HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTIVov
18 09:20a The Bug Dr.?As+ Control 7??-344-7480 p.1
(
- ILE COPY
_ - Planning & Development Services
Building & Code Regulation Division SCANNED
Virginia Ave
Fort Pierce, FL 34982 BY
772-462-2172 rax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
IT # J $ t) 55 JOB ADDRESS: L4lO A r-
)ER/CONTRACTOR: S har)-e 1Yiu,Mpw
CONTROL CONTRACTOR: it r.
CONTROL LICENSE #: 1-9 L4 F i- a
the undersigned, hereby certify that we have pretreated the above described construction for
arranean termites in accordance with the standards of the National Pest Control Association.
feet if area treated: 4 QQ S T-
:ntage of solution: F 05016
Of Treatment:
1-" Treatment
Re -Treat
1't Treatment
Re -Treat
] Treatment
Re -Treat
Chemicals used: 1
Total gallons -used: 12 0
Time of Treatment: 3 = 3 ) ry 1
Slab
� 1s'Treatment
Re -Treat
Pools
15'Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
Note#I There must be a completed form for each tequired beabnent Dire-beatment and this form must be on the job
sfee h� q ed up by a irrspeeior at dine of each inspection or the scheduled inWcfion will fail and a re -inspection
Fuc104.2.6 Cerdfrcate ofprotecbve Treatment for prevention of termites, A Heather
shall , e provided to receive duplicate Treabnent Certi6Cates as each required protective abnent is mm g board
prOwi:�IjBg a COPY for the person the pennrit is issued to and ariodierCOpyforthe buildin
Certih'ate 9 pennrt fi/e The Treabment
shall provide the product used, ides 'bty of the applicator
, dme and date of Me baafterit, site location, area
!rotted, [wrcentmncentradon and number Of gallons used, to establish a verifiable record of
prate Viee &w 6eaused_ petment ffthe soil chemical ,barrier medioC/ for termite prevention is ego, final Wwor treatment'
,be cori pleted priorto finalbuilding approval.
St Lurie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the e!��ctr"Cal panel box cover, rsting all the treatments and dates of applications.
Revised,{2412014
RECEIVED
Soil Nuclear Gauge
Client:
Project:
GF�
Report Date: 11/1/2018
Shane Mulvey
18-0075.00
Road
i
N 1 V 0 5 Z018
93
Test Method: ASTM D 6 8
4680 Jorgensen Road
9
4680 Jorgensen
,�aNaTONP
Fort Pierce, Fl- 34981
Fort Pierce, Fl-
ors St.Lual�
ST, I ucls County, Permitting
PECA#4930
07 NW Commodity Cove
SL Lucle, FL 34986
one:772.924.3575IFax:772-924-3580
Test Results
I
Optimum
Maximum
In Place
In Place
Probe
Min/Max
Retest
Test
Soil
Moisture
Dry Density
Moisture
Dry Density
Depth
Percent
Comp.
0
est #
1
Of
Date
10/30/18
Proctor ID
P-1
Method
Classification
WA
%
10.5
pc
108.0
(%
10.7
(pe
106.1
in
12
Compaction
98
( /a
95 / 105
Remark
Pass
2
10/30/18
P-1
N/A
10.5
108.0
10.4
106.9
12
99
95 / 105
Pass
3
10/30/18
1 P-1
N/A
10.5
108.0
1 11.4
1 107.1
12
99
951105
Pass
Test Information
Gauge
Test #
Test Location
Elevation
Reference
Make I Model I SN I Calibrated
Field Technician
1
Above Stripped Surface: Pad, NE Comer
0-1'
Humboldt / 5001 SD / 9086 /
Keller, Marcus
2
Above Stripped Surface: Pad, SW Corner
0-11
Humboldt 15001 SD / 9086 /
Keller, Marcus
s
Ahnve strinned Surface: Pad. Center area
0-1'
Humboldt / 5001 SD / 9086 /
Keller. Marcus
Pass: Tests results comply with specifications Tests are "Direct Transmission" (Method A) unless probe depth is noted as I
"Backscatter". Gauge calibration data on file with the testing agency.
Permit # 1808-0551
\�1111111lII//�
No 6321 •,.
s
11J 018
a kent6P.ET6oF f1l`
Pre iona�l�'g�er•#�8
Stat6l r
a,****
' NAL
Test Reports shall not be reproduced, except in full, without the written approval of GFA International Inc. _ _ __ _ - __ — e- -
Digitally signed printed copies of this document are not considered signed and sealed and the signature must be verified on any electronic copies.