B_Attachment_3__SOW_-_Pesticide_Application_Record_(PAR).docx
DOCX document 41 KB Posted
- Attached to
- Burns District Herbicide Application Federal contract opportunity
- Solicitation number
- 140L3722R0019
About this file
This document outlines a federal contract opportunity for herbicide application services. The Bureau of Land Management Burns District is seeking proposals for imazapic treatment on lands within their area under a firm fixed price contract. The small business set-aside opportunity has a NAICS code of 115112 and size standard of $7.5 million. Evaluation will use a best value tradeoff process with technical factors significantly more important than price and include evaluation of any option periods. All responsible sources may submit by August 16th at 1500 MT to tthaler@blm.gov with the solicitation number in the email subject field. Questions are due by July 29th at 1400 MT. The selected contractor will be required to complete pesticide application records within 24 hours of each treatment documenting details of applications including chemicals used, rates, weather conditions, and licensed applicators.
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Text version
Pesticide Application Record (PAR)
GENERAL INFORMATION
Burns District BLM 28910 Highway 20 West Hines, OR 97738 BLM Project Name
Total Acres Treated
Associated GIS Shapefile(s)/ Tracklog(s) File ID:
(ex: Krumbo_tracklogs_20220915)
Contract Number
Company Name
TREATMENT INFORMATION
Treatment Date:
Start Time:
End Time:
Weather Reading (START) Temperature (°F):
Wind Speed:
Wind Direction:
Relative Humidity:
Weather Reading (END) Temperature (°F):
Wind Speed:
Wind Direction:
Relative Humidity:
Licensed Applicator Name & License Number:
Application Site Type:
(ex. roadside, rangeland)
Pest Species Treated:
(ex. cheatgrass)
Carrier: WATER OR OIL (circle one)
Distance to Water:
(circle one)
Less than 100 Feet OR 100 Feet or Greater
Application Equipment Used:
If fixed wing or helicopter provide N#:
Equipment/Sprayer Output (gallons per acre):
(ex: 10 GPA)
Total Number of Loads:
Total Amount of Mixture Applied:
(in gallons)
PESTICIDE BRAND(s) APPLIED - In formulated product units
PESTICIDE TRADE NAME:
(ex: Plateau)
MANUFACTURER:
(ex: BASF)
EPA REG #:
(ex: 241-565)
RATE OF APPLICATION:
(ex. 6 fluid oz/acre, 2 pint/acre, 1 percent solution, 10 pounds/acre)
TOTAL AMOUNT OF PRODUCT APPLIED:
(ex. 192 gallons, 250 pounds)
ADJUVANTS BRAND(s) APPLIED - In formulated product units
ADJUVANT TRADE NAME:
(ex: Grounded, Quest)
MANUFACTURER:
(ex: Helena Chemical)
RATE OF APPLICATION:
liquid ex: 1 pint per acre, 3 pints/100 gallons
TOTAL AMOUNT OF PRODUCT APPLIED:
(ex: 511 gallons)
NOTES/COMMENTS:
Per BLM policy, Pesticide Application Records must be completed within 24 hours of application and kept on file for a minimum of 10 years.
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