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Pre-Construction Termite Treatment 4-11-16
7 Pr ' -Cons&�-ecti on Termite . Tr eatment a a5awiromm�c>.n4al � 7616_6keechobee Blvd., West ,Palm Beach,. l.. 33411 Phone: 1-800-285-7378, Fax: 561-684=0122 Property Information. Builder/Contractor Treatment Date ' //� Time A2 Lot / Block ' Name of Builder i +r=r Y. Subdivision Name Shell Contractor coo )DtJ P-q& Street Address(If known) f Construction Type City State ' :zip rV onolithic DFloating/Stemwall , DPatio Owner's Name (If known) DEntry DIjrivewa DOther: Profte reatmenti, Information } Treatment Type: D' nderslab '❑PAW- iveway/Entryi. ID,Final O.Wood 'reatment ❑.$art System ❑ Other Product: 0 Diiso ium Octaborate ;1 Cypermethrin ®ITmidacloprld, �i 7/u OP 7 l„ 0 Bifenthrm 0 Permethrin. w . r . :�, _ �. _.. .. ;;.y _ - - • Other.` Concentration C) ' Mix ed_Product Applied ✓✓0-7e-64! Square eet Treated „ ]Linear Feet Treated �a-7 0'If this box is checked, then Final Rerimeter treatment"has been completed and the folio 'i,ng•statement is applicable: Certificate of Compliance: This building has rece'wed a :complete, treatment for the prevention of - { _subterranean termites. This treatment is in accordance with the•.laws ,and rules. established by the Florida Dep,rtment of Agriculture and Consumer.services. Applicator's Name (please print) Applicator's Signature , HES-TE019 02/14 Hulett Environmental Services©2015 r