1253 SELVA MARINA CIR RES19-0308 TermiteT
Sect
Comp
Zip:
Sect
Comp
Sect
Build
Type
Appro
Sect
Date(
Brand
Final
Linea
Total
Servi
Liqui
Liqui
Bora
Bait i
Note:
Attac
Comm
Name
Autho
C
This report is su
All contr
tion 1: Hom
pany Address:
tion 2: Build
pany Name:
tion 3: Prop
ding Permit No
of Constructio
oximate depth
tion 4: Treat
(s) of Treatmen
Name of Pro
mix solution:
r ft.:
gallons of term
ce agreement a
id treatment:
id final exterio
te treatment:
in lieu of pretre
: State laws req
chments (list):
ments:
e of applicator(
orized Signatur
Certificate
ubmitted for in
subterranea
racts for serv
meTeam Pest
Compa
der Informa
perty Inform
o.:
on:
of footing:
tment Infor
t:
duct(s) used:
miticide applie
vailable?
or treatment:
eat:
uire service ag
(s):
re:
of New C
nformation purp
n termite infes
vice are betw
t Defense
any Phone No.:
ation
mation
Slab
Out
rmation
d :
Yes
Yes
Yes
Yes
Yes
greement to be
Constructio
poses to the bu
station is requir
ween the pest
:
Location
Basemen
tside:
s
s
s
s
s
issued. This f
on Subter
ilder on (new)
red by the Flor
control oper
City:
Com
n of structure(s)
nt
Insid
EPA Registrat
Treatment are
Linear ft. of m
Total number
No
No
No
No
No
orm does not p
Date:
ranean Te
construction
ida Building C
rator and bu
:
Business L
pany Phone N
treated:
Crawl
e:
ion No.:
a sq. ft.:
asonry voids:
of termite bait
reempt State
Certificati
F
This buildin
for the pre
Treatment is
established
Agricultural
ermite Tre
cases where tre
ode, Section 1
uilder unless
License No.:
No.:
Other:
Type F
stations instal
law.
on No.:
inal:
g has received
vention of su
in accordanc
by the Flo
and Consume
Initial:
eatment
eatment for pre
104.2.6
otherwise sta
State:
ill:
lled:
9082-10/13
a complete tr
bterranean te
ce with rules an
rida Departm
r Services.
evention of
ated.
eatment
rmites.
d laws
ment of