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HomeMy WebLinkAboutPre-Construction Termite Treatmentm Pre -Construction jHULETT Termite Treatment ' sa:.r•vicrc 7670 Okeechobee Blvd., West Palm Beach, F�l. 33411 Phone: 1-800-285-7378 Fax 561-684-0122 Propert�yy Information Builder/Contractor Treatment Date Time Lot Name of Builder ' pp 9400.CC'i�cX Subdivision Name Shell Contractor Construction Type StreeriAddress (If known) 4 �m C ,1 El �,qqj� ®Mono' lithic OFloating/Stemwall OPatio City i State Zip OEntry ODriveway OOther: Owner's Name (If known) Product/Treatment Information Treatment Type: ®"Underslab ❑ Patio/Driveway/Entry O Final Wood Treatment ❑ Bait System ❑ Other Octaborate Product: ❑�idacloprid ❑ Cypermethrin ��l ❑ Bifenthrin Permethrin ❑ Other: Concentration Mixed Product Applied 'J GL Square Feet Treated 3 n (1117 T6 Linear Feet Treated 0 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 for the prevention of subterranean termites. This, treatment is in accordance with the laws and rules established by the Florida Department of Agriculture and Consumer�$,ervices. -'A Applicator's Name (please print) Applicato s Signature HES-TE019 02/14 Hulet nvimnmental Services©'2014 Pre -Cony Jxu�.�T Termite T 5K3P"Ytl C[^"G " 7670 Okeecho"bee Blvd.,: We Phone 1-800-285-7378 traction re atm ent t Palm Beach, Fl. , 33411 Fax: 561-684-01,22 Property Information ' Builder/Contractor Treatment Date Time Lot Block, -Name of'Builder a-, Subdivision Name. .Shell Contractor Street. Address (If struction Con Type City tate, Zip onolithic �Floating/Sternwalt.,y'OPato Mntry ODriveway. DOther: Owner's Nam11 e (If known)' s r " s r Pro`duct/Treatme f lnfor. anon- ' Treatment Type: O'Underslab C!".T'atio/Drivekay/Entry 7 i ar ", ❑ Wood Treatment ,Bait System O.Other Product .0 Disodum,Qctaborate 0 Cypermethrin f Pidacloprid — ❑ Bifenthrin Y ,r ❑ Perrrethrin r .` . O Other: C Mixed Product Applied Concentration ly.F FM r. _ n Square Feet Treated ;` LineazFeet'Treated, �. 5w X 1M -A-Hs box 'is checked, then Final, Perimeter treatment had fr,hbeen completed and the following statement is applicable Certificate of Compliance:, This building has receiveda cbinplete treatment for the: �pre•vention of subterranean termites. This treatment i�s'in accordan6e with the 'a. _ s nd rules established by ;the Florida Department -of Agriculture and Consumer Services �^ Applicator'•s Name pt6e e print) � icat�9_01,at�ure HES=TE019 02/14 Humental Services©2015