Attachment 5_Herbicide Daily Log.pdf
PDF 174 KB Posted
- Attached to
- Forestry Vegetation Management Treatment Federal contract opportunity
- Solicitation number
- 1255N920R0001
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Text version
ATTACHMENT 5-: Daily Herbicide Treatment Reporting Form
USDA Forest Service, Region 9 Date:____________ Sheet:____ of _____
State/County:___________________ Wayne National Forest Contractor Information (if applicable) Daily Log – Pesticide Application Stand treated: ____________
Acres Treated: ___________
Name: ___________________________ Type of Application: Applicator/Operator (print): License No:
Address: _________________________ Hack/Squirt ________________________ ___________
_________________________________ Foliar ________________________ ___________ Phone: ______________________ Bark/Stump Application ________________________ ___________
E Weather Start End Target Species - Common
Name/Scientific Name Monitoring Notes
Date___________ Observer_________
Time
1.
Wind Velocity (mph)
2.
Wind Direction: (N NE E SE S SW W NW)
3.
Temperature (F°)
4.
Precipitation (inches)
5.
Condition [S-sun] [C-cloudy] [PC-partly cloudy]
6.
CHEMICAL AND ADJUVANT SUMMARY (* if not applicable to adjuvants) Common Name
(e.g. Glyphosate) Commercial Formulation (e.g. Round
Up Pro)
*EPA
Reg. #r
*Restricte d
Use Pesticide
(Y/N)
*% Active Ingredient (AI) in formulation
(lbs./gal)
*Carrie r/
Dilutan t
Ounces of produc t used
*Applicatio n Rate 1:
Formulation in Tank Mix*
*Applicatio n Rate 2:
lbs.
AI/Acre*
Adjuvant /gallon
*Total Volume Applied:
Gallons
Tank Mix
*Total AI applied (lbs. AI)
| ATTACHMENT 5-: Daily Herbicide Treatment Reporting Form |
| E Weather |
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