W911SA24Q3079 Attachment 7 88th RD Universal Pest Management Reporting Form.docx
DOCX document 28 KB Posted
- Attached to
- Grounds Maintenance Services for WI088 (Multi-Site) Federal contract opportunity
- Solicitation number
- W911SA24Q3079
About this file
This document contains a universal pest management application reporting form and details of 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, site description, pest targeted, area treated, name of applicator, pesticide or herbicide used including trade name, active ingredient, EPA registration number, formulation, and quantity applied. Contractors must also provide comments on survey results, wind conditions, sanitation deficiencies and sign the form. The related solicitation is for grounds maintenance services at multiple sites under the WI088 location and was issued by the Department of the Army Materiel Command Mission and Installation Contracting Command at Fort McCoy.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911SA24Q3079 Attachment 4 WI050 Drawing.pdf | ||
| W911SA24Q3079 Attachment 3 WI047 Drawing.pdf | ||
| W911SA24Q3079 Attachment 6 Sample Service Ticket.docx | DOCX document | |
| W911SA24Q3079 Solicitation.pdf | ||
| W911SA24Q3079 Attachment 2 WI003 Drawing.pdf | ||
| W911SA24Q3079 Attachment 1 Price Schedule CUI.xlsx | XLSX spreadsheet | |
| W911SA24Q3079 Attachment 5 AT-OPSEC.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 .