Attachment_3_DD1532.pdf

PDF 259 KB Posted Mar 1, 2019

Attached to: Pest Management Fort Carson, CO Federal contract opportunity
Solicitation number: W911RZ19Q0035
Issued by: Department of the Army Materiel Command Mission and Installation Contracting Command Fort Carson

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Attachment 3 DD 1532

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Other files attached to Pest Management Fort Carson, CO, newest first.
File	Type	Posted
W911RZ19Q00350001_released.pdf	PDF	Mar 27, 2019
Responses_to_questions_(5)_W911RZ-19-Q-0035_KS_Signed_.pdf	PDF	Mar 8, 2019
Responses_to_questions_(4)_W911RZ-19-Q-0035_KS_signed.pdf	PDF	Mar 7, 2019
Responses_to_questions_(3)_W911RZ-19-Q-0035_KS_signed_.pdf	PDF	Mar 6, 2019
Responses_to_questions_(2)_W911RZ-19-Q-0035_KS_signed_.pdf	PDF	Mar 5, 2019
Responses_to_questions_W911RZ-19-Q-0035_Pest_Management_03042019_KS_signed.pdf	PDF	Mar 4, 2019
Attachment_11_WD_15-5427_Rev._-9_Pueblo_Co.pdf	PDF	Mar 1, 2019
Attachment_8_West_Nile_Virus_POC_List.doc	DOC document	Mar 1, 2019
Attachment_1_IPMP.pdf	PDF	Mar 1, 2019
Attachment_5_Service_Order_Report.pdf	PDF	Mar 1, 2019
Attachment_10_WD_15-5417_Rev._-11_El_Paso_County.pdf	PDF	Mar 1, 2019
Attachment_4_Pest_Management_Record,_15-P-0102,_20150816.pdf	PDF	Mar 1, 2019
Attachment_9_WD_15-5422_Rev.-11_Las_Animas_County.pdf	PDF	Mar 1, 2019
Attachment_6_Out_of_Cycle_Pesticide_Uses_Request_(OCPURs).pdf	PDF	Mar 1, 2019
Attachment_2_FC_1200-E_Spill_Report.pdf	PDF	Mar 1, 2019
Tech_Exhibit_003_Fort_Carson_Mosquito_Pesticide_applicatoin.pdf	PDF	Mar 1, 2019
Tech_Exhibit_001-_Service_Estimates.pdf	PDF	Mar 1, 2019
W911RZ19Q0035_pest_management.pdf	PDF	Mar 1, 2019
Attachment_7_West_Nile_Virus_Bird_Collection_Information.pdf	PDF	Mar 1, 2019
Tech_Exhibit_002_-_FACILITYLIST.pdf	PDF	Mar 1, 2019

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PEST MANAGEMENT REPORT

C.D. CODE UIC

REPORT CONTROL

SYMBOL

1 2 3 4 5 6 7 8 9 10 11 12

1. MAJOR OR REVIEWING COMMAND 2. REPORTING INSTALLATION

a. NAME b. ADDRESS a. NAME b. ADDRESS

NO.

TARGET PEST

Name

(a) 13 - 15

OPERATION

Name

(b) 17 - 19

Total Units Treated

Unit

(d) 25 - 27

Site

(e) 28 - 30

PESTICIDE

Name

(f) 31 - 33

Form

(g) 34 - 36

Amount (h)

37 - 41

Unit (i)

42 - 43

APPLICATION Final Conc. %

(j) 44 - 49

Lbs.

(k)

50 - 55

(l)

56 - 58

RATE (Per Area Unit) SUPPLY

SOURCE

Enter S,N,G,C

(m)

TIME

Hours

(n) 69 - 71

DD FORM 1532, AUG 96 PREVIOUS EDITION MAY BE USED. (OVER)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 6 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION.

NO.

TARGET PEST

Name

(a) 13 - 15

OPERATION

Name

(b) 17 - 19

Total Units Treated

Unit

(d) 25 - 27

Site

(e) 28 - 30

PESTICIDE

Name

(f) 31 - 33

Form

(g) 34 - 36

Amount (h)

37 - 41

Unit (i)

42 - 43

APPLICATION Final Conc. %

(j) 44 - 49

Lbs.

(k)

50 - 55

(l)

56 - 58

RATE (Per Area Unit) SUPPLY

SOURCE

Enter S,N,G,C

(m)

TIME

Hours

(n) 69 - 71

DD FORM 1532 (BACK), AUG 96

3. REMARKS INSTRUCTIONS FOR USE

1. Detailed instructions of the implementing department directive shall be used in the preparation of this report.

2. Military installations shall prepare this report by the 15th day after the end of each month.

The report shall be prepared and signed by the DOD certified pest management supervisor, applicator or inspector and by the installation engineer.

3. Three copies shall be signed and distributed as follows:

a. Copy No. 1. To the appropriate pest management professional in accordance with implementing department directives for technical review.

b. Copy No. 2. Record to the installation surgeon.

c. Copy No. 3. Record copy to the installations engineer for two year retention in accordance with Public Law 92-516.

4. INSTALLATION ENGINEER (Reviewing Officer)

a. TYPED NAME b. SIGNATURE c. DATE (YYYYMMDD)

5. INSTALLATION CERTIFIED PEST MANAGEMENT SUPERVISOR, APPLICATOR, OR INSPECTOR

a. TYPED NAME b. SIGNATURE c. DATE (YYYYMMDD)

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