W911SA24Q3119 - Attachment 5 - 88th RD Universal Pest Management Application Reporting Form.docx

DOCX document 31 KB Posted

Attached to
Grounds Maintenance Services at WA038 Tumwater, WA
Solicitation number
W911SA24Q3119
Issued by

About this file

Written by GovTribe AI ·

This document is the 88th Readiness Division Universal Pest Management Application Reporting Form, which is used to document each pest management operation. The form captures details such as the date, location, type of pest control operation, site description, pest, area treated, applicator information, pesticide/herbicide used, and any relevant comments.

The related federal contract opportunity is Solicitation W911SA24Q3119 for Grounds Maintenance Services at one location in Washington. The performance period is 1 August 2024 to 31 July 2025 with one option year and a six-month option to extend. Quotes are due by the date/time listed in the solicitation in central time, and all required documents must be submitted with the quote. Written questions must be provided to the government by 10:00 AM CST on 10 July 2024. The contracting agency is the Department of the Army Materiel Command Mission and Installation Contracting Command Fort McCoy.

View the file

Other files

File Type Posted
W911SA24Q3119 - Attachment 2 - AT OPSEC.pdf PDF
W911SA24Q3119 - Attachment 3 - Drawing.pdf PDF
W911SA24Q3119 - Attachment 6 - DOD Pesticides List.pdf PDF
W911SA24Q3119 Solicitation.pdf PDF
W911SA24Q3119 - Attachment 1 - Price Schedule - CUI.xlsx XLSX spreadsheet
W911SA24Q3119 - Attachment 4 - Sample Service Ticket.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 .