Did you know that the WDIir Arizona Form is a great way to keep track of your business expenses? This form allows you to document all of your business-related deductions, so you can easily file your taxes each year. Plus, it's a great tool for monitoring your progress and making sure you're on track with your business goals.
You will discover more details concerning the wdiir arizona form by looking through the table we put together.
Question | Answer |
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Form Name | Wdiir Arizona Form |
Form Length | 9 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 2 min 15 sec |
Other names | OPM, OfficeStrikeForceService, wdiir, 2011 |
STRIKE FORCE Pest & Termite Control, Inc.
TERMITE INSPECTION REPORT/ WDIIR*
OPM License Number 5440
480.922.8800 (Phoenix) | 520.413.5439 (Tucson) | 928.277.1226 (Northern AZ) | 866.902.1546 (Fax)
Office@StrikeForceService.com | www.StrikeForceService.com
Property Address:
123 E MAIN STREET, PHOENIX, AZ 85009
Inspector: Jimmy Norton | License Number: 123 | Date of Inspection: March 17, 2011
©2011 STRIKE FORCE Pest & Termite Control, Inc.
Table of Contents
Thank You Letter |
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Supporting Photos |
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Termite Treatment Proposal |
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Explanation of Codes for WDIIR |
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OPM License Number 5440
480.922.8800 (Phoenix) | 520.413.5439 (Tucson) | 928.277.1226 (Northern AZ) | 866.902.1546 (Fax)
Office@StrikeForceService.com | www.StrikeForceService.com
Thank You!
March 17, 2011
MR SMITH
123 E MAIN STREET Phoenix, AZ 85009
Thank you for choosing STRIKE FORCE Pest and Termite Control, Inc to inspect your property. Evidence of SUBTERRANEAN TERMITES (SU) were found, and therefore we have included a estimate for $614. This proposal includes treating termites, a preventative barrier around the exterior stem wall of the home, as well as a 1 year renewable warranty for SUBTERRANEAN TERMITES (SU).
STRIKE FORCE offers over 34 years of termite inspection and treatment experience throughout the State of Arizona. We strive to exceed our customers' expectations by respecting your home and business, and by protecting it.
We look forward to serving you!
Jimmy Norton
President
OPM License Number 5440
480.922.8800 (Phoenix) | 520.413.5439 (Tucson) | 928.277.1226 (Northern AZ) | 866.902.1546 (Fax)
Office@StrikeForceService.com | www.StrikeForceService.com
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1A. VA/HUD/FHA CASE # |
DATE OF INSPECTION |
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3/17/2011 |
1B. |
ORIGINAL REPORT |
1D. WDIIR # |
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ADDITIONAL INFORMATION OF THIS PROPERTY MAY BE AVAILABLE FROM |
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SUPPLEMENTAL REPORT |
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OFFICE OF PEST MANAGEMENT, 9535 E. Doubletree Ranch Road, Scottsdale, |
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1C. |
SALE |
REFINANCE |
1E. TARF # |
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Arizona |
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OTHER |
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NOTE: Pursuant to:
2.READ CAREFULLY PRIOR TO COMPLETING THIS OFFICE OF PEST MANAGEMENT (OPM) FORM
1.The VA or HUD/FHA case number shall be inserted in Item 1A by the lender or by the pest control company.
2.Areas that were inaccessible or obstructed (Item 7) may include, but are not limited to, wall coverings, fixed ceilings, floor coverings, furniture, or stored articles. In Item 7, the Inspector shall list those obstructions or areas which inhibit the inspection.
3.Item 8A alone is checked when evidence/insects are found but no control measures are performed. Items 8A and 8C are checked when evidence/insects are found AND control measures are performed.
4.When visible evidence if observed,
5.When treatment is indicated in Item 8C, the insects treated shall be named and the date of treatment indicated. The application method and chemicals used shall be entered in Item 10. Proper control measures may include issuance of warranty. Warranty information shall also be entered in Item 10. (Proper control measures are those which are allowed by OPM Statute/Rule, or the label for the chemical used).
6.Visible evidence of conditions conducive to infestation from
7.All supplemental reports shall be completed within (30) days of the date of the original report.
