Service ID: PDM/2026/12220
Service Report
Pest Control Service Report (Termite Control)
Customer Information:
- Name: Basic Nurjahan
- Address: P# 2763, Road# 20, Block# M, Bashundhara R/A, Dhaka
- Contact Number: +880 1796552125
- Email: N/A
Service Details:
- Date of Service: 2026-02-22
- Supervised By: Abdul Matin
- Service Type: Termite Control
- Treatment Area: Pre-construction termite control in ground floor 1355 Sq.f
Technician Attendance Checklist:
| Technician Name |
ID |
Present |
| Jihad Hasan |
CIPC/10032 |
[ ] |
| Rifat Hossain |
CIPC/10032 |
[ ] |
| Nayem Hasan |
CIPC/10036 |
[ ] |
Treatment Details:
Chemicals/Methods Used:
| Brand Name |
Generic Name |
Company |
Imported From |
Application Rate |
Apply |
| Impel |
Imidacloprid |
Squire Pharmaceuticals Ltd |
Singapore |
5 ml per liter |
[ ] |
| Filbert |
Fipronil |
Squire Pharmaceuticals Ltd |
Malaysia |
5 ml per liter |
[ ] |
| Gola (Only for Outside) |
Chlorpyrifos 48% |
ACI Formulations Ltd |
India |
10 ml per liter |
[ ] |
| Fighter(Only for Outside) |
Lambda-cyhalothrin 2.5 EC |
ACI Formulations Ltd |
India |
10 ml per liter |
[ ] |
Findings:
Termites infestation is found in this area.
Service Details
Service Details:
Write down below details of service.
Technician's Notes:
Recommendations:
A follow-up inspection is recommended in _______ weeks to check effectiveness
Signatures
|
Customer Signature: (Basic Nurjahan)
Date: 2026-02-22
|
Technician Signature:
Date: 2026-02-22
|
Safety Instructions
Safety Instructions You must have to follow
- Re-entry Time: Please do not enter the room before 10.00 AM of 23 February, 2026.
- Ventilation Instructions: Keep windows and doors open in treated areas to ensure proper ventilation.
- Precautions:
- Ensure pets and children stay away from treated areas.
- Where spraying work is undergoing eating, drinking, smoking is not allowed.
- Spraying may not be done in house with infants, pregnant or sick person.
- Pets such as dog, cat, bird etc. should be removed to a safe location before starting the spraying.
- Removal of all eatable and edible food materials from the kitchen, or “Target Areas”.
- Shutting down of air conditioning system where the operation will be conducted.
Post-Treatment Safety Instructions:
- Re-entry Time: Please do not enter the treated areas for at least 24 hours after the service is completed.
- Ventilation: Keep windows and doors open in treated areas to ensure proper ventilation.
- Pets and Children: Ensure pets and children stay away from treated areas until it is safe to enter.
- Cleaning: Avoid washing the treated surfaces for [01] one day to allow the treatment to work effectively. Then, Clean the places and things you use well.
In Case of Exposure:
- Skin Contact: Wash the area with soap and water immediately.
- Inhalation: Move to fresh air and seek medical attention if you experience any adverse effects.
- Ingestion: Do not induce vomiting and contact a poison control center or doctor immediately.
For further information or in case of any concerns, please contact us at 01707 238 723 or info.pestdm@gmail.com.
Pesticide Application Consent Form
Potential Risks:
- Exposure Risks: There may be a slight risk of irritation or allergic reaction in sensitive individuals. Please follow all safety instructions provided by our technician.
- Environmental Impact: The pesticide is applied in accordance with local regulations to minimize environmental impact.
Warranty Terms:
- Coverage Duration: 15 Year from the date of service 2026-02-22.
- Coverage: This warranty covers the retreatment of the treated areas in the event of a re-infestation of termites.
Customer Consent:
I, on behalf of Basic Nurjahan , hereby gave my consent for City International Pest Control to apply the specified pesticide at my property located at P# 2763, Road# 20, Block# M, Bashundhara R/A, Dhaka . I understand the purpose of the treatment, the areas where the pesticide will be applied, and the safety measures I must follow. I have been informed of any potential risks associated with the pesticide application and agree to comply with the post-application safety instructions provided by City International Pest Control. I acknowledge that I have read and understood the information above and agree to proceed with the service.
Signatures
|
Customer Signature: (Basic Nurjahan)
Date: 2026-02-22
|
Supervisor Signature:
Date: 2026-02-22
|
Company Contact Information:
- Phone: 01707238723, 01718039823
- Email: info.pestdm@gmail.com
- Website: www.pestbd.com