1912 N Sherry Dr Density/Termite — Jacksonville
9084 Davis Creek Road,Jacksonville,FL 32258 P:(904)880-0980 F:(904)880-0970
1 m N"ck
134 Newman Drive,Brunswick,GA 31520 P:(912)278-0085 F:(912)279-0088
ecslimited.com
Work Order#:
REPORT OF IN PLACE DENSITY RESIDENTIAL Project#:
Subdivision: 1-r / 7 +"t'r �H i^% '7Reported to: — Report#:
Gauge#:
Unit or Parcel: Location By: � ) Date Tested: - I -
Lot#Block: Contractor:
Sued Address: f>12 +_I�z-F� $N iR te7 City:
Method: Course:
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Material: }'' `-. '-,f+l Specific Requirements:
Pass/ Elev/ Base/LR/ Dry, Max.Dry %of Max Moist
Fait/ Location -Depth Asphalt/ Density Density* Density %
Retest - %Lift Thickness
�J 11 — 7 7 /-- ) y7 Z y L.
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z
1
*Soyrce of Proctor(Project#and/or Work Order#)
P_Test Meets Specification Requicemeats F-Test Fails To Meet Specification Requirements R-Retest
To Be Comoleted In Field ---------- -
�--� ;--------Standby Approval 1
Employee Name
Superintendent Printed Name
Time
Start/Stn Tmvel Suaadb Jobe \
i
Superintendent Signature
---------------------------------
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ECS-10(m.01/I8) whirecopy-freuse yellow copy-persorwl use Pink ondealdervod-diem use Page_/—
136 No"One Dave ❑5951 Arlington Ezpreasway
11■A_ 1 'T St.August.,FL32095 Jacksonville,FL 32211
\\//��+p1"�1 Buy U ■ pP►�5Vu ea,FL 32097 9 E.State Road 200 Jacksonv6972 ille,Fding L322441-877-BUG-UAUi
vC� SERVICE /tl{Jaccksonville Beach,FL 32250 Slitan7710 Jumper
FL 440 'vvww.Bug0u Service.com
TERMITE PRE-TREATMENT RECORD I CERTIFICATE OF COMPLETION
Bug Out Service,LLC 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 temnite protection agreement is
necessary for continued protection.
EG I Z SlGry4�Y Vie � Block
etty Address (street, city and state) Lot
If termite infestation should occur within one year from the date of treatment in this building, Bug Out will re-treat the
structure using the standards in effect at the time of re-treatment. The property owner shall have the option of extending
the limited warranty beyond the first year for no less than four addition years. If during the term of this guarantee,
additions or alterations are made which affect the structure and create new termite hazards or conducive conditions, or
interfere with the treatment method used, this warranty will become null and void.
Treatment Treatment
Soil Treatment: U Jc' C) chnician Record Date Record Time
Chemical Used Pre:'e
se Pre Other
Gallons applied� e ��p�plicmmd— ssure sprayed Soil rodded T
Square footage of soil area treated�--.— Linear ft.of Masonry Voids treated:
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 spamyed Gallons Applied
Baiting System: OSentricon
Product Used—Sentricon Colony Elimination SystemLinearFeet:— '
Monitoring System:
Product Used_Linear Feet:—
Builder: /y/"
By(Signature): Dale: 3 �tle:
White-Jab Site Canary-Company ecsu,r nnv� ma ,uBF407,07a414