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PRE-CONSTRUCTION TERMITE TREATMENT 12-4-06
POSTEDt v HUILETT DEC 0 4 2006 Pre -Construction Termite Treatment 1-800-285-7378 003-611q Property Information I I Builder/Contractor Treatment Date 7-7_0� Time Lot Block Subdivision Name 5-6&12 /�/1-rA Di - Street Address (If known) r111 FL City State Zip Owner Name (If known) Name of Builder Shell Contractor Co struction Type Monolithic Floating/Stemwall Patio Entry Driveway Product/Treatment Information TYeatment Type: Underslab Patio/Driveway Final Wood Treatment Product: Disodium Octaborate (Boracare) Probuild TC Cypermethrin Other Concentration Mixed Product Applied Square Feet Treated Linear Feet Treated 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 subterrranean termites. This treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. S /ar?, /Z4, Applicator's Name (please print) Applicator's Signature HES-TE019 Rev 12105 ©Hulett Environmental Services