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Home My WebLink AboutTermite Treatment Pre-Constructio n HJLE�'T'environmental Termite Treatment services 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 i Property Information Builder/Contractor I Treatment Date 0 `ot / Time a: Lot Block Name of Builder Subdivision Name Shell Contractor �vU-s r-CA,_ ©c _Street Address(If known) Construction Type city State zip Monolithic OFloating/Stemwall OPa- tio _Owner's Name (If known) DEntry ODriveway OOther: Produc reatment Information Treatment Type: Underslab ❑Patio/Driveway/Entry ❑Final 71 Wood Treatment ❑Bait System ❑Other Product: 71 Di�sodium Octaborate ❑Cypermethrin f�Imidacloprid ❑Bifenthrin Permethrin ❑Other: Concentration 6 Mixed Product Applied 110 C.. PP �� Square Feet Treated Uv Linear Feet Treated a 0 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. Mt \ - Applicator's Name ' (please print) A ,plic I s Signature HES-TE019 08/16 Hulett Environmental Services©2016