Attachment_F_-_SC_Pesticide_Application_Record.pdf
PDF 649 KB Posted
- Attached to
- Landscape Maintenance Services Countywide
- Solicitation number
- 262798MN
- Issued by
- Sarasota County, Siesta Key CDP, Florida
About this file
This is a Pesticide Application Record form for Sarasota County, designed to document and track pesticide and herbicide applications performed by certified applicators on county property. The form serves as an attachment to the Landscape Maintenance Services Countywide contract, an Invitation for Bids through Sarasota County, Florida, for comprehensive landscape maintenance services with an anticipated initial contract term of three years. The record captures essential application details including the contract or purchase order number, application date and time, certified applicator information with FDACS licensing verification, treatment location and habitat type, total acreage treated, and specific product information such as herbicide or adjuvant trade names and application rates.
The Pesticide Application Record requires documentation of environmental conditions at the time of application, including air temperature, cloud cover, wind speed, and wind direction, along with detailed information about targeted species, coverage percentages across six cover class ranges, and total quantities of mix and raw product applied. This form ensures compliance with regulatory requirements and provides accountability for pesticide applications performed under the county's landscape maintenance contract, enabling tracking and verification of all herbicide and pesticide treatments conducted throughout Sarasota County.
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Text version
Sarasota County Pesticide Application Record
Contract or PO#: Application Date: Start Time: End Time:
Certified Applicator Name: FDACS License #: Certified Applicator Signature:
Site/Project Name: Application Location or Management Zone # (use Lat/Long if applicable):
Habitat Type Treated (i.e. pine flatwoods, hammock, scrub, etc.): Total Acres Treated:
Mix # Control Method Targeted Species and Cover Class**
Herbicide or Adjuvant Trade Name Total Mix Applied (oz)
Mix Rate (%) Raw Product Used (oz)
** Cover class | range (%): 1) 0-5%; 2) 6-25%; 3) 26-50%; 4) 51-75%; 5) 76-95%; 6) 96-100%
Air Temperature (°F): Cloud Cover: Wind Speed (mph): Wind Direction:
Comments:
ATTACHMENT F
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