Blank Pest. Herbicide Management Report Attch 11.xls
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- FA488709R0013
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Sheet1
| PESTICIDE/HERBICIDE MANAGEMENT REPORT | ||||||||||||||||
| 1. Contractor Information | 2. Project Site | |||||||||||||||
| a.Name | b.Address | Luke AFAB AZ 85309 | ||||||||||||||
| 3. Applicator Information | ||||||||||||||||
| a.Name | b.Address | c.License | d. Certification | d.CertificateType | e. Certificate Expire | f.Technician | ||||||||||
| No. | Project Information | Target Pest | Operation | Pesticide | Water | Mixture | Date | |||||||||
| Project No. | Delivery Order | Facility | Name | Method | Area | Unit | Chemical | Form | QTY | Unit | QTY | Unit | QTY | Unit | ||
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| Note: | Herbicide usage is a controlled item by the U.S Government. | |||||||||||||||
| Contractor shall fill out this form and provide a copy to: 56 CES Engineering Flight and 56 Contracting Office contract administrator | ||||||||||||||||
| Monthly Usage Reports : Report is due to the 56th CES Entomology Section (7-days prior to the end of each month). | ||||||||||||||||
| Usage is sent from 56 CES to HQ/AETC |
Sheet2
Sheet3
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