ATTACHMENT 8.6 PESTICIDE APPLICATION DATA SHEET.docx

This is a Pesticide Application Data Sheet template designed to document and track pesticide applications at a treatment site. The form captures comprehensive information across multiple categories: application site details including location, treatment area size, plant age and condition, soil conditions, and surrounding sensitive areas; pest problem assessment including primary pest identification, damage observations, other pests present, damage location, beneficial organisms present, and problem severity; pesticide use documentation including specific pesticides, formulations, application rates, total amounts used, adjuvants and surfactants with quantities, and total diluted spray volume; application conditions including dates, weather parameters (temperature, cloud cover, wind speed and direction, rainfall), equipment type and calibration information, travel speed, application duration, and personnel notified.

The form also requires follow-up documentation capturing effectiveness of the application, beneficial organisms present post-application, pest resurgence observations, and any injury to non-target plants or surfaces, with space for additional comments and applicator signature and date. This template is associated with the Los Angeles National Cemetery grounds maintenance services solicitation (36C78626R50110 -- S208) issued by the Department of Veterans Affairs National Cemetery Administration, indicating that pesticide application tracking and documentation will be a required component of grounds maintenance service delivery for this federal contract.