Form Cl-100 - Official South Carolina Wood Infestation Report

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OFFICIAL SOUTH CAROLINA WOOD INFESTATION REPORT

Date:

_ File #:

THIS REPORT IS VALID FOR 30 DAYS ONLY. THIS REPORT IS NOT A GUARANTEE OR WARRANTY AGAINST FUTURE INFESTATION OR DAMAGE. IT IS

RECOMMENDED BY THE DEPARTMENT OF PESTICIDE REGULATION THAT THE PURCHASER OF THE STRUCTURE, RATHER THAN THE SELLER, OBTAIN

THIS WOOD INFESTATION REPORT.

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This is to report that a qualified inspector employed by the below named firm has carefully inspected accessible areas, including

attics and crawl spaces which permit entry, of the property located at the below address for termites, other wood-destroying organisms, and

wood-destroying fungi. The inspection for the presence of wood-destroying fungi is only required to the level below the first main floor as

defined in Section 27-1085 K(3)(f) of the Rules and Regulations for the Enforcement of the South Carolina Pesticide Control Act. This report

specifically excludes hidden areas, areas not readily accessible, and the undersigned pest control operator disclaims that he has made any

inspections of such hidden areas or of such areas not readily accessible.

The inspection described has been made on the basis of visible evidence, and special attention was given to those accessible

areas which experience has shown to be particularly susceptible to attack by wood-destroying organisms. Probing and/or sounding of those

areas and other visible and accessible wood members showing evidence of infestation was performed. This report is submitted without

warranty, guarantee, or representation as to concealed evidence of infestation or damage or as to future infestation.

If there is evidence of active infestation or past infestation of termites and/or other wood-destroying organisms or fungi, it must be

assumed that there is some damage to the building caused by this infestation; however, any visible damage to a wood member in

accessible areas has been reported. The below-named firm’s inspectors are not engineers or builders, and you may wish to call a qualified

engineer, licensed contractor, or expert in the building trade to provide their opinion as to whether there is structural damage to this property.

LOCATION AND DESCRIPTION OF PROPERTY INSPECTED:

If any of the following items are marked YES, describe on the reverse side of this page.

Were any areas of the property obstructed or inaccessible?

YES

Infestation:

Active Infestation

Previous Infestation

There is visible evidence of:

YES

Subterranean termites

b. Drywood termites

Old house borers

d. Powder post beetles

Other wood-destroying insects

YES

There is visible evidence of prior subterranean termite treatment

There is evidence below the first main floor of the presence of

YES

Active wood-destroying fungi (wood moisture content ≥ 28%)

YES

b. Non-active wood-destroying fungi (wood moisture content < 28%)

There is evidence of the presence of excessive moisture conditions below

the first main floor (20% or above wood moisture content, standing water, etc.) YES

Wood moisture content of the wooden substructure ranged from _______% to _______%

Damage: Termite, other wood-destroying insects and fungi (Note: reporting of fungi damage to wood, commonly called water

damage, decay or rot, is limited to the area below the first main floor of the structure as defined in 27-1085 K(3)(f) SCRR.)

At the time of our inspection, there were visibly damaged wooden members (e.g. insect

damage to columns, sills, joists, plates, door jambs, headers, exterior stairs, porches,

or fungi damage below the first main floor)

YES

If the answer is YES, specify causes and location(s) on back.

Damage Observed: Damage must be disclosed even if repairs are deemed unnecessary. If visible evidence of active or previous infestation

caused by any wood-destroying organism is reported, it must be assumed that some degree of damage is present. Said damage and

location(s) must be described on the reverse side of this report. It is recommended that evaluation of damage and any corrections be

performed by a licensed contractor or structural engineer approved by the purchaser.

Treatment:

Check appropriate box

1. The property described was treated by us for the prevention or control of

wood-destroying organism for which treatment was made

date of treatment

2. An Official Waiver of Standards Form (subterranean termite treatment) has been issued. [NOTE: a signed

copy must be attached to this report]

3. The property is covered by a warranty associated with the above treatment. The purchaser should

contact the company regarding information required to transfer the warranty.

4. The property described has not been treated by us for any wood-destroying organisms.

See other side of this report for additional conditions governing this report. CL-100 Approved by the South Carolina Pest Control Association, Inc., and the Division of

FORM CL-100

Regulatory and Public Service Programs of Clemson University

Revised 9/12 (supersedes earlier versions)