Exhibit 8b SCNF 2A_North Zone Application Record.pdf
PDF 208 KB Posted
- Solicitation number
- 1240LS24R0002
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is an Herbicide Application Record for the Salmon-Challis National Forest. It details the requirements for documenting herbicide applications, including the need to complete the record within 24 hours of the application. The record captures key information such as the application location, date, applicator details, equipment used, weather conditions, target and non-target vegetation, herbicide and adjuvant usage, total area treated, and any adverse effects observed. The form also provides space to record the specific herbicide output by NRIS Site ID. This record appears to be a required document for compliance with the relevant laws and regulations.
The related federal contract opportunity is for an Indefinite Delivery/Indefinite Quantity (IDIQ) contract for Invasive Species/Rare Plants Vegetation Management Services, solicited by the U.S. Department of Agriculture Forest Service. The solicitation number is 1240LS24R0002.
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Text version
Exhibit 1A:North Zone Herbicide Application Record Inventory_______________Salmon-Challis National Forest
311 McPherson Street, Salmon, ID 83467 FACTS________________
This Record is Required by Law and Must be Completed within 24 Hours of Herbicide Application
GPS File: Infestation ID: FACTS ID:
Site Description Treatment Area Name/Location: Date(MM/DD/YY):
Site Type: Admin.________
Rec. Site_______ Forest_________ Riparian_______
Rangeland_______ Pasture__________
ROW__________
Trailhead_______
Other (Specify)_____________________________
Application Information Prof. Applicator/License No:_____________________________ Prof. Applicator/License No:____________________________________ Prof. Applicator/License No: _______________________________ Prof. Applicator/License No:___________________________________
Other Applicators:
Equipment
Used: Backpack ______ ATV _____
Truck _____
Mechanical _____ Temp. Range: _________ to _________
Application Time: to Distance to Water: <15ft._____ 15-50 ft._____ >50ft._____ >100ft._____ Wind Speed: Wind Direction: Precipitation: Treatment Type: Broadcast Spot Target Species: Non Target Vegetation:
Herbicide/Adjuvant Usage
Product Active Ingredient EPA Reg. #
Calibration Rate
(Gal/Acre)
Rate Applied
(Oz./Acre)
Total Volume Applied
(Gallons)
Amount Applied (Ounces)
Acres Treated
(Chemical)
Total Treatment
Area (Acres)
Milestone Aminopyralid 62713-519 Plateau Imazapic 241-356 Telar XP Chlorsulfuron 352-654 Tordon 22K Picloram 62719-6 Transline Clopyralid 62719-259
2, 4-D
LI 700 /SS 7000
R11 / S-90/ NIS
MSO / SylTac Bullseye Dye
Plant Phenology (Dominant Life Stage) TX APPLICATION VISUAL MONITORING -Total App. Hours ______ Were any adverse effects identified during the application? (# People x total hrs worked)
No Yes (if yes, explain in the Notes) -Total Person Days ______ (Total App. Hours ÷ 10 Hrs)
NOTE- If adding more than 1 herbicide to a tank make sure to display it in Herbicide Name column. (For example: Telar + 2, 4-D)
Record initial amount mixed, gallons used, amount leftover @ end of day & amount applied by Person.
Herbicide Name Initial Amount Mixed Gallons Used Amount Leftover
TOTAL
Record specific amount of herbicide output by NRIS Site ID (If in a new infestation take a Weed Pt; if in a known infestation take a Qwik Pt )
NRIS ID/Plant Code Herbicide Gallons NRIS ID/Plant Code Herbicide Gallons New Species/Location Herbicide Gallons
Mechanical Treatment: Circle type (Pull, Clip Seed heads,) NRIS ID Quantity Tx NRIS ID Quantity Tx Notes: (e.g. site description, weed cover, and density, water sources, hazards, etc.
Plant Code Phenology (Dominate)
Amount Applied by Person Name Volume (Gal)
| GPS File: Infestation ID: FACTS ID: |
| Site Description |
| Application Information Prof. Applicator/License No:_____________________________ Prof. Applicator/License No:____________________________________ |
Herbicide/Adjuvant Usage
File details come from the government source that posted it. Updated .