Exhibit C3- GSA Form 3638 Pest Control Work and Inspection Report.pdf

FIELD OFFICE

BUILDING DATE

INSTRUCTIONS: The Field Office, GSA Inspector, and Contractor should use Section A for reporting type of pest and location.

The GSA Inspector should use Section B for reporting presence or absence of pests and adequacy of service. The Contractor should use Section C for reporting material used for treatment.

SECTION A SECTION B SECTION C

TYPE OF PEST LOCATION

REPORTED BY INFESTATION SERVICE PESTICIDES, TRAPS, AND

OTHER MATERIAL USED PERSON TELEPHONE NO. ACTIVE NONE SAT. UNSAT.

REMARKS

SIGNATURE OF PEST CONTROLLER TIME IN DATE SIGNATURE OF GSA INSPECTOR TIME INSPECTION

COMPLETED

DATE

TIME OUT

GSA FORM 3638

EXHIBIT C3

PEST CONTROL WORK AND INSPECTION REPORT