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22B-035 EXTERMINATION CERTIFICATE DocuSign Envelope ID:70E50627-0688-4DC8-B9DF-B8DAB3806078 °at`ANIN CITY of'NORTHAMPTON PUBLIC HEALTH DEPARTMENT s' "Fr E Public Health Director—Merridith O'Leary,RS Municipal Building—212 Main Street—Northampton,MA 01060 Phone(413)587-1214--Fax(413)587-1221 http://www.northamptonma.gov/245/Health Public Health Prevent. Promote.Protect. WITNESS OF EXTERMINATION 2/27/2023 �s Date l inn Nu-way Homes, Inc. Property Owner: Property Address: 18 Corticelli St.Northampton, MA 01062 Exterminator: David Kelley Company: Tactical Pest Solutions LLC Company Address: 39 Fullerton St.Springfield, MA 011151 Rodenticide/Chemicals Applied Contrac Blox Bromadiolone .005% Reason for Extermination: Pre-Demo Extermination - Comments: 5 D H y i61 © k 2.�7 7 3 0 ytmd 3J3)23 derio I hereby certify, under the pains and penalties of perjury,that I to the best of my knowledge and belief,have applied the above noted pesticide in accordance with M.G.L. Chapter 132B and any other applicable law or regulation. ❑ City Water ❑ Well ❑ Septic System If applicable ❑Yes LINO DocuSigneddbyl:I//, L 44, y Board ��ealth Representative gnatureeC Jl nature of Exterminator *Demolition best practices relating to fugitive dust and debris must be adhered to in accordance with MGL Chapter 111, Section 122. DocuSign Envelope ID:70E50627-0688-4DC8-B9DF-B8DAB3806078 RULES AND REGULATIONS FOR EXTERMINATION FOR RODENTS IN BUILDINGS TO BE DEMOLISHED The Board of Health has adopted the following Rules and Regulations to be conducted before demolition of property: 1. A licensed and professional exterminator active in the business must be hired to perform the extermination of the building(s)to be demolished. 2. The Board of Health must be notified of the date and time of the extermination so that a Sanitarian can be present for inspecting and witnessing. 3. A fast acting rodent poison must first be used in sufficient quantity and bait stations to be adequately accessible to therodents. 48 hours after this baiting, an anti-coagulating type or other effective rodenticide must be used and allowed to be present for 72 hours before demolition can begin. This is a total five (5) day treatment. The poison should be checked by the exterminator at sufficient intervals in order to replace bait stations which are consumed. Sufficient data must be supplied to the department on the rodenticide used to satisfy the Board of Health of its effectiveness.