HomeMy WebLinkAboutB4-1266 PEST RPT 7-23-04 FAX.PDFPAt--iE Ci j
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Dodson Bros. E,,xterm*
Inationg Co., Inc*
338 15th St, , SE, Hickory, NC 28602
P. 0, Box 2321, Hickory, NG 28603
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Fax #:
Attention,
Message,
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Phone #° (828) 322-2803
Fax #- (828) 322-4753
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No. Of Pages. ('""Ud"19 Cftef Sheet)
7 'T
"' PRIVILEGE AND CONFIL)ENTIALITY
The inforaratjotj in (UHs fac6tj�e fs inten(lpa for
n1formatiort, It YOU received this fa _ - 'he flarned recipe rats Only, it May contair
indicated above ()o -�Ot CS01fle in error, Please notify us Ptiv'1090d and confidvntja�
etis ve the contents to anyone thank yQ Ir"IedlatelY by a colic-ot telephone call to the number
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Vefslt3r, Date 21251104
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DODSON BROS. EXTERMINATING INC,
SOIL 7 R EATM ENT FORM
Name,., Date Sold C'Ontract #
Service Addmss Date Scheduled
JAN(1- T�ue
Home Phonc
wt Block Section Work Phone
Diivctions to property
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E='HGE it
lNS'f RUCTIONS, As the treatments are completed, the appropriate information below must be filled in.
INTERIOR
Vi FOOTERS/ PRIMARY SLAB GARAGE SLAB
HOLLOW BLOCK Y Floating/Supported 0 FWtingi.Supported
0 Monolithic 0 Monolithic
Meted
Date C�on4lp eled Date P-compi Ledmate Cc�m
EXTERIOR
LJ FOOTER$/ LJ PORCH(PS) LJ 13ACKFILL
HOLLOW BLOCK
Date Cornpleted Date Completed Date Conipletid
TREATMENT TI_ j PRODUCT AND GALLONS
DATE IN/OUT PRECENTAGE APPLIED APPLIED
PR Initial
z -C*f AP
Second
Final
Dursbari TC - EPA Reg # 62719-47
C0MNVvMNTS, List any conditions that will not'allow treatment to be completed,
I certify that th.is record is true and complete in every respect,
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0 DECK POSTS
MIMEM
TECHNICIAN
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Date