Attachment_5_-_Pesticide_Application_Record_(PAR)_Template.pdf
PDF 181 KB Posted
- Attached to
- FALL 2021 BROADCAST HERBICIDE - ELKO DO Federal contract opportunity
- Solicitation number
- 140L3921Q0116
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L3921Q0116_Amd_0001.pdf | ||
| 140L3921Q0116_-_Questions___Answers_0001.docx | DOCX document | |
| Attachment_2_-_Overview_Map.pdf | ||
| Attachment_4_-_BLM_Approved_Deposition_Aid_for_Elko_District___April_4__2019.pdf | ||
| Attachment_6_-_SCA_Wage_Determination.pdf | ||
| Attachment_3_-_Location_Maps.pdf | ||
| Attachment_7_-_Bid_Schedule.docx | DOCX document | |
| Sol_140L3921Q0116.pdf | ||
| Attachment_1_-_Statement_of_Woork.docx | DOCX document |
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Text version
Per BLM policy, Pesticide Application Records must be completed within 24 hours of application and kept on file for a minimum of 10 years.
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:
(ex: Martin June 6, 2021_File01)
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
SEEDLING
VEGETATIVE
ROSETTE
BOLT
PRE-BUD
BUD
FLOWER
SEED SET
MATURE
DORMANT
SCENESCENT
NOTES/COMMENTS:
File details come from the government source that posted it. Updated .