HomeMy WebLinkAboutInspection Docs St Likie CountybmpAow
' 2300 V , . Avenue
- Ft Pierce;FL 31992
(772)462-2172
CEN-MICATE OF TERAff
IXUMDER—j' kX6 4 k-
IPFST NMACTOR-,- ; f I c I C
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we.,the mderdpwi ,haft terfiry that we have prdmftd the above-alescrWed c onArnetnotn for
snUteara ean teat in amrdmm Vith the Standarft of tine Iftiond Pat Control AssOeIatiOn...
Square feet of area treated:
Percentage of sduflow p L� _ Total galt+nsns used: V 0
]Date of treatment as ` Time o Tr t: r' c?ca n
D Fo oting r
1 sk Tream tt ' +C:. .6 *Sae ofFrgtecam T'reataseofarprevewon ot'lermitm
E3 Re-Iteat A kermnstmvfobsite posting bomd shall be provrded to receive
&gdfom 3'rertmum Certifmwes as Back required,prt medve treatmazt is
► ? compter4 pravidiug a carpeforrhe person dw permit is issued to mul
ISt Txeatnlent anomerCopy forrhe bui Mmg pemwfiles 77re T'reamwVCertifrcateshall
f praviderlie pra&wumd.Mmmy oftheapplwaror,time and dote offhe
R &cat ozmwmz&sire tommam area treorrA cher tkd used,pemea troncenwanon
-13 Dfiveway
andnumberofgaUaw users to establish a verifiable record of'protecove
�ry treame st. V&csogchemwd hamermcaod forrermse prevenmm awed.
i.i �TI�aL�#!�!t `�'snol c�teriorrrr, re�rt shat!bs ramplered prutr tafmal hau7ding apprx:vxr� - --
ate-t eat St lmdp-C91ML►rennires farce fing hmpeefien for CO,a Pe:mayrat
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Pflp c S"ickerto beplamd ontbtebcftkdp=A box cover,listing all the
E3 iaT=atment bwftmnftamt datm arailTru evens
LI Other .
U ISL T=atm Cent
D Peri eWr for Firbisgeetion
- - S�gttatnre ofe�`�i�tor -
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perp must,be a etmtpleted',f ardor each regp W b',eofirt w or=4�ea�ent and Ms form must be on
tke lob site to be pkked mp by tris hspecf0r of zfte of ew*hLTection orthe scheduded zaspcon Will
fail qnd a re-b pectfim fee charge&