ATTACHMENT 8.6 PESTICIDE APPLICATION DATA SHEET.docx

This is a Pesticide Application Data Sheet template designed to document and track pesticide applications for grounds maintenance operations. The form serves as a comprehensive record-keeping tool for pesticide use at the Los Angeles National Cemetery, which is part of the Department of Veterans Affairs National Cemetery Administration grounds maintenance contract (Solicitation No. QSE--36C78626R50110).

The data sheet captures critical information across five main sections: Application Site Details (location, treatment area size, plant conditions, soil conditions, and nearby sensitive areas); Pest Problem Assessment (primary and secondary pests, damage location, severity, and presence of beneficial insects); Pesticides Used (specific product names, formulations, application rates, total amounts, and any adjuvants or surfactants); Application Conditions and Methods (dates, weather parameters including temperature, wind speed and direction, cloud cover, rainfall, equipment used and calibration status, travel speed, and application duration); and Follow-Up Evaluation (effectiveness assessment, beneficial insect presence post-application, pest resurgence, and any damage to non-target plants or surfaces). The form includes signature and date fields for documentation purposes, along with space to record persons notified of the application. This template establishes standardized documentation procedures for pesticide management compliance and safety protocols required under the cemetery grounds maintenance contract.