Att7.Weed_Infestation_and_Treatment_Form.docx

Attachment 7

Weed Infestation/Treatment Data Coversheet (Required Only if Not Using NISIMS Mobile)

Date: ___________________

Corresponding Treatment Record ID: ______________________

Trace (Less than 1%) – Low (1-5%) – Medium (5-25%) - High (25-100%)

***If more species treated, attach another form and record there.

Treatment

*Method (circle): Pull / Hand Cut / Wrenching / Mechanical /Chemical(PAR required)

Spatial Information

Select One: Point______ Polygon______ Line_______

Point Feature5 ft Buffer width: 5 ft.

Name of Point _________________________________

Latitude: _________________________________

Longitude: _________________________________

Buffer Distance: _________________________________

Total Acreage (area w/in black border): _____________

Line FeatureSpray direction: left Buffer width: 5 ft.

5 ft.

Name of Line ________________________________ Buffer Direction _______________________________ Buffer Width _______________________________ Total Acreage (area w/in black border): ____________________

NOTE: ONLY fill in the table in this box if you are surveying/treating in a completely straight line (i.e. along a straight fence or straight highway) and are recording a start point and end point instead of a continuous line feature. Buffer Direction, Buffer Width and Total Acreage must be recorded for all line features in the space provided above.

EX: STOP1

EX: 44.0000

EX: -120.0000

Polygon Feature

Name of Polygon: _________________________________ Total Acreage (area w/in black border): _____________ image2.wmf image20.wmf image21.wmf image22.wmf