Attachment_5_-_Pesticide_Application_Record_(PAR)_Template.docx
DOCX document 37 KB Posted
- Attached to
- SCRAPER SPRINGS HERBICIDE TREATMENT Federal contract opportunity
- Solicitation number
- 140L3726Q0138
About this file
This file is a Pesticide Application Record (PAR) template document designed for tracking and documenting herbicide treatment activities. The template serves as a standardized form for contractors performing the Scraper Springs herbicide treatment project, which involves treating annual grasses across 876 acres within the specified project area in accordance with the attached Performance Work Statement and project maps.
The PAR template functions as an appendix that does not specifically address required products or services but rather provides a record-keeping mechanism for compliance and documentation purposes. Contractors are expected to utilize this template to log pesticide application details, including application dates, locations, product information, application methods, weather conditions, and operator information. The template ensures consistent documentation across all herbicide treatment activities performed under this solicitation and facilitates regulatory compliance and project oversight by the Department of the Interior Bureau of Land Management Idaho Region.
View the file
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| File | Type | Posted |
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| Attachment_8_-_ASABE_Standard_572_1_Droplet_Size_Classification.pdf | ||
| Attachment_2_-_Maps_Scraper_Springs_Herbicide_Treatment.pdf | ||
| A04_Scraper_Springs_Herbicide_Treatment_2026_SOW.pdf | ||
| B03_WD_2015-5601_Rev_28.pdf | ||
| Attachment_10_-_Pricing_Schedule.docx | DOCX document | |
| Attachment_4_-_Elko_District_Approved_Herbicide_Formulations.pdf | ||
| Sol_140L3726Q0138.pdf | ||
| Attachment_6_-_OPM-35.pdf | ||
| Rejuvra_(Envu)_important_aerial_application_sections_highlighted.pdf | ||
| Attachment_3_-_Elko_District_Approved_Adjuvants.pdf | ||
| Attachment_7___UAS_Assessment_Guide_Version_4_0.pdf |
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Text version
AERIAL - Pesticide Application Record (PAR)
GENERAL INFORMATION
District:
Elko District BLM 3900 Idaho St Elko, NV 89801 BLM Project Name:
Acres Treated:
Associated Shapefile(s)/ Tracklog(s) File ID:
Contract or Agreement Number:
Company Name:
TREATMENT INFORMATION
Treatment Date:
Start Time:
End Time:
Weather Reading (START) Temperature (F):
| Wind Speed: |
| Wind Direction: |
Relative Humidity:
Weather Reading (END) Temperature (F):
| Wind Speed: |
| Wind Direction: |
Relative Humidity:
Sprayer Calibration Rate:
(equipment output, ex: 8 GALLONS/ACRE)
Spray Pattern:
(circle one)
BROADCAST – SPOT
Application Equipment Used:
Total Amount of Mixture Applied (in gallons):
Number of Loads:
Licensed Applicator Name, Applicator’s Nevada License Number, AND Crew Members:
CHEMICAL BRAND(s) APPLIED - In formulated product units
CHEMICAL TRADE NAME:
(ex: Roundup Pro, Overdrive)
MANUFACTURER:
(ex: Monsanto, BASF)
EPA REG #:
(ex: 524-475, 7969-150)
CHEMICAL
COMMON NAME:
(ex: Glyphosate, Dicamba + Diflufenzopyr)
RATE OF APPLICATION:
liquid ex: 2 quarts per acre, 8 fluid ounces per acre, 1 percent solution dry ex: 0.50 pound per acre, 1 ounce per acre
ADJUVANTS BRAND(s) APPLIED - In formulated product units
| ADJUVANT BRAND NAME: (ex: Hi-light, Activator 90) |
| MANUFACTURER: |
(ex: Helena Chemical)
RATE OF APPLICATION:
liquid ex: 2 quarts per acre, 8 fluid ounces per acre, 1 percent solution dry ex: 0.50 pound per acre, 1 ounce per acre
SPECIES INFORMATION
SPECIES COMMON NAME
(ex: Russian Knapweed)
PHENOLOGY
(circle one)
ESTIMATED PERCENT COVER
(1-100%)
BARE GROUND
SEEDLING
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
SCENESCENT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
BARE GROUND
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE DORMANT
NOTES/COMMENTS:
Per BLM policy, Pesticide Application Records must be completed within 24 hours of application and kept on file for a minimum of 10 years.
File details come from the government source that posted it. Updated .