A02. APPENDIX E - Pre-Post Use Forms.pdf

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Attached to
Rend Lake Mowing & Grounds Maintenance Services
Solicitation number
W912P921R0035
Issued by

About this file

This solicitation is for mowing and grounds maintenance services at Rend Lake Project sites managed by the U.S. Army Corps of Engineers District in St. Louis. The contractor will provide all labor, equipment, and materials necessary to perform mowing, vegetation control through herbicide application, and grounds upkeep in recreational, administrative, and other areas as directed. Work includes trail mowing, trimming, rotary cutting, managing unmowable areas, and maintaining sites along guardrails, fences, sidewalks, beaches, parking lots, roadways, and waste water treatment lagoons. The contractor must ensure all work is accomplished in accordance with contract requirements, applicable laws and regulations, and directives from the contracting officer. A site visit will be held on March 24, 2021 at 8:30 AM at the specified Rend Lake Project Office for interested parties to inspect the work areas.

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APPENDIX E-1

PRE-USE PESTICIDE APPLICATION

Contract/Lease/Easement Number __________________________________________

Compartment # / Area of Application ____________________________________

Contractor/Lessee/Easement Holder ____________________________________

Address ____________________________________________________________

City ____________________________________________________________

Phone Number ______________________________________________________

Pesticide (Trade Name) ________________________________________________

Active Ingredients ______________________________________________________

Target Pest ____________________________________________________________

Pesticide EPA Registration Number __________________________________________

EPA Classification ______ General Use ______ Restricted Use

Additional Remarks ______________________________________________________

**NOTE: Photocopies of pesticide license and chemical label must be submitted with pre-use application.

Submitted By: _________________________ Date: ________________________

Signature of applicator

Recommend Approval ______ Recommend Disapproval ______

_______________________________ Date: ________________________

Recommending Natural Resource Specialist

Approved ______ Disapproved ______

_______________________________ Date: ________________________

Approving Official

Reason for disapproval: ___________________________________________________

APPENDIX E-2

POST-USE PESTICIDE REPORT

Contract/Lease/Easement Number __________________________________________

Compartment # / Area of Application ____________________________________

Contractor/Lessee/Easement Holder ____________________________________

Address ____________________________________________________________

City ____________________________________________________________

Phone Number ______________________________________________________

Pesticide (Trade Name) ________________________________________________

Active Ingredients ______________________________________________________

Target Pest ____________________________________________________________

Pesticide EPA Registration Number __________________________________________

EPA Classification ______ General Use ______ Restricted Use

AMOUNT APPLIED __________________________________________

Number of acres applied on ________________________

Additional Remarks ______________________________________________________

Applicator license number ___________________________

Licence expiration date ___________________________

Licence type ______________________

Signature of applicator Date

Signature of lessee Date

APPENDIX F1 Pre-use form
APPENDIX F2 Post-use form

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