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Home My WebLink AboutPRE-CONSTRUCTION TERMITE TREATMENToaV Pre-Conkructoon i :a "d3YU cnvar®ananncn�ai Teirm'te Treat mcffl services 7670 Okeechobee Blvd, West Palm Beach9 FIv 33411 Phone: 1-600-255-7375 Fax: 561-664-0122 Property Information Builder/Contractor Treatment Date e� l Time C O,,�'" 5 114 Lot Block Name of Builder RECEIVED Subdivision Name treet Address (If known) ,-.1 3 � 9Y tv State Zip Owner's Name (If known) Product/heat Treatment Type: 4 Underslab ® Wood Treatment Product: ® Disodium Octaborate ® Imidacloprid ® Permethrin Concentration Square Feet Treated SEP �.� -2019 Shell Contractor St. -,g Depart Lucie cpon�ent Construction Type Monolithic ®Floating/Stemwall ®Pa- tio ®Entry ODriveway DOther: ent Infor mabon ® Patio/Driveway/Entry ® Final ® Bait System Other ® Cypermethrin ® ifenthrin Other: A & Mixed Product Applied 176 Linear Feet Treated 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 treatment for th prevention of subterranean termites. This treatment is in accordance with the laws d rules e blished by the Florida Department of Agriculture and Consumer Services. / Applicator's Name please print) i pp ator's Signature Hulett Environmental Services© 2017 HES-TE019 05/17 i