VS 7-12 Rodent Control Logbook

Trichinae Certification Program

vs7-12 9-25-08

Trichinae Certification Program - Private Sector

OMB: 0579-0323

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0519-012 3

UNITED STATES DEPAR TME N T OF AG RICULTU RE
ANI MAl AND PLANT HEAl TH IN SPEC TlON SERVICE
VETERI NARY SERVICES

RODENT CONTROL LOGBOOK
(a ) Ind~," II numbel" IInswef Is nlled• .
Wh en filling In caught or killed Inde• • lndic.lllll m lc. (m) Of

O~.
,",d~

In il lals

IX) T 'II~ S111
(If nlled.)

rat!;

ClOUght or
killed Inde.

,.)

(rl.
Num bel" 0 1
rats sighted
monlhly(.)

PII"c . (a)
n il '" slatlons

Reftnh ba il
in ( alslahonli

e.and name
01 ba ll

Aclive
ingredienlof
bail

Lbs.ofball
used 1.1

DOC UME N T BEL OW THE DISPOSAl M ETHOD FOR AL L UNU SED BAI T THAT IS REPlAC ED.
NOTE : AI",a.,." In cl u d e a roden t co n lrol d lag , am wl lh yo u r logboo k fo' l hlllac li ll y and li llll. This diag ram shou ld ln dl clll e th ll loclll ion 01 all bail li l lll ionii and
rodent tr a ps for Ihe site . Th e lo gbook and diag ra m li h ou id be updal ed m on lh ly III a m in im u m .

YS fOR M 1-12
JAN 2001


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