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HomeMy WebLinkAboutPre-Construction Termite Treatment 4-11-16 7
Pr ' -Cons&�-ecti on
Termite . Tr eatment a
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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
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Subdivision Name
Shell Contractor
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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
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