P a g e | 1 of 5

DATE : _________________________
PEST CONTROL CHECKLIST
NAME / SIGNATURE OF SPHMC
CLINIC REMARK REPRESENTATIVE
1 President Office
2 Administrator Office
3 Medical Director Office
4 Room 1
5 Room 3
6 Room5
7 Room 6
8 Room 7
9 Room 8
10 Room 10
11 Room 11
12 Room 12
13 Room 14
14 Room15
15 Room 16
16 Dr. Marcial
17 Dr. Villena
18 Dr. De Guia
Dr. Geron / Dr. Fatal / Dr. Platon /
19 Dr. Constantino
20 Dr. Reyes
21 Dr. Escobar
22 Dr. Abarintos
23 Dr. Abjelina
24 Dr. Palines
Dr. M.F.M. Perez / Dr. J. Perez
25 (ground floor or 1st floor)
26 Room 226 (Atty. J. Perez)
27
28
29
30
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DATE : _________________________
PEST CONTROL CHECKLIST
NAME / SIGNATURE OF SPHMC
LOCATION REMARK
REPRESENTATIVE
1 2D Echo / Stress Lab.
2 2nd annex station
3 2nd main station
4 3rd main station
5 4th annex station
6 4th main Station
7 5th floor Annex Blood Bank
8 5th floor Annex Conference
9 5th floor Annex Dietary
10 5th floor Annex Drugtest
11 5th floor Annex Laboratory
12 5th floor Annex Nuclear Med
13 5th floor Annex Urology
14 Accounting
15 Admitting
16 Billing / Cashier
17 CT-scan
18 Dialysis
19 Dietary ( For 8:00 PM treatment)
20 E.R.
21 EEG / Sleep Center
22 Engineering Office
23 Engineering Workshop
24 Housekeeping Room
25 HRD
26 Hyperbaric
27 ICU / NICU
28 IMCU
29 Information Technology (IT)
30 Linen
31 Lobby 1st floor (Annex Building)
32 Lobby 1st floor (main Building)
33 Lobby 1st floor (main Building)
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DATE : _________________________
PEST CONTROL CHECKLIST
NAME / SIGNATURE OF SPHMC
LOCATION REMARK
REPRESENTATIVE
34 Lobby 2nd floor (Annex Building)
35 Lobby 2nd floor (main Building)
36 Lobby 3rd floor (Annex Building)
37 Lobby 3rd floor (main Building)
38 Lobby 4th floor (Annex Building)
39 Lobby 4th floor (main Building)
40 Lobby 5th floor (Annex Building)
41 Lobby basement (Annex Building)
42 Lobby basement (main Building)
43 Old Rehab.
44 OPD Clinic
45 OR / CSR
46 Perimeter of Main (outside)
47 Perimeter of Annex (outside)
48 Prayer Room
49 Stress Test Room
50
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DATE : _________________________
PEST CONTROL CHECKLIST
NAME / SIGNATURE OF SPHMC
PATIENT ROOMS REMARK
REPRESENTATIVE
1 RM. 201
2 RM. 202
3 RM. 203
4 RM. 204
5 RM. 205
6 RM. 208
7 RM. 209
8 RM. 210
9 RM. 211
10 RM. 212
11 RM. 214
12 RM. 215
13 RM. 216
14 RM. 217
15 RM. 218
16 RM. 219
17 RM. 220
18 RM. 221
19 RM. 223
20 RM. 303
21 RM. 304
22 RM. 305
23 RM. 306
24 RM. 307
25 RM. 308
26 RM. 309
27 RM. 310
28 RM. 311
29 RM. 312
30 RM. 313
31 RM. 314
32 RM. 401
33 RM. 402
34 RM. 403
35 RM. 404
 P a g e | 5 of 5

DATE : _________________________
PEST CONTROL CHECKLIST
NAME / SIGNATURE OF SPHMC
PATIENT ROOMS REMARK
REPRESENTATIVE
36 RM. 405
37 RM. 406
38 RM. 407
39 RM. 408
40 RM. 409
41 RM. 412
42 RM. 414
43 RM. 415
44 RM. 416
45 RM. 417
46 RM. 418
47 RM. 419
48 RM. 420
49 RM. 421
50 RM. 422
51 RM. 423
52 RM. 424
53 RM. 425
54 RM. 427
55 RM. 428
56 RM. 429
57 RM. 430
58 RM. 431
59 RM. 432
60 RM. 433
61 RM. 434
62 RM. 435
63 RM. 436
64 RM. 437
65 RM. 438
66 RM. 439
67 RM. 440
68 RM. 441
69 RM. 442
70 RM. 444
71 RM. 445