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HomeMy WebLinkAboutTermite Treatment f? I � rD � Pre-Construction Si HLETT Termite Treatment r envaronanental services 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor Treatment Date Time Lot Block Name of Builder RECEIVED LA, g4z,j O y� MAY 0 9 1011 Subdivision Name Shell Contractor St. Lucie County _Street Address(If known) Construction Type city State L/ zip- ❑Monolithic ❑Floating/Stemwall ❑Pa- _Owner's Name (If known) ❑Entry ODriveway ❑Other: Product/Treatment Information Treatment Type: ❑Underslab ❑Patio/Driveway/Entry ❑Final ❑Wood Treatment ❑Bait System ❑Other Product: ❑Disodium Octabotate ❑Cypermethrin ❑Imidacloprid ❑Bifenthrin ❑Permethrin Other: Concentration Mixed Product Applied G Square Feet Treated C_n'A( 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) `Applicator's Signature HES-TE019 07/19 Hulett Environmental Services©2019