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HomeMy WebLinkAbout06120255 -::if 0 6 )~ G2S-~ (f ~ . . HULETT .-'rir--_ vatal ........111:'".... Pre-Construction Termite Treatment 1-800-285-7378 ~, Pr~'perty Information . /~- -f/-/ll //:. Treatment Date (,~, '-_# "Time '/ ;' to'....} Builder/Contractor Lot Block Name of Builder Sub_division Name / -' ! {~/:~/'\-. (~~... ~'--..,. ..- ".-- Street Address (If~own) Shell Contractor ,~..... - Construction Type tity .' {\., · /« r:--;) I (-- State Monolithic - Floating/Stemwall ~ Zip Patio - Entry _ Driveway_ Owner Name (If known) ProductlTreatment Information Treatment Type: Underslab ~// Patio/Driveway _ Final - Other - Wood Treatment - Product: Disodium Octaborate (Boracare ) Probuild TC Cypermethrin ~" /Il'ro*" ~~....., Other Concentration Mixed Product Applied ..........""". ~...c ; Square Feet Treated (.. ~..." (~ _.~__ Linear Feet Treated o If this box is checked, then Final Perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: This building has received a complete treatment for the prevention of subterrranean termites. This treatment is in accordance with the rules. and laws established by the Florida D~partment of Agri~ulture and Consumer Services. Applicator's Name (please print) ~ Applicator's Signature HES-TE019 Rev 05/06 ©Hulett Environmental Services '" -......-. --.----~- ~'..~~-Ä--- ',_., ~ ..;..~ - -~ -."".--'';'" _..:~_.~.;._......;.. __..Lo..... .._~..:.:......:----~._.......::-~_. ~-~"-------~~~i..h