Loading...
HomeMy WebLinkAboutPRE-CONSTRUCTION TERMITE TREATMENTill^,L��� ., i .RECEIVED Pre -Construction MAY o 42010 HL[JLETT Termite TreatmentDepartment environmental.ucLucie County services 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Treatment Date Time % 02a Lot Subdivision Name _Street Address (If known) Block City State Zip _Owner's Name (If known) Builder/Contractor Name of Builder Shell Contractor Construction Type ,Monolithic OFloating/Stemwall OPa- t10 OEntry ODriveway OOther: Product/Treatment Information Treatment Type: Underslab Wood Treatment Product: ❑ Disodium Octaborate 71 Imidacloprid 13 Permethrin Concentration Square Feet Treated Z %0 q Patio/Driveway/Entry ❑ Final Bait System ❑ Other 13 Cypermethrin 13 Bifenthrin -Other: Z� Mixed Product Appliedt3 r ;$'V 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 rules established by the Florida Department of Agriculture and Consumer Services. -e) (XA10&P lv Applicator's Name (please print)Applicator's Signature HES-TE019 05117 Hulett Environmental Services© 2017