W911SA-20-Q-3026_Attachment_1_-_88th_RD_Universal_Pest_Management_Application_Reporting_Form_(2).docx
DOCX document 22 KB Posted
- Solicitation number
- W911SA-20-Q-3026
About this file
This document contains a federal contract opportunity for grounds maintenance services. The solicitation number is W911SA-20-Q-3026 and seeks grounds maintenance at multiple Illinois National Guard sites from April 2020 through March 2021, with four option years and a potential six-month extension. Site visits are scheduled for October 29-30, 2019 at the various locations listed. Questions regarding the solicitation are due by November 5, 2019 and the solicitation will be available on FBO.gov, with amendments also posted there rather than direct notification provided. The services required include grounds maintenance at seven Illinois National Guard sites.
Attachment 1 - 88th RD Universal Pest Management Application Reporting Form
View the file
Other files
On GovTribe
Work with this file
- 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 .