Attachment 6 - Herbicide Application Data Sheet - Copy.pdf

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Attached to
Golden Gate Shrine 895-NS-FY26-001
Solicitation number
36C78626B0024_1
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About this file

This is a Herbicide Application Data Sheet template for the Golden Gate National Cemetery National Shrine Project in San Bruno, California (Project No. 895-NS-FY26-001).

The form serves as a comprehensive record-keeping document for herbicide applications at the cemetery. It captures application site details including treatment location, area size, plant age and condition, soil conditions, and identification of surrounding sensitive areas and previously used herbicides. The template documents target weed species for turf areas, recording primary weeds, secondary weeds present, damage observations, damage location, and severity assessment. The herbicide section requires recording specific formulations used (up to three products), application rates, total amounts used, adjuvant types and amounts, surfactant types and amounts, and total gallons of diluted spray applied. Application details include dates of application, weather conditions (temperature, cloud cover, wind speed and direction, and rain), equipment used, equipment calibration information, travel speed, total application hours, and identification of persons notified regarding the application. The follow-up section documents application effectiveness, presence of beneficial organisms, pest resurgence observations, and any injury to non-target plants or surfaces. The form concludes with space for general comments and applicator signature and date. This is a template document without specific products, services, or contractual terms specified.

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Text version

Golden Gate National Cemetery National Shrine Project – FY26 San Bruno, CA 94066 Project No.: 895-NS-FY26-001

ATTACHMENT 6

HERBICIDE APPLICATION DATA SHEET

Date: Applicator:

APPLICATION

SITE

Location:

Size of Treatment Area: Plant Age and Condition:

Description (Turf, Bed etc.): Soil Conditions:

Surrounding Sensitive Areas:

Previous Herbicides Used:

TARGET WEED

(TURF)

SPECIES

Primary Weed (Turf): Damage Observed:

Other Weeds (Turf) Present: Location of Damage:

Other Weeds (Turf) Present:

Severity of Weed Problem:

HERBICIDE(S)

USED

Herbicide(s) Formulation:

(1)

Rate: Total Amount Used:

(2) (3) Adjuvants Type: Amount: Total Gallons of Diluted

Spray Used:

Surfactant Type: Amount:

APPLICATION Date(s) of Application: Weather Conditions

Temperature:

Equipment Used: Cloud Cover:

Wind Speed:

Equipment Calibrated By: Wind Direction:

Rain:

Travel Speed:

Total Hours for Application:

Persons Notified or Spoken to Regarding Application:

(1) (2) (3)

FOLLOW UP Effectiveness of Application: Beneficials Present: Pest Resurgence Noted:

Injury to Non-Target Plants or Surfaces:

COMMENTS

Signature & Date

ATTACHMENT 6
HERBICIDE APPLICATION DATA SHEET

File details come from the government source that posted it. Updated .