Attachment D_Daily Herbicide Spray Record.pdf

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Attached to
21H-M-S-2 Herbicide Spraying Services-Steep
Solicitation number
6100054417
Issued by
Warren County, Pennsylvania

About this file

This document is an Attachment D - Daily Herbicide Spray Record from the Commonwealth of Pennsylvania, Department of Conservation and Natural Resources, Bureau of Forestry. The document provides a form for recording details of daily herbicide spray treatments, including the contract number, block number and acreage, materials used, weather conditions, and signatures of the dispatcher and equipment operator. The form tracks information such as the start and end times of spraying, the quantity of herbicides applied, total gallons sprayed, and any remarks or weather shutdown details. This form appears to be a standard record-keeping document used in the administration of herbicide spray contracts by the Commonwealth of Pennsylvania.

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Text version

ATTACHMENT D-DAILY HERBICIDE SPRAY RECORD

8100-FM-FR0067 05/02 Side A

COMMONWEALTH OF PENNSYLVANIA

DEPARTMENT OF CONSERVATION AND NATURAL RESOURCES

BUREAU OF FORESTRY

FMT-40

BLOCK HERBICIDE SPRAY RECORD

District # Contract # Block # Block Sheet # County(s)

Rate: Acres:

Contractor Equipment Operator Townships(s)

TREATMENT DATA

TIME MATERIALS

DATE LOAD # START END

ACCORD

quarts

OUST

ounces

SURF.

ounces

TOTAL

GALLONS REMARKS

TOTALS

Notes: WEATHER DATA

DATE TIME WIND TEMP R.H. OTHER

Shutdown time and reason:

Signature of Dispatcher: Signature of Equipment Operator:

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