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<br />NEW CONSTRUCTION - SOIL TREATMENT CERTlFICA TE <br />.~ For tpe Prevention of Subterranean Termites <br />Product: . ~{P (!Me.-- j) 0m.fJ1J. <br /> <br />BUil~er Nam~p~~tJ <br />Address: :)7"1[/ .J)tp~ ~ /d4 t""'5Yd, Lot <br /> <br />Date <br /> <br />Time <br /> <br />Sq. Feet <br /> <br /> <br /> <br />i!- . ' /J~ pffl, <br /> <br />Applicator: <br /> <br />Boltin Pest Control, Inc. <br />15534 US 301 <br />Dade City, Florida 33523 <br /> <br />Phnno' (~~?\ ~~7 ')'),-,. <br /> <br />" <br /> <br />Customer #: <br /> <br />i/BtJ "k/{! <br /> <br />Block <br /> <br />Gallons <br /> <br />Soil Treatments <br /> <br />I~ <br /> <br />Foundation <br />Re-Treatment <br />Driveway, Pads & Patios <br />6lb Final Perimeter <br /> <br /> <br />State lic.# JB443 <br />