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HomeMy WebLinkAboutPRE CONSTRUCTION TERMITE TREATMENT 12-10-18Pre -Construction Termite Treatment 7670 Okeechobee Blvd., West Palm Beach, FI. 33411 Phone: 1-800-285-7378 Fax: 561-684-0122 Property Information Builder/Contractor T eatment Date l� � � ®f � Time L� t Block Name of Builder �%A ��e b `pJ Subdivision Name Shell Contractor ®�� Street Address (If known) _ 19 V 5- Construction Type 7konolithic ❑Floating/Stemwall ❑Pa- City State zip tio ❑Entry ❑Driveway ❑Other: Owner's Name (If known) Product/Treatment ormation treatment Type: ❑ Underslab Patio/Driveway/Entry ❑ Final ❑ Wood Treatment ❑ Bait System ❑ Other Product: ❑ Disodium Octaborate ❑ Cypermethrin ❑ Imidacloprid ❑ Bifent" ❑ Permethrin Other: %s- ,, k,� J c/ Concentration Mixed Product Applied !>O jIquare Feet TreatedLinear Feet Treated ❑ If this box is checked, then Final Perimeter treatment has been completed and the following statement is applicable: Ceritificate 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. Applicator's Name (please print)/-ppfcator's Signature HES-TE019 04/18 Hulett Environmental Services© 2018