A06_PAR_Template.docx
DOCX document 38 KB Posted
- Attached to
- TUSCARORA HERBICIDE Federal contract opportunity
- Solicitation number
- 140L3926Q0013
About this file
This is a Pesticide Application Record (PAR) template used by the Bureau of Land Management Elko District in Nevada to document herbicide treatment activities on federal lands. The template is designed to capture comprehensive details of pesticide applications within 24 hours of treatment and maintain records for a minimum of 10 years as required by BLM policy.
The form collects critical treatment information including date, weather conditions at start and stop times (temperature, relative humidity, wind direction and speed), licensed applicator names and crew members, equipment used (ranging from backpack sprayers to helicopters), application rates, and delivery methods (aerial or ground). It documents the specific chemical products applied, including trade names, manufacturers, EPA registration numbers, common names, and application rates for both liquid and dry formulations, as well as any adjuvants used. The template requires specification of target acreage, swath width for broadcast applications, and buffer widths for linear features such as roads or streams. Additionally, the form captures detailed species information for treated vegetation, including common names, species codes, plant phenology stages, and estimated percent cover. The template includes a comprehensive reference list of 40+ weed species commonly treated in the Elko District, each with standardized species codes (such as ACRE3 for Russian knapweed, CEST8 for Spotted knapweed, and CESO for Yellow starthistle). Applicators must also note environmental factors such as rain events, timing, and duration that may affect treatment efficacy. Associated tracklog file IDs and relevant BLM Pesticide Use Proposal (PUP) numbers are recorded, with PUP numbers corresponding to approved herbicides including glyphosate, 2,4-D, chlorsulfuron, clopyralid, dicamba, imazapic, imazapyr, metsulfuron methyl, picloram, sulfometuron, and triclopyr.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A06_PAR_Example.pdf | ||
| Sol_140L3926Q0013.pdf | ||
| A06_Map_1.pdf | ||
| A06_Map_2.pdf | ||
| B03_SCA_Wage_Determination.pdf | ||
| A06_BLM_Adjuvants.pdf | ||
| A06_Detailed_Specifications.docx | DOCX document | |
| A04_SOW_General_Herbicides.pdf | ||
| A06_BLM_Herbicides.pdf |
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Text version
| GROUND - Pesticide Application Record (PAR) | Contract or Agreement Number:________________________ |
| Bureau of Land Management Elko District | BLM Project Name: __________________________________ |
| 3900 Idaho St Elko, NV 89801 | Company Name: ______________________________________ |
| TREATMENT INFORMATION |
Date (ex: 6/1/2014) BLM PUP # (Refer to page 2 for a list)
Weather Reading time (START):
| Temperature °F: |
| RH %: |
| Wind Direction: |
| Wind Max mph: |
| Wind Avg mph: |
Weather Reading time (STOP):
| Temperature °F: |
| RH %: |
| Wind Direction: |
| Wind Max mph: |
| Wind Avg mph: |
Licensed Applicator Name, License Number AND Crew Members
Mix Diluent (circle one)
WATER
OIL
NONE
Equipment Used (circle one) TRUCK – ATV – UTV - BACKPACK – AIRPLANE - HELICOPTER – HANDHELD SPRAYER – WICK/WIPER – MOWER
TRACTOR – HORSEBACK SPRAYER
Sprayer Calibration Rate (ex: 2 GALLONS/ACRE) (circle appropriate Rate)
GALLONS/ACRE
POUNDS/ACRE
Distance to Water (circle one)
0 TO 10 FEET
10 TO 25 FEET
25 TO 100 FEET
GREATER THAN 100 FEET
Delivery Method (circle one)
| AERIAL – GROUND |
| Spray Pattern |
(circle one)
BROADCAST – SPOT
Mix Amount Applied on Site (ex: 2 GALLONS)
Total Acres Treated: (ex: 40 ACRES)
Swath Width of Equipment (Broadcast Only) (ex: 50 FEET; NA for SPOT)
FOR LINEAR FEATURES ONLY (i.e. road or stream)
Buffer Width
| Buffer Width Units |
| FEET |
| Buffer Direction |
(circle one)
LEFT - CENTER - RIGHT
Note on Buffer Direction: left or right will buffer in only one direction, while center will buffer both sides based on the width and units provided. For instance a right buffer of 10 feet will buffer 10 feet on the right only while a center buffer of 10 feet will buffer both sides of the centerline (total buffer is 20 feet)
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: DYNE_AMIC) |
| 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
Per BLM policy, Pesticide Application Records must be completed within 24 hours of pesticide application and are kept for a minimum of 10 years.
