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Home My WebLink AboutPRE-CONSTRUCTION TERMITE're -Cons ermite 1 Tre 7670 Okeechobee Blvd., West Phone: 1-800-285-7378 Cio � � tment QualityPro ilm Beach, FI. 33411 ax: 561-684-0122 Property Information Builder/Contractor Treatment Date % % % Time i. U Name of Builder Lot Block _I �b�aK) �= I Subdivision Name Shell Contractor 3�'2-S S �-•arty s� d� �: Construction Type _Street Address (If known) Gmj- PIYX Q_ �=L 9�t�i y onolithic ❑Floating/Stemwall ❑Pa - City State Zip do ❑ Intry ❑Driveway ❑Other: _Owner's Name (If known) Product/Treatment Information Treatment Type: Xuriderslab ❑ Patio/Driveway/Entry ❑ Final Wood Treatment ❑ Blait System 0, Other Product: ❑ Disodium Octaborate ❑ Cypermethrin MImidacloprid ❑ Bifenthrin 13 Permethrin ❑ Other: Concentration rJ Mixed Product Applied Square Feet Treated �g Linear Feet Treated ❑ If this box is checked, then Final Perimeter treatment has h.- been completed and the following Istatement is applicable: Certificate of Compliance: This building has recei subterranean termites. This treatment is in accord, - Florida Department of Agriculture and Consumer Se Applicator's ame (please print) HES-TE019 05/17 d a complete treatment for the prevention of ;e with the laws and rules established by the ices. App 'cator's Signature Hulett Environmental Services© 2017