Attachment 002 - Post Application Documentation Form.pdf

PDF 61 KB Posted

Attached to
Raystown Lake Herbicide Application Services Federal contract opportunity
Solicitation number
W912DR22R0017
Issued by
Department of the Army Corps of Engineers Engineering District Baltimore

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W912DR22F0017 RFQ.pdf PDF
Attachment 004 - Wage Determination No. 15-5793 (rev.18).txt TXT text file
Attachment 003 - APP Checklist.pdf PDF
Attachment 001 - Site Maps.pdf PDF

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Text version

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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