W911SA-17-Q-0038_Attachment_5_Weed_Control_Form.docx

DOCX document 25 KB Posted

Attached to
Grounds Maintenance - Multi Site Michigan Federal contract opportunity
Solicitation number
W911SA-17-Q-0038
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy

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Attachment 5 Weed Control Form

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Other files attached to Grounds Maintenance - Multi Site Michigan, newest first.
File Type Posted
W911SA-17-Q-0038_Solicitation_Amendment_0001.pdf PDF
W911SA-17-Q-0038_Attachment_2_Drawings.pdf PDF
W911SA-17-Q-0038_Solicitation.pdf PDF
W911SA-17-Q-0038_Attachment_1_Price_Schedule.xlsx XLSX spreadsheet
W911SA-17-Q-0038_Attachment_4_Grounds_Service_Ticket.docx DOCX document
W911SA-17-Q-0038_Attachment_3_ATOPSEC.pdf PDF

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DELIVERABLE 1

88th RSC

WEED CONTROL RECORD FORM

A separate form shall be filled out for each operation.

Please print for number 1-8.

1. Date of Application: _________________________

2. Facility Name: ____________________________

3. Type of Application: ________________________________________ (e.g., power spray, manual application etc.)

4. Site Description: ______________________________________ (e.g. lawn, unimproved ground, fence line, parking lot cracks, etc.)

5. Size of Area Treated: _________________________________ [Include unit, SF (square feet), LF (linear feet), AC (acre), CF (cubic feet)]

6. Applicator’s Name: ___________________________________

7. Herbicide Used:

7a. Herbicide Trade Name: ___________________________________

7b. Herbicide Active Ingredient: ________________________________________

7c. EPA or State Reg # : ________________________________

7d. Formulation: _____________________________________

7d. Quantity of herbicide applied ____________________________ [(include unit, FL (fluid ounce), GA (gallon), ML (milliliter), LT (liter), LB (pound), DR (dry ounce), GR (gram), KG (kilogram)]

7e. Final Concentration Applied (%): _______________________________

8. Additional Comments: (survey results, wind conditions, sanitation deficiencies, etc.)

9. Signature of Applicator: ___________________________________

10. Certification # of Applicator: _______________________________

11. (PWS #5.3.5) Copy of this form attached to invoice in iRAPT on (date): ___________________

File details come from the government source that posted it. Updated .