ServiceReceipt 06-12-2019
ServiceReceipt 06-12-2019
ServiceReceipt 06-12-2019
Report
Report to Customer
B. APPLICATOR’S INFORMATION C. CUSTOMER’S SIGNATURE
I declare the information below is true and correct: I acknowledge receipt of the report below:
Signature: Signature:
FIKRI BAMBANG IRAWAN Ibu C.
Name Name
FIKRI BAMBANG IRAWAN Maharani
06-12-2019
License No. Date
14:37
Date 06-12-2019 14:37
Name of other Applicators:
D. PESTICIDES APPLIED
Active Ingredient Trade Name Class Method of Total Area Total
(Conc. Diluted Solution Applied (%)) (Conc. Diluted Solution Applied (%)) Application Treated Qty Used
Deltamethrin K-Othrine 25 EC (GPP) Dusting 40 ML
Area Pesticide Applied
E. PEST STATUS
Pest Level Location Found Remarks
terdpat kotoran tikus pada area sisi
Rodents Ada Kotoran Tikus External
pagar dekat drainase atau selokan.
F. RECOMMENDATIONS BY RENTOKIL INITIAL
Type Recommendations Priority
(GPP) Tanaman disekitar bangunan/pagar harap dipotong ,agar tidak menjadi
Housekeeping Low
sarang hama
(GPP) Saluran pembuangan harus tetap bersih untuk mencegah masalah hama
Housekeeping Low
.selokan sisi pagar depan loby igd atau jalur masuk rumah sakit.
G. SERVICE VISIT NOTES
Product (s) Visit Notes
Cat Control - 48
Lumnia B - 12
Rentokil Indonesia Komplek Pergudangan Multiguna, Duta Indah Iconic, Blok C No.37, Jl. M H Thamrin, Cikokol, Tangerang, 15117
t +622129866707/706 f e [email protected] w www.rentokil.co.id