Attachment 7 Herbicide Application Data Sheet v1.pdf

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Attached to
Camp Butler National Cemetery – National Shrine Project 806-NSP25-004
Solicitation number
36C78626B0008
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About this file

This is a Herbicide Application Data Sheet template designed to document herbicide applications in turf and landscaping contexts.

The form captures comprehensive pre-application information including site details (location, treatment area size, plant age/condition, soil conditions, and surrounding sensitive areas), target weed species identification (primary and secondary weeds present, damage location, and severity assessment), and herbicide specifications (product names, formulations, application rates, and total amounts used). It also documents adjuvants and surfactant types and quantities, along with total diluted spray volume.

The APPLICATION section records application date(s), weather conditions (temperature, cloud cover, wind speed/direction, and rain), equipment used and calibration details, travel speed, total application hours, and persons notified regarding the application. The FOLLOW UP section requires documentation of application effectiveness, presence of beneficial organisms, pest resurgence observations, and any injury to non-target plants or surfaces. The form concludes with space for comments and applicator signature and date. This template serves as a compliance and record-keeping tool for herbicide application monitoring and documentation in federal contracting contexts.

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Text version

A T T A CHM E N T 7: H E RB I CI D E A PP L I C A T I O N D A T A SHE E T

Date: Applicator:

APPLICATION

SITE

Location:

Size of Treatment Area: Plant Age and Condition:

Description (Turf, Bed etc.): Soil Conditions:

Surrounding Sensitive Areas:

Previous Herbicides Used:

TARGET WEED

(TURF)

SPECIES

Primary Weed (Turf): Damage Observed:

Other Weeds (Turf) Present: Location of Damage:

Other Weeds (Turf) Present:

Severity of Weed Problem:

HERBICIDE(S)

USED

Herbicide(s):Formulation:

(1)

Rate: Total Amount Used:

(2) (3) Adjuvants Type: Amount: Total Gallons of Diluted

Spray Used:

Surfactant Type: Amount:

APPLICATION Date(s) of Application: Weather Conditions Temperature:

Equipment used: Cloud Cover:

Wind Speed:

Equipment Calibrated By: Wind Direction:

Rain:

Travel Speed:

Total Hours for Application:

Persons Notified or Spoken to Regarding Application:

(1) (2) (3)

FOLLOW UP Effectiveness of Application: Beneficials Present: Pest Resurgence Noted:

Injury to Non-Target Plants or Surfaces:

COMMENTS

Signature & Date

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