3A. NAME OF INSPECTION COMPANY |
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5A. NAME OF PROPERTY OWNER/SELLER |
STRIKE FORCE PEST AND TERMITE CONTROL, INC |
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MR SMITH |
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3B. ADDRESS OF INSPECTION COMPANY (Street, City, ZIP) |
5B. PROPERTY ADDRESS |
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P.O. BOX 3803, SCOTTSDALE, AZ 85271 |
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123 E MAIN STREET, PHOENIX 85009 |
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3C. TELEPHONE NUMBER (Include Area Code) |
4. BUSINESS LICENSE # |
6A. INSPECTED STRUCTURES |
5440 |
HOUSE |
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6B. LIST ALL |
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N/A |
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7.THIS INSPECTION DOES NOT INCLUDE THE FOLLOWING LISTED AREAS WHICH ARE OBSTRUCTED OR INACCESSIBLE . (See also Item 19, Page 2.) SEE PAGE 2, ITEM 19
8.BASED ON THE INSPECTOR'S VISUAL INSPECTION OF THE READILY ACCESSIBLE AREAS OF THE PROPERTY . (See Section (11) before completing): A. Visible evidence of
Describe evidence observed: SUBTERRANEAN TERMITES (SU), SEE GRAPH
Type of
B. No visible evidence of infestation from
C. Visible evidence of infestation as noted in 8A. Proper control measured were performed on (date):
D. Visible damage due to SUBTERRANEAN TERMITES (SU) |
was observed in the following areas: SEE GRAPH. |
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E. Visible evidence of previous treatment was observed. List evidence. (See also Item 20, page 2):
9.DAMAGE OBSERVED, IF ANY
A. Will be or has been corrected by this company. B. Will not be corrected by this company.
C. It is recommended that noted damage be evaluated by a licensed structural contractor for any necessary repairs to be made.
10.ADDITIONAL COMMENTS (ALSO SEE PAGE 2.) FRESH PAINT, ENCLOSED EAVES
(Number of additional attachments to this report.) |
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11.STATEMENT OF INSPECTOR
A.The inspection covered the readily accessible areas of the above listed structures, including attics and crawl spaces which permitted entry.
B.Special attention was given to those areas which experience has shown to be particularly susceptible to attack by
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D.The inspection did not include areas which were obstructed or inaccessible at the time of inspection.
E.Neither I, nor the company for which I am acting, have had, presently have, or contemplate having any interest in this property. I do further state that neither I, not the company for which I am acting, is associated in any way with any party to this transaction.
12A. SIGNATURE OF INSPECTOR |
12B. INSPECTOR'S LICENSE NUMBER |
12C. DATE |
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JIMMY NORTON [123] |
3/17/2011 |
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STATEMENT OF PURCHASER
I HAVE RECEIVED THE ORIGINAL, OR A LEGIBLE COPY, OF THIS FORM AND HAVE READ PAGE (1, 2, & 3) OF THIS FORM.
I UNDERSTAND THAT THIS IS NOT A STRUCTURAL DAMAGE, FUNGI/MOLD REPORT, OR A WARRANTY AS TO THE ABSENCE OF WOOD- DESTROYING INSECTS AND I CAN CONSIDER ASSESSMENT BY A LICENSED STRUCTURAL CONTRACTOR OR FUNGI/MOLD INSPECTOR FOR ANY STRUCTURAL DAMAGE OR FUNGI/MOLD CONCERN.
13. SIGNATURE OF PURCHASER
14. DATE
FORM/WOOD DESTROYING INSECT INSPECTION REPORT/REVISED 11/18/08 DSVSR\VC
Page 1
PROPERTY NAME/ADDRESS |
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DATE OF INSPECTION |
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123 E MAIN STREET, PHOENIX 85009 |
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3/17/2011 |
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AT THE TIME OF THE INSPECTION THE PROPERTY WAS: |
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Vacant |
Occupied |
Unfurnished |
Furnished |
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CONDITIONS CONDUCIVE TO INFESTATION |
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15. WOOD TO EARTH CONTACT (EC) |
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NO |
(If YES, check mark and explain conditions conducive) |
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Fence Abutting Structure |
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Pier Posts |
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Plants/Trees Contacting Structure |
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Concrete Foam Boards |
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Porch Stairs |
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Other |
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Porch Post |
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Trellis |
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Comments: |
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SEE GRAPH. |
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16. EXCESSIVE CELLULOSE DEBRIS (CD) |
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(If YES, check mark and explain conditions conducive) |
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Comments: |
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17. FAULTY GRADES (FG) |
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(If YES, check mark and explain conditions conducive) |
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Evidence of surface water draining toward house |
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Stucco at or below grade |
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Floor level or planters at below grade |
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Joists in crawl space less thatn 18" above grade |
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Wood siding below grade |
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Other |
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Comments: |
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SUNKEN FLOOR, COMMON ITEM IN THIS AREA, SEE GRAPH. |
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18. EXCESSIVE MOISTURE (EM) |
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Standing Water |
Water Damage |
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Bath/Shower/Toilet Leaking |
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Inadequate Ventilation |
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Sprinklers Hitting Structure |
Water Stain |
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Plumbing Leaks |
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Other |
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Crawl Space/Water Leaking |
Improper Condensate Drainage |
Attic/Roof Leak |
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Comments: |
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SEE GRAPH. |
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19. INACCESSIBLE AREAS (IA) |
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(If YES, check mark and explain) |
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Attic - All |
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Floors |
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Sub/Crawl Space Area - Clearance |
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Attic - Joists |
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Wall Interiors |
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Sub Area/Crawl Space No Access |
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Attic - Partial |
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Enclosed Staiwell |
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Areas Obstructed By Furniture Or Stored Articles |
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Plumbing Traps |
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Dropped Ceilings |
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Other SEE BELOW. |
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Comments: |
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AREAS COVERED BY
20. EVIDENCE OF PREVIOUS TREATMENT
BY ANOTHER COMPANY: While evidence of previous treatment does exist, it is impossible for the inspecting company to ascertain if such treatment was properly performed. Further investigation is left to the Buyer's discretion to determine if such treatment was done properly and if a valid warranty exists against the target pest of such treatment.
