A00810-610800.pdf

This is a MassDOT Herbicide Use Report form for the Massachusetts Department of Transportation Highway Division related to Proposal No. 610800-135580, dated July 18, 2018. The document is associated with the Park and Ride Expansion and Improvements project at Route 132 in Barnstable (FAP No. CRP-003S(984)X). The form serves as a reporting mechanism for herbicide applications performed by contractors on MassDOT projects and requires documentation of products used, application methods, treatment areas, and applicator information. Contractors must report details including the specific herbicide products used with EPA registration numbers and active ingredient percentages, formulation and dilution rates, applicator license numbers, target weeds, application methods, acreage treated, and treatment dates and times. The form specifically identifies invasive species of concern including Tree of Heaven, with notation for stands exceeding 20 trees or isolated trees near sensitive areas such as nurseries, landscape companies, or highway rest areas.

Completed reports must be submitted to the MassDOT District Engineer and the Landscape Design Section in the Boston office upon completion of herbicide application work. The form accommodates multiple application techniques and sites through the use of additional sheets as needed. The document includes provisions for reporting additional products used such as surfactants and other relevant treatment information. This reporting requirement ensures compliance with environmental and safety regulations governing herbicide use on state highway projects and maintains documentation of invasive species management activities across MassDOT's service areas.