Attach_02_Daily_Application_Record_2015.docx
DOCX document 16 KB Posted
- Solicitation number
- AG-82BH-S-15-0008
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Attach 02 Daily Application Record 2015
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Other files
| File | Type | Posted |
|---|---|---|
| AG-82BH-S-15-0008_Revised_cont_pgs_3-34.docx | DOCX document | |
| 2015_Contract_Map_DW.pdf | ||
| Pre-Bid_Questions.docx | DOCX document | |
| AG-82BH-S-15-0008_SF_30_Amend_000001.pdf | ||
| Attach_04_Wage_Determination.docx | DOCX document | |
| Attach_03_Emergency_Control_Fire_Plan.docx | DOCX document | |
| AG-82BH-S-15-0008_cont_pgs_3-34.docx | DOCX document | |
| Attach_01_General_Treatment_Area_Map.pdf | ||
| AG-82BH-S-15-0008_SF33.pdf |
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Text version
Attachment 2 2015 Pike National Forest Daily Pesticide Application Record (Use a new Record each day, for each site)
Site Information
| District/Contact Name: |
| Applicator Name: |
Location of Application
| Drainage: |
| Specific Location: |
| Rangeland |
| Campground |
| Trailhead |
| Right of Way |
| Other |
Site Conditions
| Clear |
| Cloudy |
| Partly Cloudy |
| Wind Speed |
| Direction |
| In/Over Water Y/N |
| Near Water (<100’) Y/N |
| Temperature (F) |
Daily Log
| Application Date (mm/dd/yy) |
| Certified Applicator |
| Application Area (Ac) |
| Volume Applied |
| Volume Applied UOM |
| Diluted Used |
| Calibrated Volume |
| Calibrated Volume UOM |
| Gallons |
| Water |
Gal/Acre
Chemical Application (Include Adjuvants) Time Start (hh24:mm) Time Stop (hh24:mm)
| Product Name |
| EPA Reg # |
| % Solution |
| Application |
Rate
| Application Rate UOM |
| Total AI |
| Total |
Gallons Acres Treated for each Target Species
Ounces/Ac
Certified Applicator Signature _____________________________ License Number: _________________________________________
File details come from the government source that posted it. Updated .