BY THE INSPECTING COMPANY: Previous treatment is recorded for this property. At the Buyer's discretion, treatment records can be viewed at the inpecting company's local office with the property owner's permission.
Account Number:___________________________ Date of Initial Treatment:___________________________ Target Pest:
Warranty Expiration Date:___________________________ Other:
Pest Control Inspector's Additional Comments
FORM/WOOD DESTROYING INSECT INSPECTION REPORT/REVISED 11/18/08 DSVSR\VC
Page 2
PROPERTY NAME/ADDRESS
123 E MAIN STREET, PHOENIX 85009
DATE OF INSPECTION 3/17/2011
GRAPH OF STRUCTURE(S)
(Note: Graph Not To Scale)
PURSUANT TO:
ITEMS WHICH ARE CHECK ( ) MARKED BELOW
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CODE |
SEE GRAPH PAGE (3) |
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CODE |
SEE GRAPH PAGE (3) |
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CODE |
SEE GRAPH PAGE (3) |
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CODE |
SEE GRAPH PAGE (3) |
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SU Subterranean Termites |
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OW Other Wood Destroying Insects(*) |
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OB Obstructions |
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WD Water Damage |
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DR Drywood Termites |
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FG Faulty Grade |
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IA Inaccessible Areas |
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WS Water Stains |
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DA Dampwood Termites |
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EC Wood To Earth Contact |
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IV Inadequate Ventilation |
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RL Roof Leaks |
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BE Wood Destroying Beetles |
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CD Cellulose Debris |
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PL Plumbing Leaks |
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EM Excessive Moisture |
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CA Carpenter Ants |
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PA Plantings Abutting Structure |
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SP Sprinkler Hitting Structure |
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FI Further Inspection Needed |
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(*) Other Wood Destroying Insects
FORM/WOOD DESTROYING INSECT INSPECTION REPORT/REVISED 11/18/08 DSVSR\VC
Page 3
NOTES: BAIT AND MONITORRING STATIONS |
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NOTES: |
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NOTES: FG/PLANTER |
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NOTES: SUBTERRANEAN TERMITES AT EXTERIOR OF |
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HOME |
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TERMITE PROPOSAL |
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STRIKE FORCE |
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Name |
MR SMITH |
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Pest & Termite Control, Inc |
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Address |
123 E MAIN STREET |
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P.O. Box 3803, Scottsdale, AZ 85271 |
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Phoenix, AZ 85009 |
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P: 480.922.8800 (Phoenix) |
Phone |
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P: 520.413.5439 (Tucson) |
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Details |
4139 sq ft |
House |
Condo |
Mobile |
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P: 928.277.1226 (Northern AZ) |
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1 Story |
2 Story |
Basement |
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F: 866.902.1546 |
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office@strikeforceservice.com |
Date |
March 21, 2011 |
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www.StrikeForceService.com |
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Inspector |
Jimmy Norton |
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Cert. # 930242 |
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License Number 5440
Signature
TREATMENT TYPE |
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TARGET PEST |
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Corrective Preventative Estimate
Treat active areas
Trench and treat exterior/rodding
Treat control joints exterior
Foam plumbing voids
Down drill garage
Down drill exterior slab/patios
Treat crawl space
Stem drill structure
Mobile home treatment
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COST |
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Treatment |
$614 |
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No warranty |
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6 month warranty |
included |
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1 year warranty |
included |
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Additional |
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Total |
$614 |
Subterannean Termites |
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Drywood Termites |
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Carpenter Ants |
Other |
Carpenter Bees |
____________________ |
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TERMITICIDE |
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Prothor SC2 |
Premise Foam |
Termidor SC |
Other |
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____________________ |
NOTICE TO SIGNER
You are entitled to a copy of this proposal
You have read all pages of this proposal
You may cancel this agreement at any time up to the date of treatment
Customer Signature |
Date |
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Explanation of codes for WDIIR
(SU) Subterranean termites, (DR) Drywood termites, (DA) Damp Wood termites, (BE) Wood destroying beetle, (CA) Carpenter Ants,
and (OW) Wood destroying insects; these are marked if evidence is found during the inspection. Evidence is; termites and/or other wood destroying insects, tubes, stains from tubes, and damage from insect. As per the OPM (Office of Pest Management) "8A will need to be marked even if the observed evidence is deemed from past activity."
