Attachment_7_NonHerbicide_Invasive_Fillable_Treatment_Form.pdf
PDF 296 KB Posted
- Attached to
- GROUND BASED HERBICIDE LVDO 2024 Federal contract opportunity
- Solicitation number
- 140L4324Q0080
About this file
This document appears to be an Attachment for a federal contract opportunity related to non-herbicide invasive species treatment. It is a treatment record form that captures details such as the location, treatment information (start/end date and time, environmental conditions, equipment used, chemical products applied), species information (common name, phenology, percent cover), and adjuvants used.
The related federal contract opportunity is a solicitation (Solicitation Number 140L4324Q0080) from the Department of the Interior Bureau of Land Management Oregon-Washington for "GROUND BASED HERBICIDE" services in the Lakeview District Office, BLM Oregon. The solicitation does not provide additional details about the specific products or services required, response dates, pricing terms, or set asides. This document appears to be a template or form, rather than a Performance Work Statement or Statement of Objectives.
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_5_ODA_NoxiousWeed_Policy_and_List.pdf | ||
| Attachment_6_PAR.doc | DOC document | |
| Attachment_2_BLM_ADJUVANTS_approved_for_use.xlsx | XLSX spreadsheet | |
| Attachment_4_Standard_Operating_Procedures_and_Mitigation_Measures.docx | DOCX document |
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Text version
Treatment Record Treatment Name :
LOCATION INFORMATION
BLM Project Name:
Location of Treatment Site:
Admin State: County:
BLM Field Office:
TREATMENT INFORMATION
Treatment Start
Date (ex: 2020-03-27)
Start Time (ex: 0800)
End Time (ex: 1600)
Temperature (F) Wind Speed
Wind Direction
Humidity
BLM PUP #
ex: WYP070-14-003-P
Sprayer Calibration Rate ex: (30) GALLONS/ACRE
Delivery Method
Estimated Acres Treated (ex. 200)
GALLONS
CHEMICAL BRAND(s) APPLIED - In formulated product units
CHEMICAL TRADE
NAME (ex: Roundup)
MANUFACTURER
(ex: MONSANTO, BASF)
EPA REG #
(ex: 524-475, CHEMICAL COMMON
NAME (ex: Glyphosate)
RATE OF APPLICATION - Liquid ex: 8 FLUID OUNCES PER ACRE, - Dry ex: 0.50 POUND PER ACRE
Distance to Water
Equipment
Used
Latitude: Longitude:
(ex: .45 )
Treatment Reason:
Treatment End Date (ex: 2020-03-29)
Mix Diluent
Equipment Sub Type
Treatment Subtype
Treatment Type
Treatment Activity
Chemical Agent Specific Type Name
Spray Pattern
Applicator Name
Applicator
LEID
Initial Treatment Code
Treatment Area Type Name
Soil Surface Moisture Type
Total Mix Applied (ex: 2 GALLONS)(ex: 4 GALLONS)
Diluent Volume Diluent Unit Of Measure
Of Measure Equipment Unit
SPECIES INFORMATION
