Form M-8 "Pest Inspection/Sanitation Report" - California

What Is Form M-8?

This is a legal form that was released by the California Department of Pesticide Regulation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the California Department of Pesticide Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form M-8 by clicking the link below or browse more documents and templates provided by the California Department of Pesticide Regulation.

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Download Form M-8 "Pest Inspection/Sanitation Report" - California

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Pest Inspection/Sanitation Report
Date ________________________________Time In _______________Out ______________
Building#/Location ____________________________________________________________
Inspector ____________________________________________________________________
Inspection Type ❒ Initial ❒ Quality Control ❒ Routine
Evidence of Infestation(s)
Pest
Location(s)
Pest
Location(s)
Ants
Fleas
Cockroaches
Stored Prod. Pests
Mice
Pigeons
Rats
Other
Sanitation Survey
F
ood Preparation
Yes No
Receiving
Yes No
Equipment clean
Floors clean
Appliance drip pans clean
Clutter
Floors clean
Empty boxes stored in cold storage
Floor drains clean
Empty boxes stored away from kitchen
Sink drains clean
Student and Staff Areas
Counters/Tables clean
Restrooms clean
Food stored in pest-proof containers
Plumbing leaks
Perishables stored in refrigerator
Locker room clean
Garbage removed daily before closing
Food stored in locker room
Spillage cleaned regularly
Teacher’s lounge clean
Standing water
Food stored properly in lounge
Plumbing leaks
Food stored in student, staff, or teacher desks
Windows/Door screened
Trash removed daily before closing
Gaps around/under doors or windows
Janitorial closet clean
Pest proofing needed
Pest Proofing needed
Storage Areas
Exterior
Floors clean
Dumpster/garbage cans cleaned weekly
Floor drains clean
Dumpster/garbage cans have lids
Food stored in pest-proof containers
Lids closed on dumpster/garbage cans
Recyclables cleaned before storing
Garbage area downwind from kitchen
Spillage cleaned regularly
Dumpster/Garbage area clean
Items stored 6” to 8” off floor
Garbage removed at least weekly
Items stored 12” to 18” away from wall
Pet waste removed daily
Stock rotated
Loading dock clean
Clutter
Gaps under/around doors
Pest proofing needed
Area is trash- and weed-free
Other
Standing water
Pest proofing needed
Outside eating area cleaned daily
Other
Comments/Recommendations ___________________________________________________________________
___________________________________________________________________________________________
M-8
Pest Inspection/Sanitation Report
Date ________________________________Time In _______________Out ______________
Building#/Location ____________________________________________________________
Inspector ____________________________________________________________________
Inspection Type ❒ Initial ❒ Quality Control ❒ Routine
Evidence of Infestation(s)
Pest
Location(s)
Pest
Location(s)
Ants
Fleas
Cockroaches
Stored Prod. Pests
Mice
Pigeons
Rats
Other
Sanitation Survey
F
ood Preparation
Yes No
Receiving
Yes No
Equipment clean
Floors clean
Appliance drip pans clean
Clutter
Floors clean
Empty boxes stored in cold storage
Floor drains clean
Empty boxes stored away from kitchen
Sink drains clean
Student and Staff Areas
Counters/Tables clean
Restrooms clean
Food stored in pest-proof containers
Plumbing leaks
Perishables stored in refrigerator
Locker room clean
Garbage removed daily before closing
Food stored in locker room
Spillage cleaned regularly
Teacher’s lounge clean
Standing water
Food stored properly in lounge
Plumbing leaks
Food stored in student, staff, or teacher desks
Windows/Door screened
Trash removed daily before closing
Gaps around/under doors or windows
Janitorial closet clean
Pest proofing needed
Pest Proofing needed
Storage Areas
Exterior
Floors clean
Dumpster/garbage cans cleaned weekly
Floor drains clean
Dumpster/garbage cans have lids
Food stored in pest-proof containers
Lids closed on dumpster/garbage cans
Recyclables cleaned before storing
Garbage area downwind from kitchen
Spillage cleaned regularly
Dumpster/Garbage area clean
Items stored 6” to 8” off floor
Garbage removed at least weekly
Items stored 12” to 18” away from wall
Pet waste removed daily
Stock rotated
Loading dock clean
Clutter
Gaps under/around doors
Pest proofing needed
Area is trash- and weed-free
Other
Standing water
Pest proofing needed
Outside eating area cleaned daily
Other
Comments/Recommendations ___________________________________________________________________
___________________________________________________________________________________________
M-8