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HomeMy WebLinkAboutPRE-CONSTRUCTION TERMITE TREATMENTRECEIVED 0 -- OJAN I 47. ISICR a HUILE T Pre -Construction Termite Treatment 1-800-285-7378 Property Information Builder/Contractor Treatment Date /- 3 J — �a Time Name of Builder Lot i Block Cq Shell Contractor Subdivision Name C. Construction Type Street Address (If known) f S ` i'• 'Monolithic / Floating/Stemwall City State Zip ® S Patio Entry Driveway 1 Owner Name (If known) Product/Treatment Information Treatment Type: Underslab Patio/Driveway Final Other 1 Wood Treatment Product: Disodium Octaborate (Boracare) Probuild TC Cypermethrin Other Concentration a Mixed Product Applied Square Feet Treated Linear Feet Treated o", 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. Applicato s Name (please print) Applicator's Signature. HES-TE019 Rev 05/06 ©Hulett Environmental Services