Attachment 2 - PesticideAppRecord.pdf
PDF 76 KB Posted
- Attached to
- W9128F21Q0076 - Zorinsky Tree Removal Phase 2
- Solicitation number
- 8587
About this file
This document contains a federal contract solicitation for tree removal services. The solicitation is for Phase 2 of the Zorinsky Tree Removal project to create a 30 foot wide firebreak zone around the perimeter of the Papio Creek Dam Site 18 property by removing all trees 6 inches or more in diameter, as well as smaller woody vegetation. Services include saw cutting, stump grinding, root ball removal or other removal methods for trees, and herbicide treatment and removal of cut woody vegetation. The firebreak zone is also to be cleared of debris and seeded. A mandatory site visit will be held on September 1, 2021 at 10am to register and receive the meeting location. The solicitation was issued by the Department of the Army Corps of Engineers Omaha District for tree removal at Lake Zorinsky in Omaha, Nebraska.
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Text version
PESTICIDE APPLICATION RECORD SHEET
Corps of Engineers, Omaha District
ER 1130-2-540 FIELD OFFICE: DATE:
PREPARED BY: PHONE: ( )
Check one: ANTICIPATED USAGE REQUEST
ACTUAL USAGE REPORT
COMPLETE THIS SECTION FOR BOTH ANTICIPATED USAGE REQUEST AND FOR AN ACTUAL USAGE
REPORT
TARGET PEST:
SPECIFIC DESCRIPTION OF SITE(S):
PESTICIDE TRADE NAME:
MANUFACTURER:
EPA REGISTRATION NO:
EPA CLASS: GENERAL FORMULATION: LIQUID
RESTRICTED GRANULAR
PESTICIDE MIXTURE:
(if applicable) (i.e. 1 gallon/50 gallons water)
APPLICATION RATE:
(i.e. gals./sq.ft. or lbs./acre)
NUMBER & TIMING OF APPLICATIONS:
USE THIS SECTION FOR ACTUAL USAGE REPORT ONLY
DATE PESTICIDE WAS APPLIED: TIME:
APPLICATION EQUIPMENT &
METHOD OF APPLICATION:
APPLIED BY: Corps employee Contractor
NAME OF APPLICATOR:
ADDRESS:
(if contractor)
PHONE:
TOTAL AREA OF BUILDINGS TREATED:
TOTAL AMOUNT OF PESTICIDE USED:
FOR OUTSIDE APPLICATIONS:
WIND: Calm WIND DIRECTION:
0-10 mph TEMPERATURE:
10-20 mph HUMIDITY:
Other> SOIL: wet moist dry
CEMVR FORM 55-E, 01 Aug 00 (Revised) Previous editions of this form are obsolete
| FIELD OFFICE: |
| Date: |
| PREPARED BY: |
| Area Code: |
| Prep Phone #: |
| Anticipated Usage: Off |
| Actual Usage: Off |
| TARGET PEST: |
| TARGET PEST 1: |
| SPECIFIC DESCRIPTION OF SITES: |
| Specific Description 1: |
| PESTICIDE TRADE NAME: |
| MANUFACTURER: |
| EPA REGISTRATION NO: |
| General: Off |
| Restricted: Off |
| Liquid: Off |
| Granular: Off |
| PESTICIDE MIXTURE: |
| APPLICATION RATE: |
| NUMBER TIMING OF APPLICATIONS: |
| DATE PESTICIDE WAS APPLIED: |
| TIME: |
| METHOD OF APPLICATION: |
| Corps Employee: Off |
| Contractor: Off |
| NAME OF APPLICATOR: |
| Applicator ADDRESS: |
| Applicator Area Code: |
| Applicator Phone Number: |
| TOTAL AREA OF BUILDINGS TREATED: |
| TOTAL AMOUNT OF PESTICIDE USED: |
| Calm: Off |
| 0-10 mph: Off |
| 10-20 mph: Off |
| WIND DIRECTION: |
| TEMPERATURE: |
| HUMIDITY: |
| Other: Off |
| Soil: Off |
| Wet: Off |
| Moist: Off |
| Dry: Off |
| Reset Form: |
File details come from the government source that posted it. Updated .