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�� 5951 Arlington Expressway
* Sur. Jacksonville, Florida 32211
SERVICE Phone 904-743-8272
bugoutservice.com Toll Free 1-877-BUG-U-OUT
TERMITE TREATMENT RECORD
Bug Out Service,Inc. verifies to the Builder,Building Inspector,Homeowner,and Lending Institution,in compliance
with Florida State Law (Chapter 482-226),this building has received a complete treatment for the prevention of
subterranean termites.Treatment is in accordance with the rules and laws established by the Florida Department of
Agriculture and Consumer Services.An annual inspection and renewal of the annual termite protection contract is
necessary for continued protection.
Location of Pfoperty(Street Address,�ityState) Lot Block
If termite infestation should occur within one year from the date of treatment in this building,Bug Out will retreat the
structure using the standards in effect at the time of retreatment.The property owner shall have the option of extending
the limited warranty beyond the first year for no less than four additional years.If during the term of this guarantee,
additions or alterations are made which affect the structure and create new termite hazards,or interfere with the
treatment method used,this guarantee will become null and void.
Technician Treatment Treatment
Soil Treatment: Record Date Record Time
Chemical Used: emuse Pre Other centration:0.5%
application: suresprayed of rodded
Gallons applied: ethod of pp _ ��
Square footage of soil area treated: Linear ft.o asonry Voids treated: Z ,7
Tubs and Traps
Final Soil Treatment:
Wood Treatment:
Chemical Used:_Bora-Care Concentration 1:1 Solution
Framing area treated: 24 inch barrier treatment
Method of Application: Pressure sprayed Gallons Applied
Baiting System: 8 Sentricon"
Product Used: Sentricon Colony Elimination System Linear Feet: C.1my Elimination System
Monitoring System:
Product Used: Linear Feet:
Builder:
By(Signature): Date: Title:
White-Job Site Canary-Job Site Pink-Bug Out
Reorder from Rush to Excellence
904-367-0100 Form#4045 Rev 02/17/12