Header
The building, the field office and the date.
GSA3638
Pest Control Work and Inspection Report
GSA Form 3638, Pest Control Work and Inspection Report, is listed on GSA's forms page as form number GSA3638 with a current revision date of 08/1992. The PDF itself prints no form number, edition or issuing office, and GSA hosts it in its forms library.
The one-page report has a header for the building, field office and date, then a table in three sections: Section A for the type of pest, its location and who reported it, Section B for whether infestation is active or none and whether service was satisfactory or unsatisfactory, and Section C for pesticides, traps and other material used. It ends with remarks and signature blocks for the pest controller and the GSA inspector. It prints no OMB number and no privacy statement.
You can fill it out free in your browser on this page and download the result without an account.

The building, the field office and the date.

Type of pest and location, with the person who reported it and their telephone number.
Infestation marked active or none, and service marked satisfactory or unsatisfactory.
Pesticides, traps and other material used.
Free space below the table for remarks.
The pest controller's signature with time in, time out and date, and the GSA inspector's signature with time inspection completed and date.
Enter the building, the field office and the date.
In Section A, enter the type of pest, the location, and the person and telephone number it was reported by, one row each.
In Section B, the GSA Inspector marks infestation active or none and service satisfactory or unsatisfactory.
In Section C, the Contractor lists the pesticides, traps and other material used.
Use the remarks area for anything the table does not cover.
The pest controller signs with time in, time out and date; the GSA inspector signs with time inspection completed and date.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
Section A: Field Office, GSA Inspector and Contractor. Section B: GSA Inspector. Section C: Contractor.
The pest controller and the GSA inspector each sign and record times and dates.
No routing address, form number, edition date, OMB number or privacy statement. GSA's forms page lists a current revision date of 08/1992 and no authority or regulation.
The form says the Field Office, GSA Inspector and Contractor should use Section A for reporting type of pest and location.
The form says the GSA Inspector should use Section B for reporting presence or absence of pests and adequacy of service. The inspector signs and enters the time inspection completed and the date.
The form says the Contractor should use Section C for reporting material used for treatment.
The pest controller's signature block records time in, time out and the date.
The instructions on the form split the sections among these roles.
The agency’s own page for Form GSA3638.
The official blank form, to print or fill by hand.
No tool matches that search.
The form says the GSA Inspector should use Section B for reporting presence or absence of pests and adequacy of service.
The form says the Contractor should use Section C for reporting material used for treatment. The column is headed Pesticides, Traps, and Other Material Used.
The pest controller, with time in, time out and date, and the GSA inspector, with time inspection completed and date.
No. It has a field office box in the header but prints no routing address.
The PDF prints no edition date. GSA's forms page lists a current revision date of 08/1992.