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1600 Selva Marine Drive 16-FOUND-1330 (Foundation) .AIAPOt SERVICE INVOICE PEST CONTROL INC BUILDERPO# 1-800-929-BUGS APEX ACCOUNTAMOUNT Notice of Preventative Treatment for Termites (as required by Florida Building Code (FBC) 105.10) 1 Treatment Address or Lot/Block/Unit of Treatment Applicator �,�/b ' Time �r Date , ' ^ F,., Chemical Used(active ingredient) Number of Gallons Applied ti Product Used Percent Concentration ' Area Treated(square feet) j _.,. . . / S Linear Feet Treated I I Stage of Treatment(HoriZOHtal,Vertical,Adjoining Slab,Retreat of Disturbed Area) As per 104.2.6—If soil treatment halllbarrier method for be completed prior to termite build ng ppro ad'final exterior If this notice is for the final exterior treatment, initial and date this line. AP.SNO4 06111 Reorder MBF 407-657-7414 . .k..,.,. �_. -.. , .. .. EA Ellis&Associates kic. Corporate 70M Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970 MgGroup of Companies Branch Location: Brunswick: 134 Newman Drive,Brunswick,GA 31520 P:(912)279-0085 F:(912)279-0086 Geotechnical•Construction Materials•Environmental•Facilities Daytona: 2706 S.Ridgewood Ave.,Suite 2 P:(386)944-9588 F:(386)944-9589 South Daytona,FL 32119 ellisassoc.com Report of In-Place Density (Asphalt or Soil) Tests or Coring for Thickness (Circle One) Project: Contractor: Method: Work Order#: Reported To: Location by: Project#: Location: Report#: Material: - _Course: } 4 i Gauge#: Date Tested: Spec.Requirements: , Pass/ Elev/ Base/LR/ Dr Max. % of Moist Fail/ Location Depth/ Asphalt Lift Thickness Density Densit >x Densit % Retest 11111111.111 ill t allrl *Source of Proctor (Project# and/or Work Order#) P-Test Meets Specification Requirements F-Test Fails To Meet Specification Requirements R- Retest To Be Completed In Field Standby Approval Employee Name r Superintendent Printed Name Time Start/Stop Travel Standby Job Superintendent Signature 1 (Office use) EA-03(rev.04/16) white copy-office use yellow copy-personal use pink and goldenrod-client use Page_of_ , / \ ? ƒ cc = \ -0 ( ? 7 = c 0 § 2 ] # \ \ \ \ \ •. o \ / \ zE q C) nJ 0) ? k .. 0 0 , a o r ] c > 2 ƒ § q 3 R m m 0 / \ E G B ° k co \ 7 / 1c o0 ® m ° E12 " CD / 0 E ° o \ a g / a E c / > X 2 - o ° _ ƒ \ O \ $ > n C co / co 0 \ ƒEi / o co z H m m m \ ± 5 _ > 0 \ / \ \ \ > / ƒ K , o 0 m > > < 2 > e r 2 > / 7 m © 0 0 c 2 ca $ 9q H o 0 ] z 7 ; / > H f 7 > = s 2 2 0 7.1 / -_i o 7J m \ \ m 0 ( 0 / •z mr @ G co O r 0 0 C zz C \ a. \ \ / ] - 0 3 0 0 = t 0 / } 7 6 6 \ Co CA f / C a. 3 k = ® 0 } { R / 54 73 / \ { 12 11 -0 0 0 0 0 0 = _ _ 0 0 0 7J c § § _ z = E / / } m e m F CD 0 0 0 G 0 CO 0 CO C co ƒ ƒ f Ui N) k 0 0 o o _ _ = f & - 0. ` \ e m m / ƒ \ / ƒ 2 2 $ \ / / 0 0 0 — — — a A a A < ƒ ¥ 0 Q1 N) No 0 x 0 = ¥ 7 - - 7 c > J ƒ / $ N) m �� < ƒ \\ 1 ¥