Attachment_6_PAR.doc
DOC document 47 KB Posted
- Attached to
- GROUND BASED HERBICIDE LVDO 2024 Federal contract opportunity
- Solicitation number
- 140L4324Q0080
About this file
This document is a Pesticide Application Record (PAR) form used by the Bureau of Land Management (BLM) of the U.S. Department of the Interior. The PAR form captures details related to the application of pesticides, including the applicator's information, application dates and location, pesticide and surfactant details, application conditions, and the targeted pests. The form is required to be completed within 24 hours of a pesticide application and must be maintained on file for a minimum of 10 years.
The related federal contract opportunity is for "GROUND BASED HERBICIDE" services to be provided to the BLM's Lakeview District Office in Oregon. The solicitation number is 140L4324Q0080, and the opportunity type is a Solicitation. The contract will provide for the ground-based application of herbicides within the Lakeview District.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L4324Q0080.pdf | ||
| Attachment_3_BLM_HERBICIDES_approved_for_use.xlsx | XLSX spreadsheet | |
| B03_Wage_Determinations.pdf | ||
| Attachment_7_NonHerbicide_Invasive_Fillable_Treatment_Form.pdf | ||
| Attachment_2_BLM_ADJUVANTS_approved_for_use.xlsx | XLSX spreadsheet | |
| Attachment_4_Standard_Operating_Procedures_and_Mitigation_Measures.docx | DOCX document | |
| Attachment_5_ODA_NoxiousWeed_Policy_and_List.pdf |
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Text version
PAGE
UNITED STATE DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
PESTICIDE APPLICATION RECORD
Project Name:
Operator:
Pesticide Use Proposal Number:
NEPA Reference Number:
UTM: Datum NAD WGS 1983, Zone 10: Easting:__ __ __ __ __ __ __ Northing: __ __ __ __ __ ___ (Or Attach an accurate map of location)
APPLICATOR:
a. Name of Applicator or Employee(s) Making the Application and License number:
(List all of your applicators here):
2. APPLICATION:
a. Application Dates:
b. Time Frame of Application:
c. Location:
d. Application Equipment:
e. Equipment Calibration Rate (GPA):________________________________________________
3. PESTICIDE INFORMATION:
a. Trade Name:
b. Common name: _______________________________________________________________
c. Manufacturer and EPA Registration #:
d. Pesticide Formulation Type:
e. Rate of Application – Per Acre:
i. Formulated Product:
ii. Active Ingredient/Acid Equivalent:
4. OTHER PESTICIDE INFORMATION:
a. Trade Name:
b. Common name: _______________________________________________________________
c. Manufacturer and EPA Registration #:
d. Pesticide Formulation Type:
e. Rate of Application – Per Acre:___________________________________________________
i. Formulated Product:
ii. Active Ingredient/Acid Equivalent:
5. SURFACTANT INFORMATION:
| tRADE nAME |
| mANUFACTURER |
| rATE pER aCRE / |
Percent Solution
6. TOTAL SPRAY SOULUTION AMOUNT:
7. APPLICATION CONDITIONS:
| TIME |
| AIR TEMPERATURE |
| R.H% |
| WIND SPEED (MPH) |
| WIND DIRECTION |
5. APPLICATION AREA:
a. Area Treated – Based upon JD Definition (BLM USE ONLY):______________________________ Acres.
b. Area Treated – Based upon Chemical Used or Amount of Chemical Applied: __________________ Acres.
c. Status of Application Site (Circle One):
Dry
Moist
d. Status of Application Site (Circle One):
Native Vegetation
Seeded Vegetation
Other Type
6. TARGETED PEST(S):
Name
Stage of Growth/Development
7. MONITORING RECORD:
NOTE:
1. This record is required and must be completed, except for monitoring, within 24 hours following application of the pesticide.
2. This record must be kept on file/maintained for a minimum of 10 years
File details come from the government source that posted it. Updated .