, Paranaque City 1
2
SERVICE RENDERED Indicate " " mark on the appropriate column
Ants & Cockroaches Control Flies and Mosquitoes Control Rats/Mice Control
AREA/ LOCATION REMARKS
ILT
Ant Gel Roach Gel Spraying Misting ULV Fogging Glue Cage Bait
M 'tenance
Production
1st Floor
2nd Floor
Basement
Perimeter
MODE OF APPLICATION
Ant Gel Roach Gel Spray Mist ULV Fog Glue Rodenticide Remarks
Chemical Used
Dilution Rate
Quantity Used Solution
(in Liter)
NOTES: FDA Registration number of used chemicals are indicated in the Approve Pesticide List provided to the Customer
Conformed by: Technician/s:
(Signature Over Printed Name) Verified by:
CLIENT's AUTHORIZED Date:
REPRESENTATIVE
Insect Light Trap
Monitoring Checklist
TechDoc/SC/SQPMS-ILT/012819
PARTICULARS
Customer Name and Treatment Area Date of Service:
Dessert Station
Technician Name
15420 E. Rodriguez Avenue, Moonwalk, Paranaque City 1
2
(Pest Control Device : Insect Light Trap)
Bottle / Blow Others Others Others
House Flies Fruit Flies
ILT No. Location Flies ( ) ( ) ( ) REMARKS
Level Count Level Count Level Count Level Count Level Count Level Count
1 Receiving Bay
2 Office Corridor
3 Fire Exit Corridor
LEGEND
Level of Infestation Others, Please Fill in ( ) Remarks
0 - No insect trapped S - Stored Product Insects R - Replace Station
1 Low - 1 to 20 insects B - Bees / Wasps D - Unit Tampered / Damaged
2 Medium - 21 to 40 insects O - Outdoor Moth A - Adverse Conditions, Please State
3 High - more than 40 insects M - Mosquitoes / Midges = Poor Housekeeping/ sanitation, Poor Stacking,
Poor Proofing, Poor water flow at drainage
Infested Materials from Suppliers / Contractors, etc.
OTHER FINDINGS:
Rentokil Technician Signature Client's Authorized Representative
Verified by:
Date:
Monitoring Checklist
Glue and Cage Traps
TechDoc/SC/SQPMS-TRAPS/012819
PARTICULARS Date of Monitoring:
Customer Name and Treatment Area
Dessert Station
Technician Name:
15420 E. Rodriguez Avenue, Moonwalk, Paranaque City 1
2
[Pest Control Device: Glue Board Trap (GBT) / Cage Trap (CT)]
Condition of Rodent Other Pest
Action Taken
Station Trapped Trapped
Trap No. Location Remarks
Type/
G/B/ L F/N CL RG RU Count None
Count
Glue traps
GBT#1 Basement
GBT#2 Basement
GBT#3 Basement
GBT#4
GBT#5
GBT#6
GBT#7
GBT#8
GBT#9
NOTES:
LEGEND
Station Condition: Remarks
G = Good Dust & Dirt
B = Broken Adverse Condition (Concern on
L = Lost Sanitation / Housekeeping)
F = Fixed / Secure Other signs of rodent infestation
N = Not Fixed e.g. smear marks, live , gnaw
marks etc..
Rentokil Technician Signature Client's Authorized representative
Verified by:
Monitoring Checklist
Bait Stations
TechDoc/SC/SQPMS-BS/012819
PARTICULARS
Customer Name and Treatment Area Date:
Dessert Station
Technician Name:
15420 E. Rodriguez Avenue, Moonwalk, Paranaque City 1
2
(Pest Control Device: PVC / Multiplex / others:_______)
Bait Condition of Replace
Station Baits Consumed
Location Station Bait REMARKS
Control
No. G B L F N U Partial Half Full Yes No
BS 1 Perimeter
BS 2 Perimeter
BS 3 Perimeter
BS 4 Perimeter
BS 5 Basement
BS 6 Basement
Total Number of Active Bait Station
LEGEND
_______________
Station Condition: Remarks:
G = Good Wet/ Flooded
B = Broken Replace Unit
L = Lost Other Pest Trap
F = Fixed / Secure Adverse Condition (Concern on Sanitation / Housekeeping)
N = Not Fixed Other sign of rat infestation
e.g. rat burrow, live , gnaw marks etc..
Rentokil Technician Signature Client's Authorized Representative
Verified by:
Date Verified
