HomeMy WebLinkAboutTERMITE TREATMENT1•
Pre- Construction
a
HNLETT Termite Tremend`
environmental
services
7670 Okeechobee Blvd., West Palm Beach, FI. 33411
Phone: 1-800-285-7378 Fax: 561-684-0122
Property Information d I
Treatment Date Time /(� LG %
Lot Block
Subdivision Name
3 a l q Avenue
Street Address (If known)
& 1,4� 3�Y�- 7
City State Zip
_Owner's Name (If known)
Builder/Contractor
Name of uil � t
Shell Con actor
Construction Type
13Monolithic []Floating/Stemwall []Pa-
tio �
[]Entry []Driveway QOther:
Product/Treatment Information
Treatment Type: L Underslab ❑ Patio/Driveway/Entry ❑ Final
❑ Wood Treatment ❑ Bait System ❑ Other
r.
Product: ❑, Diidaiiium Octaborate
L�2cloprid-A
❑ Permethrin 5GQ �y G�J
Gee
J
Concentration
Square Feet Treated a
❑ Cypermethrin
❑ Bifenthrin
❑ Other:
Mixed Product Applied �q_l
Linear Feet Treated
❑ If 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
subterranean termites. This treatment is in accordance with the laws and rules established by the
Florida Departmen of Agriculture and onsumerServices.
Applicator's Name (please print) Applicator's Signature
HES-TF019 05117 . Hulett Environmental Services® 2017