Gypsy Moth - Self Inspection Checklist

Important: Make sure this check list goes with your household goods when you move!

Checklist and Record of Your Self-Inspection

Customer Name:         Job #:  
Date:    
 
Recreational or Camping Items
 
Other:
 
Household Items
Other:  
 
Building Materials
Other: 
 
Yard and Garden Items
Other:  
 
Children's Playthings
Other:
 
Other Items
Other:   

Please inspect anything that was stored outside!

Signature:

(If the inspection was done by a commercial inspection company, provide the name of the firm and its phone number.)

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Gypsy Moth Check List
lock iconUnique Document ID: ae6b5537eb5c4c102b54bf81e8f8f5f5f083d9ca
Timestamp Audit
June 29, 2022 9:30 pm PDTGypsy Moth Check List Uploaded by Shleppers Moving & Storage - info@shleppers-ca.com IP 98.149.176.34
July 3, 2022 1:03 pm PDTJob Documents - docs@shleppers-ca.com added by Shleppers Moving & Storage - info@shleppers-ca.com as a CC'd Recipient Ip: 198.72.180.97
July 3, 2022 1:06 pm PDTJob Documents - docs@shleppers-ca.com added by Shleppers Moving & Storage - info@shleppers-ca.com as a CC'd Recipient Ip: 198.72.180.97
August 25, 2022 2:21 pm PDTJob Documents - docs@shleppers-ca.com added by Shleppers Moving & Storage - info@shleppers-ca.com as a CC'd Recipient Ip: 198.72.180.97
September 21, 2022 9:18 am PDTJob Documents - docs@shleppers-ca.com added by Shleppers Moving & Storage - info@shleppers-ca.com as a CC'd Recipient Ip: 98.149.176.34