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Notice. of Preventive Treatment for Termites
(As required by Florida Building Code (FBC) 105.10)
TREATMENT INFORMATION n
Address of Treatment: ?V)o Pi lerc-e 3Q.SN
Date: 7 L&O-- _ Time of Application: Z1,113
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Technician: lb ID Card No.: �� /c��►
Product Used (Brand Name) C1402
Chemical Used (Active Ingredient): CV P.erin-e�rl/x I
No. of Gallons Applied: Concentration Percentage %: �
Area Treated (sq.ft): //Ga Linear Feet Treated:
Stage of Treatment(Horizontal,Vertical, Adjoining Slab, Retreat of Disturbed Area)
ADDITIONAL COMMENTS
AS PER 105.10
If soil chemical barrier method for termite prevention is used, final exterior treatment shall be
completed prior to final building approval. The building has received a complete treatment for the
prevention of subterranean termites. Treatment is in accordance with rules and laws established
by the Florida Department of Agriculture and Consumer Services.
If this notice is for the final exterior treatment, initial and date this line:
AUTHORIZED SIGNATURE: l%
4036 43rd Ave.Vero Beach FL 32960
Treasure Coast: (772)562-6450 1 South Florida:(561)200-0705 1 Central Florida:(407)297-8820
www.clementspestcontrol.com