PUP.pdf

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Rangeland Maintenance Services (RMS)
Solicitation number
FA489721R0004
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Text version

UNITED STATES DEPARTMENT OF THE INTERIOR

BUREAU OF LAND MANAGEMENT

TWIN FALLS & BOISE DISTRICT

PESTICIDE APPLICATION RECORD

Load of _____

1. PUP #/Project Name: # /Noxious and Invasive Weeds Control for MHAFB and MHRC

2. PUP Originator: Mountain Home AFB; Carl Rudeen________________________________

3. Applicator:

4. GPS File Name (if applicable):

5. Date of Application: Time of Application:

6. Wind Velocity: Wind Direction: Temperature:

7. Location of Application: T. , R. , Sec. .

8. General Location:

9. Equipment Used: Truck ATV Backpack Mechanical

10. Actual Area Treated: Acres

11. Actual Treated Feet

12. Actual Treated Miles

13. Pest (s) Involved:

14. Pesticide Used:

a. Company or Manufactures Name:

b. Trade Name:

c. Type of Formulation: Liquid Granular WP

d. Rate of Application: /quart acre /total gallons used

e. Rate of A.I. Ingredients: ________ / # A.I. acre __________ / total # A.I.

f. PUP Number:

g. EPA Number:

a. Company or Manufactures Name:

b. Trade Name:

c. Type of Formulation: Liquid Granular WP

d. Rate of Application: /quart acre /total gallons used

e. Rate of A.I. Ingredients: ________ / # A.I. acre __________/ total # A.I.

f. PUP Number:

g. EPA Number:

15. Adjuvant(s) Used:

a. Trade Name:

b. Total Amount Used:

16. Water Used: /gallons acre /total gallons used

17. Comments: _________________________________________________________________

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