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NEW CONSTRUCTION- SOIL TREATMENT CERTIFICATE <br /> For dre Preventron ojSrrbterraxean Termites (As rcquired by Florida Building Code (FBC) 104.2.6) <br /> Chemical and Concentration <br /> . r _ <br /> Product: Fremise .OS% (Imidacloprid)".. � Bora Care 23% (Disodium Octaborate Tetrahydrate) <br /> (Other Chemicals: ) <br /> Builder Name: ; ' � ` F °��" s =` -'� Permit #: Customer #: <br /> Address: �s�' "� `- , t:r; � ; ' Lot '`A� ' ;�� �'Block <br /> Dart Ttnre Sq. Feer Liaear F� Callons Soil Treatments <br /> Pe <br /> � � ` ° . i M. �:' `'" � '� �oundation <br /> Re-Treatment <br /> Dri��e�vay, Pads & Patios <br /> Pool Deck <br /> • Final Pcrimcter <br /> Applicator ` " ` ' <br /> � Tri-S Pest Contro! Service State License #: 2008 <br /> 802 fY. IYaters Avenue <br /> Tampa, F/vrida 33604 Pl�o�ie: (813) 93b-5850 <br /> - As per 10�1.6 - If soil chemicai b�rtier method for trcatment pre��ention is used, �n�l exterior tmatment shall be completed prior to finai building approval. <br /> _ * If this noticc is for thc fin�l ezterior treatment, rnilia!'and dRte lliis line � `� *:' <br /> � ' • Lritial Date <br /> Tri-,S Pest Control Service <br /> 802 W. Waters Avenue <br /> Tampa, Florida 33604-2946 <br /> (813) 936-5850 ! <br /> Addr+ess lnspect+ed or Treatod: ��� �� v� 5� pr. <br /> lnspected on for Wood Destcoying Org,anisms <br /> Diste <br /> Tteated on V � y�U fot: (Cfirc�E a!! apprqxia�e �reah»rnt�) <br /> II�e <br /> � SoM�erranqm Tccmites _ Drywood Termites <br /> _ Wood Bores _ Moisdue Cantroi <br /> : _ Powder Post Beetle � _ Othtr <br /> Inspectors Name:__�J iCUP./� - <br />