P.O.BOX 57362 SHERMAN OAKS CA. 91413

INSTRUCTION SHEET FOR ROACHES, SILVERFISH, ’S AND ANT’S:

In to give you the best possible service with the least inconvenience to you, we would appreciate your cooperation of these instructions before and after our technician treats you premises.

1. Remove all items from the kitchen cupboards (lower & upper): dishes, pot, pans, glassware, foods, cans etc. Place them on a table and cover with a sheet. Take all drawers out and turn them upside down on a counter top.

2. If any items are left on the kitchen floor or adjacent areas, keep them at least three (3) feet from the wall.

3. Empty medicine cabinets, counter tops & cabinets under bathroom sinks (towels, toilet , cleaners, etc.).

4. Any scrubbing or cleaning of cupboards, walls or shelves should be done BEFORE treating occurs.

5. NOTE: Un Bug Me Control recommends all persons must vacate for 4 hours until treated areas are dried. Persons with ailing health or pregnancy must vacate for 24 hours and/or follow their doctor’s advice.

6. Remove all pets for at least a four (4) hour period. Pet birds must be removed.

7. Aquariums should be sealed off with plastic wrapping, and the filter turned off for a 4 hours.

8. Owner or Tenant(s) needs to move refrigerator and stove 1 foot away from the wall.

*Upon returning to the premises, open windows for 30 minutes. Thoroughly ventilating treated areas following application can reduce potential odors.

State Law requires that you be given the following information: CAUTION-PESTICIDES ARE TOXIC CHEMICALS. Structural Pest Control Companies are registered & regulated by the Structural Pest Control Board, and apply pesticides which are registered & approved for use by the California Department of Pesticide Regulation & the U.S. Environmental Protection Agency. Registration is granted when the state finds that – based on existing scientific evidence – there are no appreciable risks if proper use conditions are followed, or that the risks are outweighed by the benefits. The degree of risk depends upon the degree of exposure; therefore, exposure should be limited.

* In accordance with the laws & regulations of the State of California, we are required to provide you with the following information: Structural Pest Control Board (916) 561-8704 Address: 2005 Evergreen St. Unit # 1500, Sacramento, CA 95815 Poison Control Center (800) 777-6476 For Health Questions contact the LA County Health Department (213) 240-8203 For Application Questions contact the LA County Agricultural Commissioner (626) 575-5466

MATERIALS & ACTIVE INGREDIENTS TO BE USED: [ ] ALTO CIRRUS – Pyrethrum [ ] TERMIDOR SC – Fipronil [ ] MASTERLINE – Bifenthrin [ ] ALPINE WSG – Dinotefuran [ ] PERMETHRIN – Pyrethroid [ ] BIFEN LP – Bifenthrin [ ] TEMPO – Cyfluthrin [ ] OTHER [ ] TEMPRID – Imidacloprid, Cyfluthrin [ ] OTHER

Appointment Date: Appointment Time:

Address:

City: State: Zip:

Tenant/Owner: Signature: