HomeMy WebLinkAboutPRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT&'Jj� d-von �
"Considering Your Environment' Z l�q
State License Number 114708
138 Valencia Street -333-8�9911 Toll Free 8G5-414m Beach, �pEST
551-333-8777 I FAX 55
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Prot lnformatiorr
Lot' Block: Section:��
Subdivision: E%d
Address
City & Zip
owner
Name of Suiider
Shell Contractor:
Co c,
—fL-t,
Budder f Contractor infiormation
Constr�?�
Monolithic; � FloatinglstemwaT
Driveway:
Addition: Other;
Patio: Entry:
Product I lreatment Information
U tit Time:
Technician:
Treatment Date: Su iemental:
Treatment Type (must check one) initial Under Slab: Pp
Premise 75 tither
product Applied: Cypermethrin:� Gallons
Concentration Mixed Product Anoiied:
CQ Square Footage Treated: Linear Feet Treated:
_ if this is checked, then final perimeter treatment has been completed and the
fall trwo g statement is applicable:
Certificate ❑f Corn lance: 7N15 EUIMITES HTREATMENTDA COMPLETE IS IN ACCORDANCE WITH 7 HE RULES AND
pRE1lENTioN OF SUBTERRANEAN TER
LAWS ESTABLISHED By THE FLORIDA DEPARTMENT OFAGRlCULTUREANI7 CONSUMER SERVICES-
oorida Building Code (W) 1816. T.7)
Applicators !Dame (Please Fr'nt)