Exhibit_C__Herbicide_Applicaiton_Log_85000015_10.24.pdf

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Attached to
City Wide Contract Mowing Services
Solicitation number
B-26-13-COC
Issued by
Brevard County, Clewiston City, Florida

About this file

This document is a Herbicide Application Log form from the State of Florida Department of Transportation for maintenance contract 850-000-15, dated 10/24. The form serves as a record-keeping tool for herbicide application activities on state roadways and facilities. The log captures comprehensive details about herbicide products used, including manufacturer information, trade names, active ingredients, formulations, and application rates. It documents the specific equipment employed, including descriptions with DOT numbers, calibration specifications such as tank size, tip size, pressure settings, and gallons per acre of solution applied. The form records the mixing procedures, specifying the location of herbicide mixing and loading areas and the quantities of each herbicide component, water, and adjuvants combined per tank batch.

The application section of the log documents the specific location and conditions of each herbicide application, including the county or facility, state road number, GPS coordinates or milepost reference, application times, and hourly wind speed measurements recorded at multiple time intervals to ensure compliance with environmental and safety standards. The form requires the printed name and signature of the applicator performing the work and the name, license number, and approval signature of the license holder responsible for overseeing the application. This documentation format ensures traceability, regulatory compliance, and accountability for all herbicide applications conducted on Florida Department of Transportation properties and rights-of-way.

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

HERBICIDE APPLICATION LOG

850-000-15

MAINTENANCE

10/24

Date: Contract Number:

HERBICIDE INFORMATION

a Manufacturer:

Trade Name:

Active Ingredient (%): Formulation:

b c

Method of Application: Application Rate:

Target Species:

Adjuvant:

EQUIPMENT

Description of Equipment Used (Include DOT #):

Calibration of Equipment

Tank Mix System Injection System

Tank Size:

Tip Size:

Pressure:

Gallons per Acre of Solution: Acres Treated per Tank:

Gallons per Minute:

MIXING

Location of Herbicide Mixing and Loading Area:

Amount of Herbicide (a) per Tank:

Amount of Herbicide (b) per Tank:

Amount of Herbicide (c) per Tank:

Amount of Water per Tank: Amount of Adjuvant per Tank:

APPLICATION

County / Facility: State Road Number:

From/ To GPS Location or MP: Times of Application:

Hourly Winds Speeds (MPH)

Time Speed Direction Time Speed Direction Time Speed Direction

Amount of Solution Applied:

Name of Applicator (Printed):

Name of License Holder Responsible:

License Number:

Signature of Applicator:

License Holder Approval (Signature):

File details come from the government source that posted it. Updated .