HomeMy WebLinkAboutBLDR-10-09-1683 Termite Treatment Cert.JPG
NCDA&CS NEVN
s'rRUCTURAL PEST
CONSTRUCTION
CONTROL DIVISION << ;i
loal Nrsc TERMITE
alei;h. NC 27(199-1001
R
1 ` TREATNIEN'T
Ph. 919 733-6100
" - RECORD
Fax 919 733-0633
Pest Control Company Information
Sam Foust - Li c. 1797PW
Company TERMINIX SERVICE, INC
4321 Providence Mill Rd
Maiden, NC 2860
Pnonc No.
828-428-4380 828-428-0342
Property Description I Address
Loo or strut No.
14
;4ciliona Dcscrip[ion ~
* x * Main Residence
Soil Treatment Completion Record
Treatment site Datet Product % Amount
Footing trench
Adjacent to
foundation walls
interior
other
Soil beneath slabs:
Main floor slab
Garage carport
Storage room
Earth-filled slabs
Exterior completion:
Adjacent to
exterior
foundation walls _
Beneath
walkways /patios
etc.
ocher:
Baiting System Installation
Treatment site Date Product % # of
Stations
Wood "Treatment
Treatment site Date Product % _ Amount
Floor system f J'I v~
walls
R
Other
* Indicates the date of treatment of that element of construction.
THE ABOVE APPROVED NORTH CAROLINA STATE: FORM IS NOT
SUI,FICIENT FOR THE PURPOSE OF A REAL ESTATE SALE: OR CLOSING
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