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HomeMy WebLinkAboutPre-Construction Termite Treatment--r t� �0a HULETT cas�iraumcntwl Pre -Construction Termite 1-800-285-7378 Property Information Treatment Date / —&P Time Lot f Block Subdivision Name 1-2y/f 5cctr,�4 -� Street Address (If kno ) T5t City State Zip Owner Name (If known) Treatment Builder/Contractor Name of Builder Shell Contractor Construction Type Monolithic -L Floating/Stemwall Patio Entry Driveway Product/treatment Information Treatment Type: Underslab .� Patio/Driveway Final Wood Treatment Product: Disodium Octaborate (Boracare) Probuild TC Cypermethrin �l Other Concentration , Mixed Poduct Applied oC /9 Square Feet Treated 165-1 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 subterrranean termites. This treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. r Applicator's Name (please print) Applicator's Signature HES-TE019 Rev 12/05 ©Hulett Environmental Services O� '4 r y � HULETT Pre -Construction Termite Treatment 1-800-285-7378 Property Information Builder/Contractor Treatment Date ' .-70 "�O Time ' L 5 G� Lot Block Name of Builder .�� LT-CAA- Subdivisio'n"Name Shell Contractor 07 Co truction Type Street Address (If known. Monolithic Floating/Stemwall L- Ec City State Zip Patio Entry Driveway Owner Name (If known) I Product/Treatment Information Treatment Type: Underslab Patio/Driveway Final Other Wood Treatment Product: Disodium ,Octaborate (Boracare) Probuild TC Cypermethrin Other Concentration . 2� Mixed Product Applied a��, Square Feet Treated LinearFeet Treated �- mA 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 subterrranean termites. This treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. To6.-A Applicator's Name (please print) Applicator's Signature HES-TE019 Rev 05/06 ©Hulett Environmental Services