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Largest Permissible Pest (Insect, Mouse,Rat, Raccoon)

Where is opening? (Door, Window,Foundation/Sill, Wall,Roof, Ceiling, Soffit, Drain,Utility, Other)

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Type Cause of Opening(see codes

below or (see codesN/A) below)

Pest Evidence Present? (Y N Describe)

Notes -Describe the issue -Pest conducive conditions -Describe options for exclusion -Indicate the priority level: High, Medium, Low

Exterior Inspection Form Site Name __________________________________________ Inspector __________________________________________

Address ____________________________________________ Site Contact________________________________________ Building Type: Attached Independent

____________________________________________ Date __________________ Building Use ____________________________________

For each openi lete all fields and record the locati ith the corresponding number

Pest Sizes Door Type Utility Type Cause of Opening Pest Evidence Insect: 1/8” (business card) Single (S) Electrical (UE) 1. Material failure/degraded DroppingsMice: 3/8” (dime, 10¢) Double (D) Plumbing (UP) 2. Poor design/construction Fecal spotsRat: ¾” (quarter, 25¢) Roll-up (RU) Gas (UG) 3. No exclusion attempted Chew marksRaccoon: 4”+ (softball) Revolving ® Duct UD) 4. Incorrect material Sebum (rub marks)

Vent (V) ExoskeletonsLive/dead pest

# Largest Permissible Pest (Insect, Mouse, Rat, Raccoon)

Where is opening?(Door, Window, Foundation/Sill, Wall, Roof, Ceiling, Soffit, Drain, Utility, Other)

Type(see codesbelow or N/A)

Cause of Opening(see codesbelow)

Pest Evidence Present? (Y N Describe)

Notes -Describe the issue -Pest conducive conditions -Describe plan for exclusion -Indicate the priority level: High, Medium, Low

Pest Sizes Insect: 1/8” (business card) Mice: 3/8” (dime, 10¢) Rat: ¾” (quarter, 25¢)Raccoon: 4”+ (softball)

Door TypeSingle (S)Double (D)Roll-up (RU)Revolving ®

Utility TypeElectrical (UE)Plumbing (UP)Gas (UG)Duct (UD)

Cause of Opening1. Material failure/degraded2. Poor design/construction3. No exclusion attempted4. Incorrect material

Pest Evidence DroppingsFecal spotsChew marks Sebum (rub marks)

Vent (V) Exoskeletons Live/dead pest