Soil Pre-Treatment Electronic Tag for Final Grade Treatments Example
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NOTICE:
This form can only be used if the green final grade tag cannot be placed in an external electrical box.
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*Pest Control Company Name:
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| *Date of Application: |
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*Builder's Name:
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| *Subdivision Name: |
(i.e. Willow Springs @ Sloan) |
| *Property Address / Location |
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| *City: |
State: Nevada |
| *Zip Code: |
(i.e. 89142 or 89142-0000) |
| *Chemical Used: |
(i.e. Demon TC) |
| *Use Dilution (% Applied): |
(i.e. 0.25) |
| *Gallons Applied: |
(i.e. 165) |
| *Full Name of Applicator: |
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Additional Information
(choose only one):
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| If you have selected "other" above please explain: |
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| For Agriculture use only: |
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