HomeMy WebLinkAboutTermite TreatmentEvN4 H ewes fi-z0 9
"Considering Your Environment"
®ACS State License 0 11470a
138 Valencia Street Royal Palm Beach, FL 33411
561-333-87771 Cell 561-2Q2-5625 / Cell 561-723-1106 I:evergladespest@gmall.com
ProDertv- Information
Subdivision: 1 - Lot: Block: Section:
Address
City & Zip
Owner
Name. of Builder:
Shell Contractor:
Monolithic:
Driveway:
Addition:
Builder I Contractor information
Construction Type
Floating/Stemwall: Patio: Entry:
Other:
Product I Treatment Information
Treatment DatA 13 i Time: % � J Tec nician: "
Treatment Type (molt chec one) Initial Under Slab: Supplemental:
Product Applied: Cypermethrin: Premiss e 75
Other
Concentration: % Mixed Product Applied: )-'�7 (7 Gallons
Square Footage Treated: —7 • Linear Feet Treated;
If this is checked, then final perimeter treatment has been completed and the
following statement is applicable:
Certificate of Qcmpliance: THIS BUILDING HAS RECEIVED A COMPLETE TRHEATMENT FOR THE
PREVENTION OF SUBTERRANEAN TERMITES: TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OFAGRICULTUREAND CONSUMER SERVICES.
(Florida Building Code (FRO 1816.1.7)
Applicators Name (Please Print) �(�`