(FG) Faulty Grades exist if the exterior grade is at or above the interior slab or wood floor level. examples include; slopes where water drains or stands next to the foundation, basement, sunken floors/sunken rooms, wood or stucco at or below the grade, high rock/dirt levels, wood siding and raised planters against a house. A lot of these calls tend to be related to common building features of the home.
(EC) Earth to wood contact involves wood that is part of the structure or is attached/secured to the structure and is in contact with the ground. examples include; wood fences, form boards, trellis/lattice, support posts, and trees, shrubs, plants planters, and weeds.
(PA) Plantings abbuting the home; trees, plants, shrubs, cactus, weeds, vines, ect. that are touching the structure. Frequently these are common landscaping items around a home that brush up next to or go up the side of a home. A common call on most termite reports.
(OB) Obstructions, this call is used when items are in the way of the inspection. Examples are; clothes in closets, furniture, storage boxes in garages, stored items in attic or crawl space. this is a common call for occupied homes. Occupants have clothes, personal items, furnishings, cars, etc. in home.
(IA) Inaccessible Areas, this call does not necessarily mean the home was inaccessible. this code is used on all homes due to various inaccessible areas in the home. To see those areas, see page 2, number 19 of the WDIIR (Termite Report). The most common examples are; not being able to see through, around and or under the insulation in the attic, see the interior of walls, see around plumbing/plumbing traps, piles of debris (pavers or bricks) up against a home, inspect under floor coverings, inspect the interior of inclosed stairways, inspect in crawl spaces with obstructions, low clearance, or no access. Home with the interior inaccessable will still be inspected on the exterior. the interior of the graph will show (IA/FI) See page 1, number 10, as to why the interior was inaccessible. Common reasons are; no key in lock box, wrong CBS code, no one home to open home, dog loose on interior. When access to home is available, please contact our office. We will be happy to schedule a supplemental inspection.
(EM) Excessive Moisture includes these calls (PL) plumbing leaks, (SD) sprinkler hitting the structure, (WD) water damage and /or dry
rot, (WS) water stais, and (RL) roof leaks. Excessive moisture exists if there is moisture or evidence of moisture around the home. As per the OPM (Office of Pest Management), "this would include moisture sources, which are currently not moist." Examples would include, but not limited to: common water stain and/or dry rot on structure. common locations are patio covers, roof eaves, under sinks, around water heater, water softeners, ceilings, water stains on floor of home/garage/sheds, ect.
(FI) Further Inspection used when a further inspection is needed or recommended. Here are some of the most common reasons; No access to the interior of the home. Locked room/closet/garage/sheds. The garage is inaccessible or partially inaccessible due to stored items, dog(s) present in all and /or part of the home.
A Note About A Termite Treatment Proposal, If Applicable
Prior to treatment, we will do a full inspection to make sure nothing has changed since the last inspection. we will treat the active areas with Termidor and/or a private brand of Premise (these materials are considered by our industry as top of the line). When treating the active areas, we will foam, trench and treat, and/or drill those areas. Depending on the surfaces, the best method will be determined by the state certified technician at the time of service. We will then do a complete perimeter inspection. We will trench and treat the exterior of the property. This part of the treatment does two things; it reestablishes a termite barrier in the areas of the home that are historically the most vulnerable to termite infestations, and it also, allows us to put the whole house under a full home warranty. This warranty is one year long, and is renewable annually. See proposal for details.
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