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2001-2003 Park Street renovation 2010 Notice of Treatment Applicator: Al Complete Pest Coatrol Address. Sz o r " t ,r #'Cf FX City: " HN- 0 ' 4 9 Phone: 4 /Z9 . 7379* r Site Location: Subdivision Lot # Block # Permit # Address: 22 riA9 t t " 7 ' Product Used Active ingredient %o Concentration Premise Imidacioprid 0.1 % O Termidor, Fipronil 0.12% ❑ Bora -Care Disodium Octaborate Tetrahydrate 23.0% Type of Treatment: *Soil Wood Area Treated Square Feet Linear Feet Gallons Applied As per Florida Building Code 104.2.6, if soil chemical barrier method for '$ termite prevention is used, final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment, initial this line /2 /2//0 4/. 37c) Date Time Print echnic a 's Name Remarks: Applicator: White, Permit File Canary, Permit Holder: Pink