HomeMy WebLinkAboutPre-Construction Termite TreatmentMW
Pre -Construction
RULE Termite'
Treatment
7670 Okeechobee Blvd.,,.West Palm Beach, FL ,33411
Phone: 1-800-2.85-7378 Fax: 561-684-0122
Property Information
Builder/Contractor
Treatment Date 7/Z c///% Time
Lot P Block
Name of Builder
hlv.
Subdivision Name
Shell Contractor
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Construction Type
Monolithic OFloating/Sternwall OPatio'
Street Address (If known)
City State Zip
DEntry ClDriveway OOther:
Owner's Name (If known)
Product/Treatment Information
Treatment Type: 0 Underslab i
❑ Patio/Driveway/Entry Final
Wood Treatment
0 Bait System ❑ Other
Product: 0 Disodium Octaborate
0. Cypermethrin
Imidacloprid
T ❑ Bifenthrin
0 Permethrin
❑ Other:
67
Concentration , a /
Mixed Product Applied V9
Square Feet Treated
Linear Feet Treated (6 "L.—
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 Department of Agriculture and. Consumer Services.
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Applicator's Name (please print) pplicator's Signature
HES'-TE019 02/14 Hulett Environmental ServicesO 2015