W911SA24Q3046 Attachment 2 - 88th RD Universal Pest Management Application Reporting Form.docx
DOCX document 28 KB Posted
- Attached to
- Grounds Maintenance for KS065 (Multisite) Federal contract opportunity
- Solicitation number
- W911SA24Q3046
About this file
This document contains a universal pest management application reporting form and details for a related federal contract opportunity for grounds maintenance services. The reporting form requires contractors to provide details of each pest management operation such as date, location, type of control method, area and pest treated, pesticide used, applicator information, and comments.
The grounds maintenance contract opportunity is a request for quotes issued by the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy. The requirement is for multisite grounds maintenance services at KS065. No further details are provided on response dates, award dates, pricing terms, set asides, incumbent contractors or other salient information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA24Q3046 Solicitation.pdf | ||
| W911SA24Q3046 Attachment 1 - Price Schedule - CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3046 Attachment 3 - Drawings.pdf | ||
| W911SA24Q3046 Attachment 4 - AT OPSEC.pdf | ||
| W911SA24Q3046 Attachment 5 - Grounds Service Ticket.docx | DOCX document |
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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)____________
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