Associated Tracklog(s) File ID: (ex: CraneSprings06052020_01)
Elko District Pesticide Use Proposal (PUP) Numbers:
NVE000-19-002-P =2,4-D
NVE000-19-003-P = Chlorsulfuron NVE000-19-004-P = Clopyralid NVE000-19-005-P =Dicamba NVE000-19-006-P =Glyphosate NVE000-18-001-P =Imazapic NVE000-19-007-P =Imazapyr NVE000-19-008-P =Metsulfuron methyl NVE000-19-009-P =Picloram NVE000-19-010-P =Sulfometuron NVE000-19-011-P =Triclopyr
NOTES/COMMENTS:
(i.e. Rain event? If so, time of rain event? Duration? Was it a wetting rain? When did you stop your application?)
SPECIES INFORMATION
SPECIES COMMON NAME
(ex. Russian Knapweed)
SPECIES CODE
(ex: ACRE3)
PLANT PHENOLOGY
(circle one)
ESTIMATED PERCENT COVER
(1 -100%)
BARE GROUND – BOLT – BUD DORMANT – FLOWER MATURE – PRE-BUD ROSETTE – SEED SET SCENESCENT – VEGETATIVE
BARE GROUND – BOLT – BUD DORMANT – FLOWER MATURE – PRE-BUD ROSETTE – SEED SET SCENESCENT – VEGETATIVE
BARE GROUND – BOLT – BUD DORMANT – FLOWER MATURE – PRE-BUD ROSETTE – SEED SET SCENESCENT – VEGETATIVE
BARE GROUND – BOLT – BUD DORMANT – FLOWER MATURE – PRE-BUD ROSETTE – SEED SET SCENESCENT – VEGETATIVE
Weed Species Reference Information
| Common Name |
| Code |
| Common Name |
| Code |
| African mustard |
| BRTO |
| Mayweed chamomile |
| ANCO |
| African rue |
| PEHA |
| Mediterranean sage |
| SAAE |
| Austrian fieldcress |
| ROAU |
| Medusahead |
| TACA8 |
| Black henbane |
| HYNI |
| Musk thistle |
| CANU |
| Camelthorn |
| ALMA |
| Perennial pepperweed |
| LELA2 |
| Canada thistle |
| CIAR4 |
| Perennial sowthistle |
| SOAR |
| Common crupina |
| CRVU |
| Poison-hemlock |
| COMA |
| Common St. Johnwort |
| HYPE |
| Puncturevine |
| TRTE |
| Crimson fountain grass |
| PESE |
| Purple loosestrife |
| LYSA |
| Dalmation toadflax |
| LIDA |
| Purple starthistle |
| CECA |
| Diffuse knapweed |
| CEDI3 |
| Rush skeletonweed |
| CHJU |
| Dyer's woad |
| ISTI |
| Russian knapweed |
| ACRE3 |
| Eurasian watermilfoil |
| MYSP |
| Salt cedar |
| TARA |
| Giant reed |
| ARDO |
| Scotch thistle |
| ONAC |
| Giant salvinia |
| SAMO |
| Silverleaf nightshade |
| SOEL |
| Goatsrue |
| GAOF |
| Spotted knapweed |
| CEST8 |
| Hoary cress |
| CADR |
| Squarrose knapweed |
| CEVI |
| Horsenettle |
| SOCA |
| Sulfur cinquefoil |
| PORE |
| Houndstongue |
| CYOF |
| Swainsonpea |
| SPSA |
| Hydrilla |
| HYVE |
| Syrian bean caper |
| ZYFA |
| Iberian starthistle |
| CEIB |
| Waterhemlock |
| CIMA |
| Johnsongrass |
| SOHA |
| Yellow starthistle |
| CESO |
| Leafy spurge |
| EUES |
| Yellow toadflax |
| LIVU |
| Malta starthistle |
| CEME |
| Cheatgrass |
| BRTE |
| Ventenata dubia |
| VEDU |
| Russian thistle |
| SATR12 |
Per BLM policy, Pesticide Application Records must be completed within 24 hours of pesticide application.
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