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HomeMy WebLinkAboutPre-Construction Termite Treatment 3-16Pre -Construction T ][-IUILIEWWTermite Treatment .-.waronvnc�il:�l 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor 2`� IL - Treatment Date Time Name of Builder Lot Block Subdivision Name Shell Contractor 3/Cl 4)w OdCJ ,'-�e vaZ Street Address (If known) Construction Type _ea dr-. 6%45y Fl 3 Y S V City State zip IVlonolithic []Floating/Stemwall []Patio Owner's Name (If known) []Entry []Driveway []Other: Product/Treatment Information Treatment Type: ❑ Underslab ❑ Patio/Driveway/Entry /151 Final 71 Wood Treatment ❑ Bait System ❑ Other Product: ❑ Disodium Octaborate ❑ Cypermethrin Imidacloprid ❑ Bifenthrin Permethrin ther: Q ; ,� tcO 21- i Concentration S Mixed Product Applied 3 Square Feet Treated Linear Feet Treated 2 S2 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 f the prevention of subterranean termites. This treatment is in accordance with the aws and established by the Florida Department of Agriculture and Consumer Services. Applicator's Name (please print) plicator's Signature HES-TE019 10/11 Hulett Environmental Services© 2011