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HomeMy WebLinkAboutPRE-CONSTRUCTION TERMITE TREATMENT:�'o�`AF�IflIICi1i _ St I Pro-consft`tbon H�JLETT Termite Treatment enviroiia2iental services 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Infformation Treatment Date Time !'�d Lot Block ?-erm 1'- �- I 03 - 0/q3, Subdivision Name 3S 2f AJ +cx-1e1 #ctok Ar _Street Address (If known) Aq s f / (/4°°t- F% 3 cityState Zip Owner's Name (If known) Builder/Contractor Name of Builder Shell Contractor Construction Type Monolithic []Floating/Stemwall []Pa- tio []Entry ODriveway []Other: Product/Treatment Information Treatment Type: ❑ Underslab ❑ Wood Treatment Product: ❑ Disodium Octaborate ❑ Imidacloprid Permethrin Concentration i o Square Feet Treated Ahufmcr-f Patio/Driveway/Entry ❑ Final Bait System ❑ Other 13 Cypermethrin Bifenthrin Other: fiji.,Q,/ SG Mixed Product Applied Linear Feet Treated 2 2 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 treatme for the prevention of subterranean termites. This treatment is in accordance with the laws an r les established by the Florida Department of Agriculture and Consumer Services. Applicator's Name (please prinf) Applicator's Signature HES-TE019 05/17 Hulett Environmental Services© 2017