HomeMy WebLinkAboutTermite cert Nev. 0619
#�4 Pre-Construction
Termite Treatment
Services
7670 Okeechobee Blvd., West Palm Beach, Ff. 33411
Phone: 1- 0 -2 5-737 Fax: 561-684-0122
Property Information Builder/Contractor
Treatment Date Time 2��n o L,f A,i jk G ?ey 2-
Lot Block Name of Builder
Subdivision Name
Shell Contractor
S v 07 &I eke?Z 0gk.0eZve_
_Street Address(If known)
Construction'Type
City State zip MMonolithic ®Floating/Stemwall ®Pa-
t 014 41 , tlo
_Owner's Name (if known) ®Entry' ®Driveway 00ther:
Product/Treatment tnfermat'lon
Treatment Type: ®Underslab ®Patio/Driveway/Entry Final
®Wood Treatment ®Bait System ®Other
Product: D odium Octaborate ®Cypermethrin
Imidacloprid ®Bifenthrin
®Perniethrin ®Other.
Concentration s � -3r Mixed Product Applied 67
Square Feet Treated 1,7,00 Linear Feet Treated
Ell 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 fa the prevention of
subterranean termites- This treatment is in accordance with the laws nd rul stablished by the
Florida Department of Agriculture and Consumer Services. !
� °ate ojv
Applicator's Name (please print) p t is Signature
HES-TE019 08116 Hulett Environmental ServicesO 2016
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