W911SA-19-Q-3044_Attachment_1_Grounds_Weed_Control_Form.docx
DOCX document 28 KB Posted
- Attached to
- Grounds Services, Grand Rapids, MI Federal contract opportunity
- Solicitation number
- W911SA-19-Q-3044
About this file
Grounds Weed Control Form
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA-19-Q-3044_Amendment_2_Released.pdf | ||
| W911SA-19-Q-3044_Attachment_6_Grounds_Price_Schedule_Updated_3-7-19.xlsx | XLSX spreadsheet | |
| W911SA-19-Q-3044_Answers_to_Questions_18_Mar_19.docx | DOCX document | |
| W911SA-19-Q-3044_Attachment_6_Price_Schedule.xlsx | XLSX spreadsheet | |
| W911SA-19-Q-3044_Amendment_1_Released.pdf | ||
| W911SA-19-Q-3044_Attachment_3__ATOPSEC.pdf | ||
| W911SA-19-Q-3044_Attachment_2_Drawing.pdf | ||
| W911SA-19-Q-3044_Attachment_5_SUS_Trifold.pdf | ||
| W911SA-19-Q-3044_Solicitation_Released.pdf |
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Text version
88th RD
WEED CONTROL RECORD FORM
Version 1.4; 14 May 2018 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): ___________________
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