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HomeMy WebLinkAboutPre-Construction Termite Treatment 9-3-15 Pre-Construction HIJLET'T Termite Treatment CIYV YI'UIYIMI4`[IQ.I� 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone:"': ,. 1-800-285-7378 Fax: 561-684-0122: Property Information Builder/Contractor Treatment Date q 3 /S Time Lot Block Name of Builder 'l Subdivision Name 9 ( Shell Contractor Street Address(If known) Construction Type City State Zip. 1313onolithic OFloating/Stemwall OPatio Owner's.Name (If known) DEntry Mriveway OOther: Product/Treatment Information Treatment Type: U Underslab ❑Patio/Driveway/Entry ❑Final Wood Treatment ❑Bait System ❑Other Product: ❑Disodium Octaborate ❑Cypermethrin 0 Imidacloprd ❑Bifenthrin 13 Permethrin ❑Other: Concentration 1 o,S`-- Mixed Product Applied / Square Feet Treated yG s'o 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 rule ,,established by the Florida Department of'Agriculture and Consumer Services. Applicator's Name-„ (please print) Applicator's Signature HES-TE019 02/14 Hulett Environmental Services©2014