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Monitoring Form_Vermin Control

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Monitoring Form_Vermin Control Powered By Docstoc
					                      MONITORING FORM — VERMIN CONTROL


Establishment: _________________ ________                                               Date Checked: _______________


Checked by (Manager):
   Check each box with (Y) for yes or (N) for no.




                                           Floors Clean/
                                           Good Repair


                                                           Good Repair
                                                           Walls Clean/


                                                                          No Evidence
                            Clutter Free




                                                                           of Vermin
                                                                                            Corrective Action
                                                                                                 Taken


Dish Machine
   Room

  Dry Food
 Store Room

   Hallway
   Storage

   Laundry
    Room


   Fireplace


 Floor Drains

NOTE:

				
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Description: RFSC. Monitoring Form