Atch 5a - Exhibit 2 Fipronil Application Form.xls

XLS spreadsheet 26 KB Posted

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Prairie Dog Plague Management - Medicine Bow Routt NF
Solicitation number
1240LP21R0002
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Sheet1

Customer/Applicator - Medicine Bow/Routt National Forests and Thunder Basin National Grassland:
Douglas Ranger District, 2250 E. Richards St., Douglas, /WY 82633
Site Treated - RangelandPest Treated - Flea (Oropsylla and Pulex spp.)
Chemical Used - Flea Control Bait With Fipronil, EPA# 72500-28, Fipronil 0.005%, Kaput, 1/2 cup/burrow
Weather (Temp, Wind Direction and Velocity) -
TimeTempWind DirVelocity
Flagger:Hours Flagged:Colony Name:
Acres Treated:Date:
Applicator (Last, First)Lic. #AgencyStart TimeEnd TimeHoursTotal BurrowsComments
TOTAL
AVERAGE

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