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PRE-CONSTRUCTION TERMITE TREATMENT
S sionl isPre- '�" Term 7670 Okeechobee B Phone: 1-800-28 i construction ite Treatmentyz),5 --C,I� I d., West Palm Beach, FI. 33411 i-7378 Fax: 561-684-0122 PropertyInformationBuilder/Contractor Treatment Date 3. / 8 Time 3: Name of Builder Lot Block Subdivision Name j Shell Contractor S` P Construction Type onolithic []Floating/Stemwall []Pa- _Stree ddress (If known) City State zip tio DEntry []Driveway []Other: _Owner's Name (If known) Produ Treatment Information Treatment Type: Underslab ❑ Patio/Driveway/Entry ❑ Final 71 Wood Treatment ❑ Bait System ❑ Other Product: isis �Octaborate I n ❑ Cypermethri4IRmidacloprid ❑ Bifenthrin 71 Permethrin ❑ Other: Concentration ( Mixed Product Applied /D al - Square Feet Treated Linear Feet Treated -� D 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. H bl, y L -� Applicator's Name HES-TE019 05/17 (please print) *plicator's Signature Hulett Environmental Services© 2017