Attachment 2 (PAR).pdf

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Attached to
Fort Randall Pesticide Application Services
Solicitation number
W9128F22Q0062
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File Type Posted
Attachment 1 (PPQ).pdf PDF
RELEASED_W9128F22Q0062_FR Pesticide.pdf PDF
Attachments 3-30 (Maps).pdf PDF
AM00001_W9128F22Q0062_FR Pesticide Application Services.pdf PDF

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FORT RANDALL PROJECT

PESTICIDE APPLICATION RECORD (PAR)

GENERAL INFORMATION

Landowner: USACE Fort Randall Project, 399 Powerhouse Road, Pickstown, SD 57367-0199

Application Area/Location:______________________________________________________________________

Targeted Weed(s)/Pest(s):_______________________________________________________________________

Date:________________

Sprayer:______________ Start Time:___________ __AM __PM Stop Time:___________ __AM __PM Sprayer:______________ Start Time:___________ __AM __PM Stop Time:___________ __AM __PM Sprayer:______________ Start Time:___________ __AM __PM Stop Time:___________ __AM __PM Sprayer:______________ Start Time:___________ __AM __PM Stop Time:___________ __AM __PM

WEATHER CONDITIONS

Air Temp:__________*F Sky Conditions: __Sunny __Partly Cloudy __Mostly Cloudy __Overcast

Wind Direction:__________ Wind Speed:__________mph Humidity: __Low __Medium __High

PESTICIDE INFORMATION

Trade/Brand Name:___________________________________________________________________________

Common Name:______________________________________________________________________________

Company Name/Manufacturer:_________________________________________________________________

EPA Registration No:__________________________________________________________________________

Chemical Formulation (liquid, powder, etc.):_______________________________________________________

Application Rate (oz., lbs., etc.) per Acre or Square Feet:_____________________________________________

Total Amount of Actual Chemical Applied (oz., lbs., etc.):____________________________________________

Total Area Treated (acres, sq. feet, etc.):___________________________________________________________

Comments:___________________________________________________________________________________

Total Chemical Cost: $_________________________

Total Labor Cost: $_________________________

Total: $_________________________

Firm Who Applied Pesticide:____________________________________________________________________

Name of Applicator(s):_________________________________________________________________________

Applicator License Numbers(s):__________________________________________________________________

Applicator Signature(s):________________________________________________________________________

Contract Number:_____________________________________________________________________________ g6opxmsh Text Box Attachment 2 - PAR

Name of Applicator(s):_________________________________________________________________________
Applicator License Numbers(s):__________________________________________________________________
Application AreaLocation:
Targeted WeedsPests:
Date:
Sprayer:
Start Time:
Stop Time:
Sprayer_2:
Start Time_2:
Stop Time_2:
Sprayer_3:
Start Time_3:
Stop Time_3:
Sprayer_4:
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Air Temp:
Wind Direction:
Wind Speed:
TradeBrand Name:
Common Name:
Company NameManufacturer:
EPA Registration No:
Chemical Formulation liquid powder etc:
Application Rate oz lbs etc per Acre or Square Feet:
Total Amount of Actual Chemical Applied oz lbs etc:
Total Area Treated acres sq feet etc:
Comments:
Firm Who Applied Pesticide:
Name of Applicators:
Applicator License Numberss:
Contract Number:
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