Vs 7-12 Rodent Control Logbook

According to the Paperwork Reduction Act of 1985, no persons are required to respond to a collection of information unless it displays a valid OMB
OMB NUMBER
number. The valid OMB control number for this information collection is 0579-xxx. The time to complete this collection of information is estimated to
0579-XXXX
average .0160 hours per response, including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the form.

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

RODENT CONTROL LOGBOOK

(x) indicates a number answer is needed.
When filling in caught or killed index indicated mice (m) or rats (r).

Date
m/d/y

Initials

(X) Traps set
(if needed)

Caught or
killed index
(x)

Number of
rats sighted
monthly (x)

Placed (x)
new stations

Refresh bait
in (x) stations

Brand name
of bait

Active
ingredient of
bait

Lbs. of bait
used (x)

DOCUMENT BELOW THE DISPOSAL METHOD FOR ALL UNUSED BAIT THAT IS REPLACED.
NOTE: Always include a rodent control diagram with your logbook for the facility and site. This diagram should indicate the location of all bait stations and
rodent traps for the site. The logbook and diagram should be updated monthly at a minimum.

VS FORM 7-12
JAN 2007