B08_140P5123R0011_Attach_0008_Fillable_Pest_Log_VICK_Cyclic_Tree_Pruning_and_Removal_0001.pdf

PDF 75 KB Posted Jun 12, 2023

Attached to: Provide Tree Thinning and Removal Services
Solicitation number: 140P5123R0011
Issued by: Department of the Interior National Park Service Southeast Region

About this file

Written by GovTribe AI · Dec 28, 2023

This document contains a pesticide purchase and applicator use log template for tracking chemical purchases and applications at Vicksburg National Military Park. The log templates are to be used by the Department of the Interior National Park Service for its project to provide tree thinning and removal services at various sites within Vicksburg National Military Park in Vicksburg, Mississippi. The pesticide purchase log allows tracking of chemical products purchased by name, EPA registration number, units, and date, while the applicator use log tracks chemical name, location and acres applied, units used, applicator name and date of application.

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This log shall be retained in the Pesticide Use files at the end of each calendar year. Updated:4/26/2019

PRODUCT OR BRAND

NAME

EPA REG.

NUMBER

List all PROJECTS chemical(s) used

UNIT TYPE

i.e.(gal, oz, qt)

TOTAL OF

UNITS

IPM Administrator or Coordinator Name

Date(s) of Purchase

VICK

IPM PESTICIDE PURCHASE LOG

U.S. Department of the Interior Vicksburg National Military Park PMIS 240024 Emergent Vegetation Project

This log shall be retained in the Pesticide Use files at the end of each calendar year. Updated:4/26/2019

PRODUCT OR BRAND

NAME

EPA REG.

NUMBER

List all LOCATIONS chemical used

# OF UNITS

Used

# Acreage covered Applicator's Name (Printed) Date(s) of

Use

IPM PESTICIDE APPLICATOR USE LOG

U.S. Department of the Interior Vicksburg National Military Park PMIS 240024 Emergent Vegetation Project

PURCHASE LOG

APPLICATORS LOG

PRODUCT OR BRAND NAMERow1:

EPA REG NUMBERRow1:

List all PROJECTS chemicals usedRow1:

UNIT TYPE iegal oz qtRow1:

TOTAL OF UNITSRow1:

Dates of PurchaseVICK:

PRODUCT OR BRAND NAMERow2:

EPA REG NUMBERRow2:

List all PROJECTS chemicals usedRow2:

UNIT TYPE iegal oz qtRow2:

TOTAL OF UNITSRow2:

Dates of PurchaseVICK_2:

PRODUCT OR BRAND NAMERow3:

EPA REG NUMBERRow3:

List all PROJECTS chemicals usedRow3:

UNIT TYPE iegal oz qtRow3:

TOTAL OF UNITSRow3:

Dates of PurchaseVICK_3:

PRODUCT OR BRAND NAMERow4:

EPA REG NUMBERRow4:

List all PROJECTS chemicals usedRow4:

UNIT TYPE iegal oz qtRow4:

TOTAL OF UNITSRow4:

Dates of PurchaseVICK_4:

PRODUCT OR BRAND NAMERow5:

EPA REG NUMBERRow5:

List all PROJECTS chemicals usedRow5:

UNIT TYPE iegal oz qtRow5:

TOTAL OF UNITSRow5:

Dates of PurchaseVICK_5:

PRODUCT OR BRAND NAMERow6:

EPA REG NUMBERRow6:

List all PROJECTS chemicals usedRow6:

UNIT TYPE iegal oz qtRow6:

TOTAL OF UNITSRow6:

Dates of PurchaseVICK_6:

PRODUCT OR BRAND NAMERow7:

EPA REG NUMBERRow7:

List all PROJECTS chemicals usedRow7:

UNIT TYPE iegal oz qtRow7:

TOTAL OF UNITSRow7:

Dates of PurchaseVICK_7:

PRODUCT OR BRAND NAMERow8:

EPA REG NUMBERRow8:

List all PROJECTS chemicals usedRow8:

UNIT TYPE iegal oz qtRow8:

TOTAL OF UNITSRow8:

Dates of PurchaseVICK_8:

PRODUCT OR BRAND NAMERow9:

EPA REG NUMBERRow9:

List all PROJECTS chemicals usedRow9:

UNIT TYPE iegal oz qtRow9:

TOTAL OF UNITSRow9:

Dates of PurchaseVICK_9:

PRODUCT OR BRAND NAMERow10:

EPA REG NUMBERRow10:

List all PROJECTS chemicals usedRow10:

UNIT TYPE iegal oz qtRow10:

TOTAL OF UNITSRow10:

Dates of PurchaseVICK_10:

PRODUCT OR BRAND NAMERow11:

EPA REG NUMBERRow11:

List all PROJECTS chemicals usedRow11:

UNIT TYPE iegal oz qtRow11:

TOTAL OF UNITSRow11:

Dates of PurchaseVICK_11:

PRODUCT OR BRAND NAMERow12:

EPA REG NUMBERRow12:

List all PROJECTS chemicals usedRow12:

UNIT TYPE iegal oz qtRow12:

TOTAL OF UNITSRow12:

Dates of PurchaseVICK_12:

PRODUCT OR BRAND NAMERow13:

EPA REG NUMBERRow13:

List all PROJECTS chemicals usedRow13:

UNIT TYPE iegal oz qtRow13:

TOTAL OF UNITSRow13:

Dates of PurchaseVICK_13:

PRODUCT OR BRAND NAMERow14:

EPA REG NUMBERRow14:

List all PROJECTS chemicals usedRow14:

UNIT TYPE iegal oz qtRow14:

TOTAL OF UNITSRow14:

Dates of PurchaseVICK_14:

PRODUCT OR BRAND NAMERow1_2:

EPA REG NUMBERRow1:

List all LOCATIONS chemical usedRow1:

OF UNITS UsedRow1:

Acreage coveredRow1:

Applicators Name PrintedRow1:

Dates of UseRow1:

PRODUCT OR BRAND NAMERow2_2:

EPA REG NUMBERRow2:

List all LOCATIONS chemical usedRow2:

OF UNITS UsedRow2:

Acreage coveredRow2:

Applicators Name PrintedRow2:

Dates of UseRow2:

PRODUCT OR BRAND NAMERow3_2:

EPA REG NUMBERRow3:

List all LOCATIONS chemical usedRow3:

OF UNITS UsedRow3:

Acreage coveredRow3:

Applicators Name PrintedRow3:

Dates of UseRow3:

PRODUCT OR BRAND NAMERow4_2:

EPA REG NUMBERRow4:

List all LOCATIONS chemical usedRow4:

OF UNITS UsedRow4:

Acreage coveredRow4:

Applicators Name PrintedRow4:

Dates of UseRow4:

PRODUCT OR BRAND NAMERow5_2:

EPA REG NUMBERRow5:

List all LOCATIONS chemical usedRow5:

OF UNITS UsedRow5:

Acreage coveredRow5:

Applicators Name PrintedRow5:

Dates of UseRow5:

PRODUCT OR BRAND NAMERow6_2:

EPA REG NUMBERRow6:

List all LOCATIONS chemical usedRow6:

OF UNITS UsedRow6:

Acreage coveredRow6:

Applicators Name PrintedRow6:

Dates of UseRow6:

PRODUCT OR BRAND NAMERow7_2:

EPA REG NUMBERRow7:

List all LOCATIONS chemical usedRow7:

OF UNITS UsedRow7:

Acreage coveredRow7:

Applicators Name PrintedRow7:

Dates of UseRow7:

PRODUCT OR BRAND NAMERow8_2:

EPA REG NUMBERRow8:

List all LOCATIONS chemical usedRow8:

OF UNITS UsedRow8:

Acreage coveredRow8:

Applicators Name PrintedRow8:

Dates of UseRow8:

PRODUCT OR BRAND NAMERow9_2:

EPA REG NUMBERRow9:

List all LOCATIONS chemical usedRow9:

OF UNITS UsedRow9:

Acreage coveredRow9:

Applicators Name PrintedRow9:

Dates of UseRow9:

PRODUCT OR BRAND NAMERow10_2:

EPA REG NUMBERRow10:

List all LOCATIONS chemical usedRow10:

OF UNITS UsedRow10:

Acreage coveredRow10:

Applicators Name PrintedRow10:

Dates of UseRow10:

PRODUCT OR BRAND NAMERow11_2:

EPA REG NUMBERRow11:

List all LOCATIONS chemical usedRow11:

OF UNITS UsedRow11:

Acreage coveredRow11:

Applicators Name PrintedRow11:

Dates of UseRow11:

PRODUCT OR BRAND NAMERow12_2:

EPA REG NUMBERRow12:

List all LOCATIONS chemical usedRow12:

OF UNITS UsedRow12:

Acreage coveredRow12:

Applicators Name PrintedRow12:

Dates of UseRow12:

PRODUCT OR BRAND NAMERow13_2:

EPA REG NUMBERRow13:

List all LOCATIONS chemical usedRow13:

OF UNITS UsedRow13:

Acreage coveredRow13:

Applicators Name PrintedRow13:

Dates of UseRow13:

PRODUCT OR BRAND NAMERow14_2:

EPA REG NUMBERRow14:

List all LOCATIONS chemical usedRow14:

OF UNITS UsedRow14:

Acreage coveredRow14:

Applicators Name PrintedRow14:

Dates of UseRow14:

File details come from the government source that posted it. Updated Jun 12, 2023.