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HomeMy WebLinkAboutPRE CONSTRUCTION TERMITE TREATMENTPre -Construction Termite Treatment 7670 Okeechobee Blvd., West Palm Beach, FI. , 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information latment Builder/Contractor Date 3-14-19 Time I�t Block Name of Builder ��U80 bdivision Name D6 D� e � �br7 306 Shell Contractor Construction Type Street Address (If known) State zip "ity PMonolithic OFloating/Stemwall OPa- tio DEntry ODriveway 00ther: Owner's Name (If known) j Product/Treatment Information eatment Type: ❑ Underslab ❑ Patio/Driveway/Entry ❑ Final ❑ Wood Treatment ❑ Bait System 11 Other � �i ioc� T►�+[,J � roduct: ❑ Disodium Octaborate 0 Cypermethrin 0 Imidacloprid ❑ Bifenthrin 13 Permethrin Other: 7�lol: or 5C I� IEi oncentration 04 Mixed Product Applied itquare Feet Treated Linear Feet Treated to i� If this box is checked, then Final Perimeter treatment has b .., en completed and the following statement -is applicable: C 11 tificate of Compliance: This building has received a complete treatme for the prevention of su terranean termites. This treatment is in accordance with the laws an rules established by the Fly 11rida Department of Agriculture and Consumer Services. Applicator's Name (please print) Applicator's Signature HEI TE019 04/18 Hulett Environmental Services© 2018