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Housing For All Corporation
AZ, P,L01 82 School Street,Hyannis,MA 02601
Therapeutic Environment
508-771-08851 paul@champhouse.org
Healthful uvng www.champhouse.org
Education for Work
To; Mr. Timothy O'Connell October 4, 2013
Heath Inspector
Town of Barnstable
200 Main St.
Hyannis, Ma. 02601
From; Mark Adams
Facilities Director
Housing for All Corporation
Champ Homes
82 School St.
Hyannis, Ma. 02601
Dear Mr. O'Connell;
Please find attached to this letter the up dated work order and list of tasks that
Fowler and Sons pest control and I have completed to date. This paper work is a
follow up to the second round of paper work you received from me on September
11, 2013.
As you may recall we had an out break of bed bugs at"834 School St in
Hyannis, this location is known as the Ready House. The attached work order,
you will draw your attention to the summery report at the bottom of the page.
There is also a list of tasks that are required by Fowler and sons; these have all
been completed before October 4, 2013, before the treatment.
I thank you for your great work in helping us in this troubling ordeal. This will be
my final package of paper work sent to your office to finalize the treatment of this
incident.
Sincerely;
Mark Adams
Facilities Director
Champ Homes
508-3-771-0885
Champ House
Work Order Request Form
Please Use this form to report any repairs or tasks to the maintenance de artment.
Date; Time; Building Name: t
u
Please list any Repairs needed in as much detail as possible,
p p ble•
Please list any tasks in as much detail as possible
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Person completing this form; / ez*—I< 146
Please return this form to the Maintenance dept.clip board.
Maintenance Department review "
Maintenance Dept. review date; O /94 /13
Completion date;/12/,V//=3
Summery Report;
Summery completed by: /�A �
filer & '�'o Service Report I
�0
(508) 771- BUGS (2847)
FAX (508) 778-6322
Termi d est Co trol
Email: Bugs@FowlerandSonslnc.com
358 West Main Street• Hyannis,MA 02601 www.FowlerandSonslnc.com
NAME: `i�1'�n` } DATE: fr Lea
ADDRESS: ;
CITY: 4 � AMOUNT DUE:
r Areas Ser�riced!
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❑ House ❑Garage 6ther
�'i�4itriyt f£J�P•r.�, a. +;,i,t:p ,'.:
,a•':?���^ ur` 5r; aC�`,. t .,�
r TarQet Pests t
�`2 �� ;t .`+. .,..tre',rza,>,,r. �..r�:"1r's>.at..,r
❑Ants ❑ Earwigs ❑Powder Post Beetles ❑ Wasps
❑Carpet Beetles ❑ Fleas ❑Rats ❑ Wood Roaches
❑Clothes Moths ❑ Hornets ❑Silverfish ❑ Yellow Jackets-,
❑Cockroaches ❑ Mice ❑Spiders Otherf3t-. ) .1'tb'�
❑Crickets ❑ Pantry Pests ❑Termites []'Other
l,a`r.F 4t nr � 'A, x `z,;t
Product mar. Rate ' Amount }hx +r ¢:
t f Methods/AreastOTreated
' ?E e,S`- ez, *k rl h.J.'k`kyft.,�4.' ^t„w-:Su,4. a
Advion Ant Bait EPA 352-746
Advion Roach Bait EPA 352-652 C
Demand CS EPA 100-1066 _
Drione Dust EPA432-992
Exciter EPA655-798 70
Final Blox EPA 12455-89 r
Flusher EPA 1021-1761-72113
Gentrol IGR EPA2724-351
Gentrol PS EPA 2724-469 '
Talstar P EPA279-3206
Talstar PL EPA279-3168
r
Tempo Dust EPA 432-1373 r , '
Termidor EPA 7969-210
Terro Ant Bait EPA 149-8-64405
Ultracide EPA499-404
Comments: ' r i
Applicators No. T hnician Signature Customer Signature
"W'e Never Rest When a Pest is Your Guest"
.:
' •Fowler & Sons. Inc.
■� Termite, Pest Control, and Turf Management
358 West Main Street DATE INVOICE N0.
Hyannis, MA 02601 09%09/2013 467756
508-771'-BUGS (2847) 508-778-TURF
Service Date, 09/06/2013
BILL TO Address Serviced
CHAMP HOUSE CHAMP HOUSE .
