2021 Selva Madera Ct slab information LEGACY LEGACY ENGINEERING,INC
6424 BEACH BOULEVARD
JACKSONVILLE,FL 32216`1" +Y�G –JZ, J10
ENGINEERING, INC 9oy-721-1100 OFFICE ProjectNo.:
904-722-1100 FAX Report No.:
Geotechnical&Materiels Engineering and Testing page of Lab No.:
Report of In-Place Density(Asphalt or(so") Tests or Coring for Thickness(--circle one--)
Project:
Contractor. Method:
Reported To: i N S i 7/7 7 %i Location by:
Location: Course:
Material: Spec, Requirements: XCI
Date Tested:
Pass/ Location Elev/ Base/LR/ Dry Max. %of Moist
Fail/ Depth/ Asphalt Density Dry Max %
Retest Lift Thickness Density* Den
( 93. '- 5 Z
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Source of ProctorNumbe
Pro�ect r
( 1 )
P-Test Meets Specification Requirements F- Test Fails To Meet Specification Requirements R- Retest
To Be Completed In Field
Employee Name ❑-Standby Time from to Total
Billing Comments B-Job Time ftnf=to=Tmal: _5
_ Trip Charge(Job Canceled) B-Travel Time femg__�r_mq,r ,. Total: 7S (T-i-b)
Out of Town Mobilization 0-Travel Time from m Total: (From Job)
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Total Nouns:_25
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BUG OUT 5951 Arlington Expressway
* Jacksonville, Florida 32211
SER V1 CH Phone 904-743-8272
bugoutservice.com Toll Free 1-877-BUG-U-OUT
TERMITE TREATMENT RECORD / CERTIFICATE OF COMPLETION
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 Prcpert�treeSr tAddres r an tote Lot 2 Bloek
If termite infestation should occur within one yew 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 tern 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.
Soil Treatment: vs/J Teoanmfaa Tfeatment Treatment
R.MWW R�damre
Chemical Used: Remise Pre_Other T�Ccen on:0.5%
Gallons applied: Mefhod of Gcation:k Pressrun spray%_Soil rodded
Square footage of soil area treated: �inearfr:-ofiof5sonry voids treated:
Ibbs and Traps
Final Soil Treatment:
Wood Treatment:
Chemical Used:_Bora-Cate Concentration 1:1 Solution
Fuming area treated:_24 inch bamertteatment
Method of Application:_Pressure sprayed Gallons Applied
Baiting System: QSerdricon.
Product Used:_Sentrlcon Colony Elimination System—Linear Feet:_ —. -a°^aeamn
Monitoring System:
Product Used: Linear Feet:
Builder. r
'1 , f
By(Signature} �5�/, ;((\ —�/ Dale:
White-Job Site Canary-Bug Out
Reorder from Rush to Excellence
04
9 -387-0100 Form#4045 Rev 0&14
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