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HomeMy WebLinkAboutTermite Treatmenti Pre -Construction HilLETW Termite Treatment ' a enviroaamcntsal SCa`ViCC4 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Treatment Date ' Time _ Lot q� Block Subdivision Name 2c, Street Address (If known) City State Zip Owner's Name (If known) Builder/Contractor Name of Builder Shell Contractor Construction Type Monolithic ❑Floating/Stemwall ❑Patio OEntry ODriveway ❑Other: Pr;Underslab uct/Treatment Information Treatment Type: ❑ Patio/Driveway/Entry ❑ Wood Treatment ❑ Bait System Product: Tim,idacloprid isodium Octaborate ❑ Cypermethrin b\� � t B1fen❑ t hrin ❑ Permethrin ❑ Other: Concentration ' I 0 (p Square Feet Treated 655, Mixed Product Applied Linear Feet Treated ❑ Final ❑ Other DY3 ❑ 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 De artment of Agriculture and Consumer Services. Applicator's Name (please print) Applicator's Signature HES-TE019 02/14 Hulett Environmental Services© 2015