Attachment D_Daily Herbicide Spray Record.pdf

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Attached to
21H-M-S-4 Herbicide Spraying Services-Steep
Solicitation number
6100054419
Issued by
Sullivan 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 form for contractors to record details related to the daily application of herbicides under a forestry management contract, including the location, materials used, weather conditions, and operator signatures. The form captures information such as the contract number, block number, acreage, townships, and other details about the herbicide spraying operations. This document would be used to track and monitor the daily activities and compliance of the herbicide application work under the forestry management contract.

The document does not provide any additional details about the overall contract scope, procurement process, pricing, or other contractual terms. It is focused solely on tracking the daily herbicide spraying activities and record-keeping requirements for the contractor performing this work.

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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 .