W911SA-24-Q-3067 Attachment 1 - Pest Management Application Reporting Form.docx
DOCX document 30 KB Posted
- Attached to
- Weed Control Services at MT008 Helena, MT Federal contract opportunity
- Solicitation number
- W911SA24Q3067
About this file
This is a universal pest management application reporting form for the 88th Readiness Division. The form requires applicants to provide details of each pest management operation including the date, location, type of control operation, site description, pest targeted, area treated, name of the applicator, trade name and active ingredient of pesticide/herbicide used, EPA registration number, formulation, quantity applied, and final concentration applied. Applicants must also provide any comments on survey results, wind conditions, sanitation deficiencies. A copy of the completed form must be sent to the 88th PMC.
The related federal contract opportunity is a solicitation from the Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy for weed control services at MT008 Helena, MT. No other details are provided on products/services required, response dates, pricing terms, or other salient information.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA-24-Q-3067 Attachment 5 - Service Ticket.pdf | ||
| W911SA-24-Q-3067 Attachment 6 - Price Schedule (blank).xlsx | XLSX spreadsheet | |
| W911SA-24-Q-3067 Solicitation.pdf | ||
| W911SA-24-Q-3067 Attachment 2- Drawing.pdf | ||
| W911SA-24-Q-3067 Attachment 3- AT-OPSEC.pdf | ||
| W911SA-24-Q-3067 Attachment 4 - Armed Forces Pest Management Board Standard Pesticides List.pdf |
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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 .