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TERMITE TREATMENT PRE CONSTRUCTION CERTIFICATE
c II y i 1 . MULETT Pre -Construction Termite 1-800-285-7378 Treatment Property Information Builder/Contractor Treatment Date L Time Name of Builder Lot Block 7—,? ;2 8 7 OF- 3 9 S sion Name Street Address (If) R City State Zip Owner Name (If known) Shell Contractor /Construction Typc Monolithic V/ Floating/Stemwall Patio Entry Driveway Product/Treatment Information f Treatment Type: Underslab Patio/Driveway Final Other Wood Treatment Product: Disodium Octaborate (Boracare ) Other Concentration v 2s Square Feet Treated L/ Probuild TC Cypermethrin Mixed Product Applied r Linear Feet Treated tzlf 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 the prevention of subterrranean termites. This treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. pplicator's Name (please print) i, WAS S -CEIVED OCT © 3 2006 BY: a. eq HULETT Pre -Construction Termite Treatment 1-800-285-7378 Property Information P�a",d Builderr�/Contractor Treatment Date 5��Time / � 'Ce! lnj(7 Name of Builder Lot Block Subdivision Name r /1_�_14714//V i; P- Stre Address (If known) i::� Rcrclo66 City State Zip Owner Name (If known) Shell Contractor Construction Type Monolithic V Floating/Stemwall Patio Entry Driveway Produc Treatment Information ZYeatment Type: Underslab Patio/Driveway Final Other Wood Treatment Product: Disodium Octaborate (Boracare) Probuild TC Cypermethrin Other /l Concentration o 1�_ Mixed Product Applied ZSV geit � Square Feet Treated Linear Feet Treated If this box is checked, then Final Perimeter treatment has een completed and the following statement is applicable: ,rtificate of Compliance: This building has received a complete treatment for the prevention of bterrranean termites. This treatment is in accordance with the rules and laws established by the orida Department of Agriculture and Consumer Services. 126cl_l A r73kN Applicator's Name (please print) Applicator's Signature HES-TE019 Rev 05/06 ©Hulett Environmental Services