A06_PAR_Template.docx
DOCX document 37 KB Posted
- Attached to
- HOT POT HERBICIDE TREATMENT
- Solicitation number
- 140L3925Q0054
About this file
This document is a Pesticide Application Record (PAR) template for the Bureau of Land Management (BLM) Elko District in Nevada. The template is designed to comprehensively document aerial pesticide application details, including treatment specifics such as date, time, weather conditions, application equipment, chemical brands, and species information. The form requires recording specific data points like chemical trade names, EPA registration numbers, application rates, and the phenological stage of target species, with a mandatory requirement to complete the record within 24 hours of application and retain it for a minimum of 10 years. The related federal contract opportunity (Solicitation Number: 140L3925Q0054) is for a "Hot Pot Herbicide Treatment" by the Department of the Interior Bureau of Land Management Nevada Region, which aligns with the detailed tracking and documentation requirements outlined in this PAR template.
View the file
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| Sol_140L3925Q0054.pdf | ||
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Text version
AERIAL - Pesticide Application Record (PAR)
GENERAL INFORMATION
District:
Elko District BLM 3900 Idaho St Elko, NV 89801 BLM Project Name:
Acres Treated:
Associated Shapefile(s)/ Tracklog(s) File ID:
Contract or Agreement Number:
Company Name:
TREATMENT INFORMATION
Treatment Date:
Start Time:
End Time:
Weather Reading (START) Temperature (F):
| Wind Speed: |
| Wind Direction: |
Relative Humidity:
Weather Reading (END) Temperature (F):
| Wind Speed: |
| Wind Direction: |
Relative Humidity:
Sprayer Calibration Rate:
(equipment output, ex: 8 GALLONS/ACRE)
Spray Pattern:
(circle one)
BROADCAST – SPOT
Application Equipment Used:
Total Amount of Mixture Applied (in gallons):
Number of Loads:
Licensed Applicator Name, Applicator’s Nevada License Number, AND Crew Members:
CHEMICAL BRAND(s) APPLIED - In formulated product units
CHEMICAL TRADE NAME:
(ex: Roundup Pro, Overdrive)
MANUFACTURER:
(ex: Monsanto, BASF)
EPA REG #:
(ex: 524-475, 7969-150)
CHEMICAL
COMMON NAME:
(ex: Glyphosate, Dicamba + Diflufenzopyr)
RATE OF APPLICATION:
liquid ex: 2 quarts per acre, 8 fluid ounces per acre, 1 percent solution dry ex: 0.50 pound per acre, 1 ounce per acre
ADJUVANTS BRAND(s) APPLIED - In formulated product units
| ADJUVANT BRAND NAME: (ex: Hi-light, Activator 90) |
| MANUFACTURER: |
(ex: Helena Chemical)
RATE OF APPLICATION:
liquid ex: 2 quarts per acre, 8 fluid ounces per acre, 1 percent solution dry ex: 0.50 pound per acre, 1 ounce per acre
SPECIES INFORMATION
SPECIES COMMON NAME
(ex: Russian Knapweed)
PHENOLOGY
(circle one)
ESTIMATED PERCENT COVER
(1-100%)
BARE GROUND
SEEDLING
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
SCENESCENT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
NOTES/COMMENTS:
Per BLM policy, Pesticide Application Records must be completed within 24 hours of application and kept on file for a minimum of 10 years.
File details come from the government source that posted it. Updated .