Attachment 002 - Post Application Documentation Form.pdf

PDF 61 KB Posted

Attached to
Raystown Lake Herbicide Application Services
Solicitation number
W912DR22R0017
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File Type Posted
Attachment 001 - Site Maps.pdf PDF
W912DR22F0017 RFQ.pdf PDF
Attachment 003 - APP Checklist.pdf PDF
Attachment 004 - Wage Determination No. 15-5793 (rev.18).txt TXT text file

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Project: Raystown Lake District: NAB 6145 Seven Points Road Hesston, PA 16647

(814) 658-3405

Contractor ______________________________ Applicator ____________________________ Address ______________________________ Address ____________________________ City, St. Zip ______________________________ City, St. Zip ____________________________ Phone ______________________________ Phone ____________________________

Target Pest ________________________________________________________________________ Date of

Application Time of Day Air Temp Relative Humidity Cloud Cover Wind Speed and Direction

Description of Area Treated: ___________________________________________________________

Name of Pesticide Used: _______________________________________________________________

EPA Registration: ________________________ EPA Classification: _______________________

Active Ingredients (% on label): ________________________________________________________

Application Method: ___________________________________________________________________

Application Rate: ____________________________________________________________________

Acreage Treated: __________________ Amount of Solution Applied: ________________

Amount of Each Chemical Applied: ______________________________________________________

Mixture Rates for each Chemical: ________________________________________________________

Application Equipment Used: __________________________________________________________

Disposal Information Method of Disposal: _________________________________________________________________

Disposal Location: __________________________________________________________________

Additional Remarks: _________________________________________________________________

Post-Application Documentation Form U.S. Army Corps of Engineers

Raystown Lake Project

PADF

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