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INSPECTION REPORT
Choice Pest Management, Inc. �3793 Oleander Ave %Fort Pierce, FL 34982 "ice Inspection Report l s1/- 0blif5 ORDER #: 83564 WORK DATE: 3/22/16 Time In: 3/22/16 12:00 PM BILL -TO 103536 ---� i LOCATION 104757 Time Out: 3/22/16 12:20 PM CRS Plumbing CRS Plumbing Customer Signature 615 S Us Highway 1 10535 S Ocean Dr Fort Pierce, 34950-8305 Jensen Beach, FL 34957-251SCANNED BY Phone: 772466-7763 St. Lucie Countv Technician Signature None NET 30 One Time Service- No Guarantee Payment Date Method Reference Payment Amount Applied Amount 3/22/2016 Check 1052 $125.00 $125.00 GENERAL COMMENTS / INSTRUCTIONS Termite Pretreat Dale Mauro License #: FL - JF8285 Quantity Amount 1.00 125.00 Subtotal 125.00 Tax 0.00 Total Due: 0.00 CONDITIONS / OBSERVATIONS Reported Severity Responsibility Reviewed None Noted. PRODUCTS APPLICATION SUMMARY Material Lot # EPA # A.I. ^/o Active Ingredient Finished Qty Undiluted Qty 432-901 9.1000% Rpronil Target Pests: (None) PEST ACTIVITY # Areas # Devices Pest Totals None Noted. DEVICE INSPECTION SUMMARY 10.0000 Gallon