W911SA-23-Q-3022 - Attachment 5 - Pest Management Application Reporting Form.docx
DOCX document 24 KB Posted
- Attached to
- Grounds Maintenance Services at OH105: Five (5) Facilities in Ohio Federal contract opportunity
- Solicitation number
- W911SA-23-Q-3022
About this file
This document contains a universal pest management application reporting form and information about a related federal contract opportunity for grounds maintenance services. The pest management form requires contractors to provide details of each pest control operation such as date, location, type of pest, area treated, pesticide used, applicator information, and comments. The grounds maintenance contract is a request for quotes from the Department of the Army to provide services at five facilities in Ohio. Contractors must submit quotes responding to the solicitation number provided for an opportunity to maintain grounds keeping at the specified military installations in the region.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA-23-Q-3022 - Solicitation.pdf | ||
| W911SA-23-Q-3022 - Attachment 2 - Drawings.pdf | ||
| W911SA-23-Q-3022 - Attachment 3 - AT OPSEC.pdf | ||
| W911SA-23-Q-3022 - Attachment 1 - Price Schedule - CUI.xlsx | XLSX spreadsheet | |
| W911SA-23-Q-3022 - Attachment 4 - Sample Service Ticket.docx | DOCX document | |
| W911SA-23-Q-3022 - Attachment 6 - Wage Determination Log.docx | DOCX document |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
88th Readiness Division
UNIVERSAL PEST MANAGEMENT APPLICATION REPORTING FORM
A separate form shall be filled out for each pest management operation.
Please print for number 1-9.
1. Date of Application: _________________________
2. Location: 2a. Inside or Outside (circle one) 2b. Facility name and/or building #: _______________________________________
3. Type of Pest Control Operation: ______________________________________________ (e.g., baiting, power spray, ULV, manual application of pesticide etc.)
4. Site Description: ______________________________________ (e.g., office, lawn, unimproved ground, fence line, parking lot cracks, etc.)
5. Pest: _________________________________________(rodents, spiders, nates, weeds, etc.)
6. Area Treated: _________________________________ [Include unit, SF (square feet), LF (linear feet), AC (acre), CF (cubic feet), EA (each - for baiting only)]
7. Applicator’s Name: ___________________________________
8. Pesticide/Herbicide Used:
8a. Pesticide/Herbicide Trade Name: _______________________________________ 8b. Pesticide/Herbicide Active Ingredient: ___________________________________ 8c. EPA or Country Reg #: ________________________________________________ 8d. Formulation: _________________________________________________________ 8d. Quantity of pesticide applied: ___________________________________________ [include unit, FL (fluid ounce), GA (gallon), ML (milliliter), LT (liter), LB (pound), DR (dry ounce), GR (gram), KG (kilogram)] 8e. Final Concentration Applied: _______________________________________ (amount of active ingredient per acre/area)
9. Comments: (survey results, wind conditions, sanitation deficiencies, etc.)
10. Signature of Applicator: ____________________________________________
11. Certification # of Applicator: _________________________________________
12. Copy sent to 88th PMC on (date)____________
File details come from the government source that posted it. Updated .