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    keslingunimedika sepatan
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    This service report from Rentokil Indonesia documents a routine pest control treatment at RS Sepatan Mulia hospital in Tanggerang, Banten. The report provides customer information including account details, contact information, and site risk assessment. It also includes the names of the applicators who performed the treatment, notes on the service visit where two fly traps were installed in the TPS area, and signatures from the applicator and customer representative to acknowledge the service.

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    ServiceReceipt(3)

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    This service report from Rentokil Indonesia documents a routine pest control treatment at RS Sepatan Mulia hospital in Tanggerang, Banten. The report provides customer information including account details, contact information, and site risk assessment. It also includes the names of the applicators who performed the treatment, notes on the service visit where two fly traps were installed in the TPS area, and signatures from the applicator and customer representative to acknowledge the service.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views1 page

    Service Receipt

    Uploaded by

    keslingunimedika sepatan
    This service report from Rentokil Indonesia documents a routine pest control treatment at RS Sepatan Mulia hospital in Tanggerang, Banten. The report provides customer information including account details, contact information, and site risk assessment. It also includes the names of the applicators who performed the treatment, notes on the service visit where two fly traps were installed in the TPS area, and signatures from the applicator and customer representative to acknowledge the service.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Service 

    Report
    Berita Acara
    Report to Customer
    Rentokil Indonesia (RI-JK-OS-230-SE-F-8.5-06)
    Ref:143328_20221213154942
    A. CUSTOMER INFORMATION
    Purpose of Treatment Routine Type of Premise Hospitals
    Account Number 700022169 Type of Pests Covered Qty Freq
    Contract Number 50051177/1 Site Inspection Report
    0 12
    : (SIR)
    Type of Premise Hospitals
    Service Review Meeting
    Customer Name RS SEPATAN MULIA 0 12
    : (SRM)
    Contact Name IBU NOVA
    Contact Number +622159371801
    Address (Site of application) RS SEPATAN MULIA
    JL. RAYA PAKUHAJI RT 02 RW
    01
    SEPATAN
    TANGERANG
    BANTEN
    15520
    Site Risk Assessment
    Terdapat Anak-anak/Orang Tua/Orang Cacat/Keramaian : AREA DALAM Terdapat kendaraan/forklift/mesin pengangkat : PARKIR Bahan kimia/gas/debu/uap
    : AREA LUAR, AREA DALAM Mengangkat/mengangkut : AREA LUAR, AREA DALAM Adanya penghisap udara pada sistem ventilasi : AREA DALAM

    B. APPLICATOR’S INFORMATION C. CUSTOMER’S SIGNATURE/COMPANY STAMP
    I declare the information below is true and
    I acknowledge receipt of the report below:
    correct:
    Signature: Signature:

    Benny Putra Sinaga


    Name Name Adi Supriyato
    Benny Putra Sinaga
    License No. Date 13-12-2022 15:08
    Date 13-12-2022 15:08
    Time In 15:08
    Time Out 15:49
    Name of other Applicators:

    G. SERVICE VISIT NOTES
    Product (s) Visit Notes

    Site Inspection
    Report - 12
    Service Review
    Pohon lalat telah dipasang 2 unit di area TPS
    Meeting - 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 rendra.wdriyo@rentokil-initial.com w www.rentokil.co.id p myRentokil

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