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HomeMy WebLinkAboutPre-Constructor Termite Treatment 11-3-144 Pre -Construction AL&JHULETT Termite Treatment M onv7ronme-tal serv7ces 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Treatment Date 1 / / Time 'o' CUY Lot Subdivision Name Block VW Street Address (If known) —T City State Zip Owner's Name (If known) Builder/Contractor Name of Builder Shell Contractor Construction Type onolithic ❑Floating/Stemwall ❑Patio ❑Entry ❑Driveway ❑Other: Product/Treatment Information Treatment Type: M Underslab ❑ Wood Treatment Product:❑, Disodium Octaborate 711/Imidacloprid ❑ Permethrin i Concentration k as Square Feet Treated Z Y/ 3 ❑ Patio/Driveway/Entry ❑ Final ❑ Bait System ❑ Other ❑ Cypermethrin ❑ Bifenthrin ❑ Other: Mixed Product Applied j?2 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) App icator's Signature HES-TE019 06/13 Hulett Environmental Services© 2013