Exhibit C4 - GSA Form 3638 Pest Control Work and Inspection Report.pdf
GSA Form PDF 20 KB Posted
- Attached to
- Amendment 0003 Full Maintenance Services Contract San Antonio, Pearsall, and New Federal Courthouse
- Solicitation number
- 47PH0221R0004
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Text version
FIELD OFFICE
EXHIBIT C4
PEST CONTROL WORK AND INSPECTION REPORT
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
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