Loading...
HomeMy WebLinkAboutTermite Treatment1)(0) vl� ��"i Nag—oy /0 -�> Pre- Construction H�JLETT services. Termite Treatment cnvironmental 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information i n Arv� Treatment Date I a o.q 4j Time Lot 3-D, Block Subdivision Name 132,..q `ioy,o Street Address (If known) City State Zip Builder/Contractor Name of Builder Shell Contractor Construction Type 00onolithic OFloating/Stemwall OPatio Owner's Name (If known) OEntry ODriveway OOther: Product/Treatment Information Treatment Type: nderslab ❑ Patio/Driveway/Entry ❑Final 13 Wood Treatment ❑ Bait System ❑ Other Product: ❑ Zdacloprid diu Octaborate ❑ Permethrin Concentration I E6- Square Feet Treated Cypermethrin Bifenthrin Other: Mixed Product Applied Lf W G Linear Feet Treated 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. Applicator's Name (please print) HES-TE019 06/13 Applicator's S' atur Hulett Environmental Services© 2013