A06_PAR_Template.pdf

PDF 181 KB Posted

Attached to
ELKO FALL HERBICIDE TREATMENT Federal contract opportunity
Solicitation number
140L3924Q0098
Issued by
Department of the Interior Bureau of Land Management Nevada Region

About this file

This document is a Pesticide Application Record (PAR) template for the Bureau of Land Management (BLM) Elko District. It provides a standardized format for recording details related to pesticide application, including general information, treatment details, chemical and adjuvant usage, and species information. The template requires completion within 24 hours of application and retention for a minimum of 10 years. It covers details such as the application date, time, weather conditions, sprayer calibration, chemicals and adjuvants applied (including trade names, EPA registration numbers, and application rates), and specifics on the target species, including common name and phenology. This PAR template is associated with the federal contract opportunity "ELKO FALL HERBICIDE TREATMENT" (Solicitation Number 140L3924Q0098), issued by the Department of the Interior Bureau of Land Management Nevada Region.

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Text version

Per BLM policy, Pesticide Application Records must be completed within 24 hours of application and kept on file for a minimum of 10 years.

Pesticide Application Record (PAR)

GENERAL INFORMATION

District:

Elko District BLM 3900 Idaho St Elko, NV 89801

BLM Project Name:

Acres Treated:

Associated Shapefile(s)/ Tracklog(s) File ID:

(ex: Martin June 6, 2021_File01)

Contract or Agreement Number:

Company Name:

TREATMENT INFORMATION

Treatment Date:

Start Time:

End Time:

Weather Reading (START) Temperature (F):

Wind Speed: Wind Direction:

Relative Humidity:

Weather Reading (END) Temperature (F):

Wind Speed: Wind Direction:

Relative Humidity:

Sprayer Calibration Rate:

(equipment output, ex: 8 GALLONS/ACRE)

Spray Pattern:

(circle one)

BROADCAST – SPOT

Application Equipment Used:

Total Amount of Mixture Applied (in gallons):

Number of Loads:

Licensed Applicator Name, Applicator’s Nevada License Number, AND Crew Members:

CHEMICAL BRAND(s) APPLIED - In formulated product units

CHEMICAL TRADE

NAME:

(ex: Roundup Pro, Overdrive)

MANUFACTURER:

(ex: Monsanto, BASF)

EPA REG #:

(ex: 524-475, 7969-150)

CHEMICAL

COMMON NAME:

(ex: Glyphosate, Dicamba + Diflufenzopyr)

RATE OF APPLICATION:

liquid ex: 2 quarts per acre, 8 fluid ounces per acre, 1 percent solution dry ex: 0.50 pound per acre, 1 ounce per acre

ADJUVANTS BRAND(s) APPLIED - In formulated product units

ADJUVANT BRAND NAME:

(ex: Hi-light, Activator 90)

MANUFACTURER:

(ex: Helena Chemical)

RATE OF APPLICATION:

liquid ex: 2 quarts per acre, 8 fluid ounces per acre, 1 percent solution dry ex: 0.50 pound per acre, 1 ounce per acre

SPECIES INFORMATION

SPECIES COMMON NAME

(ex: Russian Knapweed)

PHENOLOGY

(circle one)

ESTIMATED PERCENT COVER

(1-100%)

BARE GROUND

SEEDLING

VEGETATIVE

ROSETTE

BOLT

PRE-BUD

BUD

FLOWER

SEED SET

MATURE

DORMANT

SCENESCENT

BARE GROUND

SEEDLING

VEGETATIVE

ROSETTE

BOLT

PRE-BUD

BUD

FLOWER

SEED SET

MATURE

DORMANT

SCENESCENT

NOTES/COMMENTS:

File details come from the government source that posted it. Updated .