Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
PRE-CONSTRUCTION TERMITE TREATMENT
SW- //-07 O�VZU '= Pre-Constructio, n V rM I3ULETT Termite Treatment ' cnvironnaa-nt:al saerviccF 7670 Okeechobee Blvd., West Palm Beach, F1. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor Treatment Date Time �� 01'3r— Name of Builder Lot Block Subdivision Name Shell Contractor D 0(� c r. � jQ Cs or- Construction Type f2 treet Address (If known) 7!�-\- %e,5�-1__ -IjL(Cf`-(9 OMonolithic ❑Floating/Stemwall OPatio City State Zip ❑Entry ODriveway ❑Other: Owner's Name (If known) Product/Treatment Information Treatment Type: ❑ Underslab ❑ Patio/Driveway/Entry Final ❑ Wood Treatment ❑ Bait System ❑ Other Product: ❑ odium Octaborate ❑ Cypermethrin Zdacloprid ❑ Bifenthrin ❑ Permethrin ❑ Other: Concentration Mixed Product Applied -15.5�- v z Square F t Treated �— Linear Feet Treated 60 �I 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. !� oll\1b �3one-5 Applicator's Name (please print) HES-TE019 02/14 // Hulett Environmental Services© 2015