82 SCHOOL STREET 83 A SCHOOL STREET
HYANNIS, MA 02601 HYANNIS, MA 02601
DESCRIPTION TERMS: Net 30 Days
AMOUNT
Initial - Bed Bugs' $450.00
Visa/MC/Disc -XXXX1949 ($450.00)
TOTAL . $0..00
.................................................... ........................................
................................_................................................................................................Please Return This Portion With Your Payment
From: CHAMP HOUSE.' Invoice Number: 467756
82 SCHOOL STREET
HYANNIS, MA 02601 Customer ID: 132638
Prior Balance: $0.00
Invoice Total: $0.00
To: Fowler& Sons, Inc. Amount Due: $0.00
358 West Main Street
Hyannis, MA 02601 Payment Amount:
Check Number:
`Please include the Invoice Number with your payment.
DIRECIto, o
CNon�0
Housing For All Corporation
PI LOt 82 School Street,Hyannis,MA 02601
Therapeutic Environment 508-771-08851 paul@champhouse.org
Healthful Living www.champhouse.org
Education for Work
To; Mr. Timothy O'Connell September 11, 2013
Heath Inspector
Town of Barnstable
200 Main St.
Hyannis, Ma. 02601
From; Mark Adams
Facilities Director
Housing for All Corporation
Champ Homes
82 School St.
Hyannis, Ma. 02601
Dear Mr. O'Connell;
Please find attached to this letter the up dated work order and list of tasks that
Fowler and Sons pest control and I have completed to date. This paper work is a
follow up to the original paper work you received from me on September 06,
2013.
As you may recall we had an out break of bed bugs at 83A School St. in
Hyannis, this location is known as the Ready House. The attached work order,
you will draw your attention to the summery report at the bottom of the page.
There is also a list of tasks that are required by Fowler and sons; these have all
been completed before September 6, 2013, before the treatment.
I thank you for your great work in helping us in this troubling ordeal. You will be
receiving my final package of paper work to finalize this problem on or around
October 4, 2013.
Sincerely;
o C>
Mark Adams
Facilities Director ' C
Champ HomesW=
508-3-771-0885
Champ House
Work Order Request Form
Please Use this form to report any repairs or tasks to the maintenance department
Date; �/ 3 / E 3 Time; T PAfBuilding Name: _ r41%
Please list any Repairs needed in as much detail as-possible; rr
{
Please list anv tasks in as much detail as possible;
Qoj
Person completing this form; IYArK 1 c,-JC PVI,
Please return this form to the Maintenance dept.clip board.
Maintenance Department review
Maintenance Dept. review date; 011,3113
Completion date; / / 4
Summery Report; CI
Ip
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Summery^completed by:
Preparation is the most important step in helping to control your infestation. Bedbugs are
one of hardest insects to control and your help is a must in this process. Bedbugs will live
almost anywhere that they can get a blood fest, but.are mostly found living around
bedding materials, dresser drawers, night stands,aheadboards and cracks and crevices
along carpet edging.
1) Vacuum thoroughly along baseboards paying special attention to,edging of carpet,floors,
inside closets, dresser drawers and night stands. Empty the vacuum immediately into a
sealed bag and discard.
2) Remove all items from dressers and nightstands wash hot dry hot and place in plastic bags.
3) Remove all linens from beds and wash hot dry hot. Do not replace the bed lines until
four hours after the treatment
4) Pick up all items from floors.
5) Move dressers, television stands etc. away from walls at least 18"
6) Depending on the severity of your infestation, the inspector may require you to dispose of
your mattress and boxspring. If you keep the mattress and boxspring these MUST be
placed inside a special budbug proof zippered mattress cover after the treatment.
7) Be prepared to be away from your property at least 4 hours.
8) If you have fish tanks, shut of air pump and cover with a towel or plastic sheet.
9) Empty contents of the closets and put in plastic bags.
Upon your return, you should ventilate the inside of your home by creating a cross breeze
throughout for a few minutes. In most instances, we require a second application to be made in
approximately 4 weeks. It is necessary to do the preparation again. Although this is a lot of
work, it's necessary to get.control of the infestation. Keep in mind that the better the
preparation, the better the results.
If you have any questions that you need answered prior to your treatment, please feel free to call
us so that we may help you.
