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Standard Notice Of Work Completed And Not Completed

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STANDARD NOTICE OF WORK COMPLETED AND NOT COMPLETED

NOTICE - All recommendations may not have been completed - See below - Recommendations not completed.

This form is prescribed by the Structural Pest Control Board.

Building No.

Street

City

Zip

Date of Completion

Property Owner and/or Party of Interest:

Completion Sent To:

Ordered By:

The following recommendations on the above designated property, as outlined in Wood Destroying Pests and Organisms

Inspection Report dated

have been and/or have not been completed.

Recommendations completed by this firm that are in accordance with the Structural Pest Control Board's Rules and Regulations:

Recommendations completed by this firm that are considered secondary and substandard measures under Section 1992 of the Structural Pest Control Board's

Rules and Regulations including person requesting secondary measure:

Cost of work completed:

Cost: $

Inspection Fee: $

Other: $

Total: $

Recommendations not completed by this firm:

Estimated Cost $

Remarks:

Signature

You are entitled to obtain copies of all reports and completion notices on this property reported to the Board during the preceding two years upon payment of a

search fee to: Structural Pest Control Board, 2005 Evergreen Street, Suite 1500, Sacramento, California, 95815.

NOTE: Questions or problems concerning the above report should be directed to the manager of this company. Unresolved questions or problems with services

performed may be directed to the Structural Pest Control Board at (916) 561-8708, (800) 737-8188 or 43M-44 (Rev.10/01)