Attachment D_Daily Herbicide Spray Record.pdf

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Attached to
21H-H-1 Hand Application Only-Herbicide Spray Svcs
Solicitation number
6100054527
Issued by
Potter 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. It provides a standardized form for logging information related to the application of herbicides, including the date, location, contractor, equipment operator, materials used, total gallons sprayed, weather conditions, and other relevant details. The form is used to track and document herbicide treatment activities conducted under a state forestry contract.

The document outlines the specific data points that must be recorded, such as the contract number, block number and acreage, townships, treatment times, herbicide product quantities, total gallons sprayed, weather conditions, and shutdown times. This information is used to monitor and verify the herbicide application work performed by the contracted service provider. No additional details are provided about the overall contract scope, pricing, term, or other administrative requirements.

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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 .