HomeMy WebLinkAboutSurveyirre-Construction
Termite Treatment
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7670 Okeechobee Blvd., West Palm Beach, Fl. 33411
Phone: 1-800-285-7378 Fax: 561-684-0122
Property Information
Builder/Contractor
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Treatment Date � 12 tff 26 q:
Time 20
Lot Block
Name of Builder
Subdivision Name
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Shell Contractor
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Construction Type
®Monolithic OFloating/Ste
wall OPa-
City State Zip
-:71-3 i�/rs r4A �r y
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_Owner's Name (If known)
Product/Treatment Information
Treatment Type: Uhderslab ❑ Patio/Driveway/Entry ❑
Final
❑ Wood Treatment ❑ Bait System
Other
Product: ❑ Disodium Octaborate ❑ Cypermethrm
❑ Imidacloprid ❑ Bifenthrin
❑Permethrin Other: lel
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Concentration F(P Mixed Product Applied d
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Square Feet Treated flit) Linear Feet Treated
❑ If this box is checked, then Final Perimeter treatrrient has
been completed and the following statement is applicable:
Certificate of Compliance: This building has received a complete treatment f the prevention of
subterranean termites. This treatment is in accordance with the laws and m s established by the
Florida Department of Agriculture and Consumer Services.
Applicator's Namt� (please print) Vjp or's signature
HES-TE019 07119 Hulett Enmr n ectal Servic sUC 2019