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St L1.1Cie COllnty Inspections'
2300 Virginia A Ven1.1e
Ft,P~erce, FL 34982
(772) 462-2172
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CERTIFICATE OF rfERMITE TREArrMENT\BY:.
CONSTI~UCTION SOIL TREATMENT · 'j /
PERrvnT# O='ic1-,-t!Y;ßL? JOßAD~n.ESS / g~(... ¿¿;' lij hLi/Je (1/-:-~
BUILDER Hdk Æ/ &~6- · ¡ '.
R & F·, Pest COntrol.; Ine . ·
PEST CONTROL CQNTRACTOlt 1856 SW BÇlyshor~ Bl vd
.. Port St Lucie, FL 34984
PEST CONTROL LICENSE it ,t)~d 0 "'.
We, the un{le~1signeò, hereby certify that we have pretreated the above-described construction for
Sllbtcl'l'Allean tertl11ites in accol"da11ce witlI tl1e stulldar<ls of tl1C National Pest C~ntlwol Associatioll.
Square feet of area treated: ~5~ Chen1icnls used:. (ì..~¡:; r'
/ '.
Percentage of solution: ;' .,?.r Total gallons used: ..--p',~~.ç"-"'-
~"/8Jð ;;i Tin1e of Treatnlcnt: 3.~ .:3B
Date of tl·c'1tmcllt:
o Footing
o 1st Treí\tn1ent
o Re.~treat I
o Slab
o 1st Treatment
o Re-treat ~
o Driveway
o 1st Treatl11ðnt
Re-treat
FßCI04.2.6 C6l'tifica/e of ])rofecltve TreatTllellt for prevelJ(i()IJ {}/lerJ1JiJes.
A HJenlJ,er re~~'istaIJt jobsile pO.1'JiJJg boarll sJ)llll be prqv;¡Je¡/ 10 receive
dUjJJicate TreatJJJelJI Cerlificatel {IS eacll reqllirell protl-CIJ'le (real/lle/Jt /j.
cOIJlplel{!(J¡ provj(Jing (J copy for IJ1e persoll TIle ]>erlllills ;SS'I e.(110 (llld
aJ10tlfer copy for tI,e bllildilJg perJIJi¡files. TIle T.reatl1Jenl Certificate sll(ll/
{JrOVlfle tIlt: JJrO(lllct l¡sell, Îf/61Jlity 'oft/,e appl;cator t;,n~ Q/1l/ date of tJ,e
IrealJ1J{!JJt, site locatio/I, area/rea/ell, CIJel1J;cal J' .fe{l~ perCIJI)1 COJ,ce/Jfrt11io/J
(lTlllnilJl1ber of gal/onJ' I¡sell, 10 e-.rlaölisl, a verifiable recortl OfJ)"olecliv~
tr~(JIJ ,,'el}l. ~ lflJ1e soil clte/f,ical barrier 11Je¡J,od for lørnJ;le pre.1/e/Jlioll is ".red,
(illil! exterior Jrofll/1Jent .rll(lJ be COltlpleted prior to fllJul bllilding IJ})pro\lal.
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, oals
o 1st Treatn1ent
ORe-treat
o Oth¢r
,,0 1st Treatment
o Re~tTeat '.
o Perimeter for Final Inspection
St I.llfCic C01Jnty rcq11ires for tile fil101 il1Spcctjol\ for CO') a I~cr.nal'c(\t
Sticl,cr to be placed ()Il tIle electrical panel box cover, listing nil tIle
trcutments auc\ dutcs of UPI»)jèa~jons.
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NOTE:
Th~te lJlItst be a cOl11pleted fOrIn for each required treatJllent or re-treatlllent anti this forTH l111t.ft be Oil
the job site to be picked lip qy the inspector at tÎ1llB of each inspection or the scheduled Ì11J'jJecÜoll will
.fail aud a re-ínspe,ctioll fee charged.