SPECIES CODE
(ex: ACRE3)
SPECIES COMMON NAME
(ex. Russian Knapweed)
PLANT PHENOLOGY ESTIMATED PERCENT COVER
ADJUVANTS BRAND(s) APPLIED - In formulated product units
ADJUVANT
ADJUVANTS BRAND(s) APPLIED - In formulated product units
ADJUVANT BRAND NAME
((eex: Dx: DYYNNEE__AAMMIICC))
MMAANNUFUFACTURER
((eex: HEx: HELENLENAA CHEMICAL)
Rate of Application LiLiququiid d eexx: 2: 2 QUARQUARTTSS P PEERR AC ACRREE,, , 8 8 FFLLUID UID OOUNUNCCEESS P PEERR AC ACRREE,, 1 1 PPEERRCCEENNTT
S SOOLUTLUTIOIONN DDrryy e exx: 0.50 P: 0.50 POOUNUNDD P PEERR AC ACRREE,, 1 1 OOUUNNCCEE P PEERR AC ACRREE
Required
| ADMIN_ST_CD: [OR] |
| PRJCT_NAME: |
| FA_AIR_ME: |
| TRT_END_TM: |
| WNDMPH_ME: |
| WNDDRCT_CD: [SSW] |
| HUMID_RT: |
| TRT_LAT_NR: |
| TRT_LON_NR: |
| GEO_COUNTY_NM: |
| TRADE_NM_2: |
| TRADE_NM_1: |
| TRADE_NM_3: |
| TRADE_NM_4: |
| TRADE_NM_5: |
| MANUF_NM_1: |
| MANUF_NM_2: |
| MANUF_NM_3: |
| MANUF_NM_4: |
| MANUF_NM_5: |
| EPA_REG_NR_1: |
| EPA_REG_NR_2: |
| EPA_REG_NR_3: |
| EPA_REG_NR_4: |
| EPA_REG_NR_5: |
| CHMCMN_NM_1: |
| CHMCMN_NM_2: |
| CHMCMN_NM_3: |
| CHMCMN_NM_4: |
| CHMCMN_NM_5: |
| SPECIES_ID_1: |
| SPECIES_ID_2: |
| SPECIES_ID_3: |
| SPECIES_ID_4: |
| SPECIES_ID_5: |
| SPECIES_COMMON_NM_1: |
| SPECIES_COMMON_NM_2: |
| SPECIES_COMMON_NM_3: |
| SPECIES_COMMON_NM_4: |
| SPECIES_COMMON_NM_5: |
| TRADE_NM_6: |
| TRADE_NM_7: |
| TRADE_NM_8: |
| MANUF_NM_6: |
| MANUF_NM_7: |
| MANUF_NM_8: |
| RATE_6: |
| RATE_7: |
| RATE_8: |
| APPLD_RATE_6: [ ] |
| APPLD_RATE_7: [ ] |
| APPLD_RATE_8: [ ] |
| AGT_UOM_NM_1: [ ] |
| AGT_UOM_NM_2: [ ] |
| AGT_UOM_NM_3: [ ] |
| AGT_UOM_NM_4: [ ] |
| AGT_UOM_NM_5: [ ] |
| ACTLUSE_QY_1: |
| ACTLUSE_QY_2: |
| ACTLUSE_QY_3: |
| ACTLUSE_QY_4: |
| ACTLUSE_QY_5: |
| TREATMENT_NAME: |
| ADMIN_UNIT_CD: [ORW02] |
| TRT_DRIVER: [Invasive Species Removal] |
| EQPMNT_TYPE_NM: [Sprayer] |
| EQPMNT_SUBTYPE_NM: [ATV/ATU Mounted] |
| WTRDIST_TX: [ Greater than 100 Feet ] |
| TRT_SUBTYPE_NM: [Pesticide] |
| TRT_TYPE: [CHEMICAL] |
| LIFECYCLE_NM_1: [ ] |
| LIFECYCLE_NM_5: [ ] |
| LIFECYCLE_NM_4: [ ] |
| LIFECYCLE_NM_3: [ ] |
| LIFECYCLE_NM_2: [ ] |
| COVER_PCT_1: [ ] |
| COVER_PCT_2: [ ] |
| COVER_PCT_4: [ ] |
| COVER_PCT_3: [ ] |
| COVER_PCT_5: [ ] |
| TRT_END_DT: |
| TRT_ACTVTY_NM: [Spraying] |
| PTTRN_NM: [Spot] |
| PUP_NR_CD: |
| PERSON: |
| EST_ACRES_ME: |
| INITIAL_CD: [I] |
| AREA_TY_NM: [GRASSLAND] |
| SL_MOIS_NM: [MOIST] |
| LE_ID: |
| CHEM_CNTL_AGENT_TP_NM: [Herbicide] |
| DLVRY_MTHD_TYPE_NM: [Ground] |
| DILUENT_TY_NM: [None] |
| ACTLUSE_QY: |
| DILUENT_VOL_ME: |
| TRT_BEG_TM: |
| EQUIP_OUT_RT: |
| EQ_UOM_NM: [GALLONS/ACRE] |
| DILUENT_UOM_NM: [GALLONS] |
| TRT_BEG_DT: |
File details come from the government source that posted it. Updated .