B08_SOW_Attachments_A-C_0001.pdf

Treatment Record Treatment Name :

LOCATION INFORMATION

BLM Project Name:

Location of Treatment Site:

Admin State: County:

BLM Field Office:

TREATMENT INFORMATION

Treatment Start

Date (ex: 2020-03-27)

Start Time (ex: 0800)

End Time (ex: 1600)

Temperature (F) Wind Speed

Wind Direction

Humidity

BLM PUP #

ex: WYP070-14-003-P

Sprayer Calibration Rate ex: (30) GALLONS/ACRE

Delivery Method

Estimated Acres Treated (ex. 200)

GALLONS

CHEMICAL BRAND(s) APPLIED - In formulated product units

CHEMICAL TRADE

NAME (ex: Roundup)

MANUFACTURER

(ex: MONSANTO, BASF)

EPA REG #

(ex: 524-475, CHEMICAL COMMON

NAME (ex: Glyphosate)

RATE OF APPLICATION - Liquid ex: 8 FLUID OUNCES PER ACRE, - Dry ex: 0.50 POUND PER ACRE

Distance to Water

Equipment

Used

Latitude: Longitude:

(ex: .45 )

Treatment Reason:

Treatment End Date (ex: 2020-03-29)

Mix Diluent

Equipment Sub Type

Treatment Subtype

Treatment Type

Treatment Activity

Chemical Agent Specific Type Name

Spray Pattern

Applicator Name

Applicator

LEID

Initial Treatment Code

Treatment Area Type Name

Soil Surface Moisture Type

Total Mix Applied (ex: 2 GALLONS)(ex: 4 GALLONS)

Diluent Volume Diluent Unit Of Measure

Of Measure Equipment Unit

RFQ 140L0623Q0016, Statement of Work Attachment A

SPECIES INFORMATION

SPECIES CODE

(ex: ACRE3)

SPECIES COMMON NAME

(ex. Russian Knapweed)

PLANT PHENOLOGY ESTIMATED PERCENT COVER

ADJUVANTS BRAND(s) APPLIED - In formulated product units

ADJUVANT

ADJUVANTS BRAND(s) APPLIED - In formulated product units

ADJUVANT BRAND NAME

((eex: Dx: DYYNNEE__AAMMIICC))

MMAANNUFUFACTURER

((eex: HEx: HELENLENAA CHEMICAL)

Rate of Application LiLiququiid d eexx: 2: 2 QUARQUARTTSS P PEERR AC ACRREE,, , 8 8 FFLLUID UID OOUNUNCCEESS P PEERR AC ACRREE,, 1 1 PPEERRCCEENNTT

S SOOLUTLUTIOIONN DDrryy e exx: 0.50 P: 0.50 POOUNUNDD P PEERR AC ACRREE,, 1 1 OOUUNNCCEE P PEERR AC ACRREE

Required

Standard Operating Procedures and Mitigation Measures for Applying Herbicides

Prepare an operational and spill contingency plan in advance of treatment. (SOP)

Conduct a pretreatment survey before applying herbicides. (SOP)

Avoid spraying during periods of adverse weather conditions (snow or rain imminent, fog or air turbulence). (SOP)

Take precaution to minimize drift by not applying herbicides when wind exceeds >6 mph, or a serious rainfall event is imminent. (SOP)

Use drift control agents and low volatile formulations. (SOP)

Conduct mixing and loading operations in an area where an accidental spill would not contaminate an aquatic body. (SOP)

Do not rinse spray tanks in or near water bodies. (SOP)

Use appropriate herbicide‐free buffer zones as provided in the Pesticide Use Proposal.

All loading or material transfer sites shall be at least 100 feet away from any perennial or intermittent stream or other water sources. (SOP)

Establish appropriate buffer zones specific for Federally listed or sensitive species. (MM)

Site specific analysis for roadside treatments should specifically consider that drainage ditches and structures may lead to streams with sensitive status species and treatments should be selected accordingly. (MM)

Impacts to wildlife from herbicide applications can be reduced by treating habitat during times when the animals are not present or are not breeding, migrating, or confined to localized areas (such as crucial winter range). (MM)

RFQ 140L0623Q0016, Statement of Work Attachment B

RFQ 140L0623Q0016, Statement of Work Attachment C

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Cronquists stickseed

LITTLE

VALLEY

SOURDOUGHKEENEY

CREEK

LITTLE

VALLEY

BC

T20S R43E

T19S R43ET19S R42E

05 04 03

282930

Dais y Basi n Road

Hoo Doo

Rock Spring

Little Valley

Little Sandy Reservoir

Vines Hill Perimeter Noxious_Weeds_Aerial_Herbicide_500 acres Allotment Pastures GTRN Roads

BLM

Private

No warranty is made by the Bureau of Land Management as to the accuracy, reliability, or completeness of these data of individual or aggregate use with other data.

Original data were complied from various sources.

This information may not meet National Map Accuracy Standards. This product was developed through digital means and may be updated without notificiation.

U.S. Department of Interior Bureau of Land Management

Vale District

Rush Skeletonweed Aerial Herbicide: P2YT Vines Hill ESR 2022 µ

0 0.3 0.60.15 Miles