HomeMy WebLinkAboutTermite Treatment Na M , f4,W,.
"Considering Your Environment"
+ State License Number 114708
11192 47th Road North Royal Palm Beach, FL 33411
561-333-8777/FAX 561-333-8999./Toll Free 866-414-PEST
Property Information-
Subdivision: 1 f '� c&tT Lot: Block: Section:
Address z. xr;
City&,Zip;:
Owner
Builder/Contractor Information
Builder: Y4
I ` Shell`Contractor:
Construction Type
Monolithic: Floating7Stemwall: Patio: Entry:.
Driveway: -
` Addition: Other:
Product 1 Treatment Information
Treatment Date: 0 /3 C Time: �"_/ ;�G� Technician:
Treatment Type(mus check ne) Initial Under.Slab: Supplemental:
Product Applied: Cypermethrin; Premise 75�
Other
Concentration: ® % Mixed Product Applied: p Gallons
Square Footage Treated: Linear Feet Treated:
If this is checked, then final perimeter treatment has been completed and the
following statement is applicable;
Certificate of Compliance:THIS BUILDING HAS S RECEIVED A COMPLETE TREATMENT FOR THE
PREVENTION OF SUBTERRANEAN TERMITES, TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENToFAGRICULTUREAND CONSUMER SERVICES,
(Florida Building Code(FBC)1816.1.7)
Applicators Name(Please Print)