M/s. 15 A.D.

BAKERY Rodent
L.L.P.,Jodhpur, Management
Rajasthan Monitoring Record

Doc. No: QA/BBP - 02 Rev. No. 00 Issued date: 01.07.2019

Chemical to be used: A) Bromodialone 0.005% -RTU(Outside) (B) Trubble Gum-RTU (Inside)

Date:....................................
Frequency: Weekly
CHECKS/ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
B.No
Any
Rodent
found
Cake/Trap
Found
Locked
Clean Y/N

CHECKS/ 18 19 20
B.No
Any
Rodent
found
Cake/Trap
Found
Locked
Clean Y/N

Customer Signature.................................... Bug Buster Representative..........................................