Mark Adarris `;
Facilities Director
C = M Construction Supervisor .
i 0ME 9 ` . Safety Officer
Housing For All )U
Corporation
Phone(508)771-0885 82 School Street,-,, �4
Fax 508-778-6425 Hyannis,MA 02601
E-mail':madams.hfac@gmail.com -- y
httij://www.chimphouse.orl! r
=4
Champ House
Work Order Request Form
Please Use this form to report any rep or tasks to the maintenance department
Date; / / 3 Time; APABuilding Name: E4 p q
Please list any Repairs needed in as much detail as possiblee"i
Please list any tasks in as much detail as possible-,
7J CD 00 G-7 -6-A-T/Y1��.)T-,° I A) S P
--env")CA !�t� � ( h ���-���.� ,� L,
Person completing this form; _ A rK R-C":�C,c t m .
Please return this form to the Maintenance dept.clip board.
Maintenance Department review:
Maintenance Dept. review date; '1 /3 /1 3
Completion date;
Summery Report;
Summery completed by:
------------
w
I '
CHAMP HOMES
"Places of Hope, Built on Faith"
Serving Adolescents & Adults
82 School Street,Hyannis, MA 02601
508-771-0885
Incident Report Form e
Date 13 Time
Home: H00SG G/Wf2o550 14005c.
INCIDENT:.
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Reported by &�4-ZK '11 0ftn's
Date q/ !Z 113
Time
Review Committee Recommendation/Action Plan:
1c= 4-5 C)e p 5c-k u /6-
C airperson Date
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a
1
Alice O'Neil Champ Home, est. 1991 Jamie Ready Youth Home Lyndon P. Lorusso Champ Home
--HAi%;P House is a multi-generational group home program of the Housing For All Coporation(HFAC),a charitable 501 (C)(3)tax-deductible organization registered with
he M,-ssachusetts Arornev General's Office(Account#23602).Please call to learn more about us and to discuss how you can remember the Housing For All Corporation
n your-,;:]I and the tax saving benefits of Charitable Remainder Trusts and Annuities.
wler & so
VA
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Term di es ontrol
358 West Main Street • Hyannis,-MA 02601 • 508-771-BUGS (2847)
Home Owner Pest Control Agreement
SERVICE ADDRESS: BILLING ADDRESS:
Name:_-�- AA" f�t0 Name:
— A�r�9L J � Address:�
Address: �
City:_ ki N t City:
Phone:_ Phone:
ONE TIME SERVICE TREATMENT OFFERED TAKENVAL-
TX—l/3 _ �:ooaK lz�
Fowler and Sons will provide pest control service by application of proper control measures for the
following named pests:
The treatment will be performed on the premises as f-ollowss`': 6
Customer agrees to pay $ .go payable when the service is rendered.
If additional service is neccessary for the control of the above mentioned pests within days from the date of
the initial service, such service shall be performed at no additional cost.
PEST CONTROL SERVICE PLAN �yOFFERED TAKEN �❑ - � �-
Should you choose to take a Pest Control Contract on the property within the guarantee period, the cost of that service is
offered at:$ per
R� A
Buildings or places to service: l �-
This service would provide pest control for the following pests:
We will service all of the areas listed below when accessible,or,one of the three:
(1)Inside'the building (2)Underneath the building (3)Around the outside of the building.
FOWLER AND SONS will service the premises at least four times per year,and more often if needed,at no extra charge.
NOTE: A 12 month contract will continue in force after the expiration date, unless the customer notifies Fowler and Sons in writing.
NOT INCLUDED would be Wood-Boring Insects,such as Termites, Powder Post Beetles,Gnats, Mosquitoes or other free flying insects(unless
offered and accepted), because their inclusion would not allow this job to be so reasonable in cost. However,we will inspect for evidence of
Termite attack. (Early detection can save you costly repairs,should Termite infestation go unnoticed.)
This agreement does not guarantee against present or future pest damage to building or contents or provide repairs or
compensation therefor.
COMMENTSh/ % f
A1A
OM S
EE h
Sales Representative L0 1 I_J Date N
Customer Signature Date
Signature indicates receipt of Consumer Information Bulletin on Pest Control
"YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF THE THIRD DAY AFTER DATE OF THIS TRANSACTION:"
White-Office Copy(to be signed by owner and returned) Yellow-Owner's Copy Pink-Office Copy
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