Attachment 1 - Daily Pesticide Application Record.doc
DOC document 46 KB Posted
- Attached to
- Weed Spraying BPA Federal contract opportunity
- Solicitation number
- 1282MK20Q0011
- Issued by
- Department of Agriculture Forest Service
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1282MK20Q0011_Amend 1.pdf | ||
| Questions and Answers.pdf | ||
| Attachment 2 - Wage Determination.pdf | ||
| Attachment 3 - Fire Control Plan.pdf | ||
| 1282MK20Q0011.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
USDA Forest Service
Grand Mesa, Uncompahgre & Gunnison National Forests Daily Pesticide Application Record
Ranger District: ____________________________ Date: ____________ Location of Application
Drainage: _________________________ Specific Location: _____________________
Township: ________ Range: ______ Section(s): ____________________________
Township: ________ Range: ______ Section(s): ____________________________
Township: ________ Range: ______ Section(s): ____________________________
Land Ownership: FS___BLM___State___PVT___Other___________
Job Code: _______________
Application Information
Time: Start _______ End _______ Start _______ End _______
Initial Treatment _____ Re-treatment _____
Weather Conditions: Clear _____ Cloudy ______ Partly Cloudy _____
Wind Speed: ________mph, from __________ Temperature _________
** Calibration/Maintenance of Equipment Y/N_______
**In/Over Water Y/N____ **Near Water Y/N____ (below seasonal floodplain) **Treatment Monitoring Comments: (negative impacts observed?) ______________________________ Target Weeds
(List most abundant weed first)
Stage of Growth: Bud _____ Flowering _____Seeding _____
Site of Application:
Rangeland___ Campground___ Trailhead___ Right of Way___ Other______________
Herbicides Used:
Name: __________________ EPA number: _________________ Rate (AI) per acre: _______
Name: __________________ EPA number: _________________ Rate (AI) per acre: _______
Name: __________________ EPA number: _________________ Rate (AI) per acre: _______
Name: __________________ EPA number: _________________ Rate (AI) per acre: _______
Name: __________________ EPA number: _________________ Rate (AI) per acre: _______
Name: __________________ EPA number: _________________ Rate (AI) per acre: _______
Dilutant Used: ________ Gallons per Acre: ______ Total Gallons Mix applied: ______
Application Method: ____________________Calibrated Acres Treated: __________
Empty Containers Triple Rinsed: Yes _____ No _____
Disposal Site: ________________________________
Affected Acres Treated: ________
Affected Acreage Justification/Comments: _______________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________
Applicator’s Signature: _________________________________________________
Certified Applicator’s Signature: __________________________________________
File details come from the government source that posted it. Updated .