A06_PAR_Template.docx

DOCX document 33 KB Posted

Attached to
SLOAN HERBICIDE TREATMENT Federal contract opportunity
Solicitation number
140L3923Q0111
Issued by
Department of the Interior Bureau of Land Management Nevada Region

About this file

This document provides a template for Pesticide Application Records (PAR) to be used by the Southern Nevada District of the Bureau of Land Management. The template requires recording details of herbicide applications including location, date, crew information, weather conditions, mix ingredients and rates, equipment used, acres treated, distance to water, weed species and life stages treated, and notes. Relatedly, solicitation number 140L3923Q0111 from the Department of the Interior Bureau of Land Management Nevada Region seeks a contractor to perform Sloan herbicide treatments to control weeds. Details on response date, pricing, and other contractual requirements are not provided in this template document.

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Sol_140L3923Q0111_Amd_0001.pdf PDF
A06_Chemical_Pest_Control.doc DOC document
Bid_Schedule.docx DOCX document
A04_SOW.pdf PDF
B03_Wage_Determination.pdf PDF
A06_PAR_Example.pdf PDF
Sol_140L3923Q0111.pdf PDF

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Text version

Pesticide Application Record (PAR) Southern Nevada District, Bureau of Land Management

Date:

Start:

Stop:

Location:

Legal Description:

PUPS # (see back for list):

Crew Lead:

Crew Members:

Recorder initials:

NEPA #:

Temp °F:

RH %:

Wind Direction:

Wind Max mph:

Wind Avg mph:

Time recorded:

Mix #

Chemical Trade Name I.e. Weedar 64, Tordon K, Tordon 22K Chemical Rate (oz/ac or % ) Adjuvant Trade Name I.e. Activator 90, Hi-light

Chemical Rate (oz/ac or %)
Diluent

(water or oil)

Chemical /Adjuvant Trade Name I.e. Weedar 64, Tordon K, Hi-light Chemical Common Name i.e. Picloram, 2,4-D Manufacturer (i.e Monsanto) EPA Number (i.e 42750-19) AE/A or AI/A amount (lb AE or AI/gal, See label) Equivalent Rate pounds AE or AI/ acre (See back for equation) Mix #(s) (from above)

Equipment type & Applicator wand or boom: Truck, utv backpack etc Calibrated Rate (gallons/acre) Mix # (from above) Total Mix Sprayed (Gallons) Acres Treated =Total Mix/ Calibrated rate Distance to Water 0-10,10-25,25-100, 100 + feet

Weed Species Treated (scientific name, species code, or full common name)
Percent cover

(multiples of 5)

Life Stage/ phenology (bare ground, bolt, bud, dormant, flower, mature, pre-bud, rosette, seed set, seedling, senescent, vegetative)
Mix # (s) (from above)
Weed Species Treated (scientific name, species code, or full common name)
Percent cover

(multiples of 5)

Life Stage/ phenology (bare ground, bolt, bud, dormant, flower, mature, pre-bud, rosette, seed set, seedling, senescent, vegetative)
Mix # (s)

(from above)

Notes:

*1 gallon = 4 quarts = 8 pints = 16 cups = 128 ounces *1 quart = 2 pints = 4 cups = 32 ounces *1 pint = 2 cups = 16 ounces *1 cup = 8 ounces *1 acre = 4046.9 meters squared= 43560 feet squared *1 mile = 5280 feet *1 meter = 3.28 feet oz to add to one gal= Herbicide rate (oz/ac) Calibrated Rate( gal/ac)

Multiply by gallons placed in tank to get oz to add to mix Equivalent Rate = Chemical Rate * AE/A amount 128 oz/gal Chemical Rate= oz/ac AE/A = lb/gal If given a percent then = Chemical rate * percent

PUP Numbers NVS000-23-001-P LVFO Uplands Herbicide Use PUP Numbers

-Please fill out daily and start a new sheet if you switch locations -When finished return sheet to weeds coordinator or crew lead -There must be a GPS/GIS record to go with each PAR -When in doubt ask questions and refer to cheat sheets to fill out -If you really can’t fill out one of the cells leave blank but write a bunch of notes and make sure that you take good GIS data

- Please write neatly and legibly these sheets will be referenced

- This form needs to be filled out within 24 hours of application and kept for 10 years!

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