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NOTICE OF PREVENTATIVE TREATMENT
FOR TERMITES
(as required by Florida Building Code (FBC) 104.2.6)
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Address of Treatment or Lot lock of Treatment
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Date Time Applicator/I.D. Number
Product Used Active Ingredient Number of Gallons Applied
tA
Percent Concentration ,Area Treated (Sq. Ft) Linear Fee Treated
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State of Treatment (Horizontal,Vertical,A joining Slab,Retreat of Distributed Area)
SOSPM