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HomeMy WebLinkAboutPRE-CONSTRUCTION TERMITE TREATMENT 6-17-15k Pre -Constructi'on IluLE Termite Treatment ' ;ieviroxtusentsal crviocs 7670-Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax:-561-684-0122 Property Information Treatment Date (> / 71/S" Time 1,73 3 6 Lot Block Subdivision Name 1.77/3 W L✓ b1v Wcod /& Street Address (If known) I City State Zip Owner's. Name (If known) Builder/Contractor /610 Name of Builder } Shell Contractor Construction Type OMonolithic ❑Floating/Stemwall ❑Patio ❑Entry ❑Driveway ❑Other: Product/Treatment Information Treatment Type: 0 Underslab V, ❑ Wood Treatment Product: ❑ Disodium Octaborate 0 Tmidacloprid ❑ Permethrin Concentration /0 SquareFeet Treated %Gn ❑ Patio/Driveway/Entry ❑ Bait System ❑ Cypermethrin ❑ Bifenthrin ❑ Other: Final ❑ Other Mixed Product Applied Linear Feet Treated ® 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 law,,s and rules established by the Florida Department of Aariculture'and Consumer Services. / / /� Applicator's Name HES-TE019 09/12 (please print) ator's Signature Hulett Environmental Services© 2012