Form H

Service Report
Report to Customer
A. CUSTOMER INFORMATION Ref: 064261_20231204115141
Purpose of Treatment Routine Type of Premise Food and Beverage Manufacturer
Account Number 087000215 Type of Pests Covered Qty Freq
Contract Number 87000309/1 Exterior Bait Station FB155
20 12
: (EXBS)
Type of Premise Food and Beverage Manufacturer
EN Insect Light Trap
Customer Name Top Fruits Sdn Bhd 3 12
: (ENILT)
Contact Name Puan Rahimah Tamper Proof Station (Contour)-Glue Trap
10 12
Address (Site of application) Top Fruits Sdn Bhd : (GTC)
Lot 7424, Batu 1 1/4 Pests
0 12
Jalan Kangkar Senangar : Cockroaches, Common Ants (PESTS)
Parit Sulong
Batu Pahat
Johor
83500

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:

Name Bin Samsuri Amizan Name Rahimah

License No. APA3010 Date 04-12-2023 10:15
Date 04-12-2023 10:15
Time In 10:15
Time Out 11:51
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
Coumatetralyl (0.0375) Racumin Wax Block (0.0375) IV Baiting 100 pcs
Area Pesticide Applied baiting rodenticide at external building perimeter

Rat Glue Board Small Trapping 10 pcs

Area Pesticide Applied glueboard station at internal production, changing room & loading bay

EN Sticky Pad - Ntice Trapping 3 pcs

Area Pesticide Applied insect ligth trap at internal production, loading bay & garbage area

Bifenthrin (0.1) Maxxthor 100 (0.1) III Residual Spray 4 lit

Area Pesticide Applied spraying residual at external building perimeter

Precautionary Statement
Kelas IA Kelas IB Kelas II Kelas III Kelas IV
Beracun Beracun Beracun Merbahaya
Amat Bisa Bisa
Jauhkan Daripada Makanan & Kanak kanak
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 E. PEST STATUS
Pest Level Remarks

Rats Rodent Activity Reported baiting rodenticide at external building perimeter

No Pest Activity / Infestation No Infestation glueboard station at internal production, changing room & loading bay

Fly - House Flies High - 60 insect ligth trap at internal production, loading bay & garbage area

Common Ants Low - 15 spraying residual at external building perimeter

F. RECOMMENDATIONS BY RENTOKIL INITIAL

Type Recommendations Priority
Storage of materials/equipment close to buildings will encourage pest harborage please remove or re-locate away from building
Stacking
[Penyimpanan barangan/peralatan berhampiran dengan bangunan akan menggalakkan pertapakan perosak sila alihkan atau Low
[Penyusunan]
susun semula barangan jauh dari bangunan]
Proofing Rentokil advise fitting of a fly screen to the window/door to prevent flying Insects entering this area [Rentokil mencadangkan
Medium
[Pengkalisan] pemasangan skrin lalat pada tingkap/pintu untuk menghalang serangga daripada memasuki kawasan ini]

G. SERVICE VISIT NOTES

Product (s) Visit Notes

Exterior Bait Station FB155 - 12 Service completed.

EN Insect Light Trap - 12 Service completed.

Tamper Proof Station (Contour)-Glue Trap - No issue was recorded. Our regular inspections ensure that pest-free conditions are maintained at the current
12 moment.
No issue was recorded. Our regular inspections ensure that pest-free conditions are maintained at the current
Pests - 12
moment.

Rentokil Initial (M) Sdn Bhd (197201001250 (12889-M)) No.17, Jalan Selatan 8/1, Kawasan Perindustrian Selatan, Johor Bahru, Johor Darul Takzim, 81300
t +603 5561 8648 f +607 595 3723 e JohorBahru-MY@rentokil-initial.com w rentokil.com.my p myRentokil

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