W911SA24Q3083 Attachment 6 (88th RD Pest Management).docx
DOCX document 30 KB Posted
- Solicitation number
- W911SA-24-Q-3083
About this file
This document appears to be a Pest Management Application Reporting Form for the 88th Readiness Division. It outlines the information that must be recorded for each pest management operation, including the date, location, type of pest control, treated area, pesticide used, and applicator details.
The related federal contract opportunity is for Snow Removal & Grounds Services at Facility IL190 in Quincy, Illinois. This solicitation, numbered W911SA-24-Q-3083, will be issued on 15 July 2024 and will have a period of performance from 1 August 2024 to 31 July 2025, with four one-year option periods and a six-month extension. A site visit is scheduled for 16 July 2024, and written questions are due by 17 July 2024. Quotes must be emailed to the Contracting Officer by the solicitation closing date and time, and contractors must submit all required documents, including a signed SF 1449, completed price schedule, and signed amendments, to be considered for award.
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Other files
| File | Type | Posted |
|---|---|---|
| W911SA24Q3083 Attachment 2 (AT-OPSEC).pdf | ||
| W911SA24Q3083 Attachment 1 (Price Schedule) CUI.xlsx | XLSX spreadsheet |
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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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