HomeMy WebLinkAboutPre-Construction Treatment Treatmentf '67 vk, 1
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Pre -Construction
aenv9a anv.ne-nt:aA Termite Treatment
7670 Okeechobee Blvd., West Palm Beach, F1. 33411
Phone: 1-800-285-7378 . Fax: 561-684-0122
Property Information
Builder/Contractor
Treatment Date W911leTime
Lot - Block
Name of Builder
Subdivision Name
Shell Contractor
I O �\)y) RQtt)d )�.
Construction Type
Street Address (If known)
24onolrthic OFloating/Stemwall OPatio
City f State zip
OEntry ODriveway: OQther:
Owner's Name (if known)
ProductTOeatment Information,
1Yeatment Type: nderslab.
❑ Patio/Driveway/Entry ❑ Final
❑ Wood Treatment
❑ Bait System ❑ Other
Q�
Product: ❑ Disodi ctaborate
❑ Cypermethrin
midacloprid
❑ Bifenthrin
❑ Permethrin
❑ Other:'
;,
Concentration
Mixed Product Applied
Square Feet Treated
Linear Feet Treated
❑ 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 Services.
Applicator's Name (please print) Applic s Signature
HES-TE019 10/ 11 uiett Environment ervim@ 2011
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P -Construction
HULE'TT Termite Treatment
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7670 Okeechobee Blvd., West Palm Beach, FI. 33411
Phone: 1-800-285-7378 Fax: 561-684-0122
Property Information
Builder/Contractor
Treatment Date IT— p Time ILK
M911
Name of Builder
Lot 91 Block
R��X &,
Subdivision Name
i
Shell Contractor
10
'
Construction Type
Street Address (If known)
t
El 3
04onolithic ❑Floating/Stemwall ❑Patio
ity State Zip
❑Entry ❑Driveway ❑Other:
Owner's Name (If known)
Product/Treatment Information
Treatment Type: nderslab
❑ Patio/Driveway/Entry ❑ Final
❑ Wood Treatment
❑ Bait System ❑ Other
Product: ❑�Disodiictaborate
❑ Cyperinethrin
d
❑ Bifenthrin
❑ Permethrin
❑ Other:
Concentration ��
Mixed Product Applied
Square Feet Treated LA' s d
Linear Feet Treated
❑ 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 Services.
l E.. CSC 1`tiO3-)
Applicator's Name (please print)
HES-TE019 10/11
Hulett
2011