Herbicide_Spraying_Englebright_Lake_Attachments.pdf

QUALITY ASSURANCE MONITORING FORM

Date: ___/____/______

Work Task (Milestone/Activity): _______________________________________

Survey Period: ___/____/______ through ___/____/______

Method of Surveillance: COR Review

Evaluation of Contractor’s Performance: _______

Corrective Action Required: Yes No

Narrative Discussion of Contractor’s Performance during Survey Period:

ATTACHMENT 1

SAFETY EXPOSURE REPORT

ATTACHMENT 2

MONTHLY SAFETY MEETING MINUTES

CONTRACTOR: _______________________________________________________________

DATE: ________________ TOPIC: __________________________________

SUMMARY:

CORRECTIVE ACTIONS REQUIRED (IF ANY):

Feb 2018

ATTACHMENT 3

Jan 2018

ACTIVITY HAZARD ANALYSIS

Date Prepared Date Revised Revision No.

Project

Analysis prepared by: Reviewed by: Accepted by:

Doug Grothe

Park Manager

Activity

Hazard Recommended Controls Activity

1. 1.1. 1.

1.2

1.3

2. 2.1

2.2

2.3

3. 3.1

3.2

3.3

4. 4.1

4.2

4.3

5. 5.1

5.2

5.3

ATTACHMENT 4

MAP OF SERVICE AREA

Updated 2018

ATTACHMENT 5

Repair/Work Request

Jan 2018

Date: Name:

Specific item that needs to be repaired:

Physical Location:

Repair/Work Request Details:

Priority: □ 1: Deferrable, low priority

□ 2: Normal, for effective operation

□ 3: Urgent, to stop eventual loss

□ 4: Critical, to stop immediate loss

Reason for Priority:

ATTACHMENT 6

HERBICIDE APPLICATION LOCATIONS AND SPECIFICATIONS

Note: All areas are approximated. It is the contractor’s responsibility to verify areas for performance

1. Grasses and Weeds Service Areas:

a. Gravel Parking Lots: (Surface and edges)

(1) Narrows Upper Lot (225’ x 85’) 19,100 Sq Ft

(2) Farrell’s Ranch Lot (110’ x 40’) + (85’ x 49’) 8,600Sq Ft

Subtotal: 27,700 Sq Ft

b. Roadsides and Paved Lot Borders: (4’ strip each side)

(1) Narrows & Joe Miller Entrance Signs (4) Mooney Flat Road 100 Sq Ft

(2) Road to Narrows Day Use (3000’ x 8’) including Boat Ramp 24,000 Sq Ft

(3) Road to Park Office (640’ x 8’) 5,100 Sq Ft

(4) Road to Shop (1525’ x 8’) 12,200 Sq Ft

(5) Narrows Day Use Lot (600’ x 8’) 4,800 Sq Ft

(6) Government Vehicle Parking Lot (300’ x 4’) 1,200Sq Ft

(7) Joe Miller Recreation Area Road (3870’ x 8’) 31,000 Sq Ft

(to Lower & Middle Parking Lots; includes Boat Ramp)

(8) Joe Miller Lower and Middle Lots (1170’ x 4’) 4,700 Sq Ft

(9) Pavement Cracks with Vegetation 300 Sq Ft

Subtotal: 83,400 Sq Ft

c. Structure Perimeter: (4’ perimeter)

(1) Shop Storage Yard (including all buildings, 2,200 Sq Ft sheds, concrete landings & well head)

(2) Water Treatment Plant and Tank 600 Sq Ft

(3) Evaporation Pond Fenceline plus entire area within fenceline 8,300 Sq Ft

(4) Lift Station (between Park Office and Water Treatment Bldg) 200 Sq Ft

(5) Stairway behind Park Office 300 Sq Ft

(6) Telephone Poles (pair) uphill from east door of Park Office 100 Sq Ft

(7) Building Perimeter and Fencline behind Park Office Annex 400 Sq Ft

(8) Stairway from Narrows Restroom to Park Office 400 Sq Ft

(9) Narrows Monitor Interpretive Display 300 Sq Ft

(10) Narrows Picnic Area – 8 BBQ Grills (10’ radius around each) 2,500 Sq Ft

(11) Narrows Picnic Area – 8 Tables 1,200 Sq Ft

(12) Narrows Picnic Area Stairs and Trail to Overlook 2,300 Sq Ft

(13) Joe Miller Well Head 100 Sq Ft

(14) Joe Miller Restroom (rear) 100 Sq Ft

Subtotal: 19,000 Sq Ft

d. Boat-In Campgrounds:

(1) 98 Fire Rings and Grills (10’ radius around each) 30,800 Sq Ft

(2) 97 Tables (4’ perimeter and underneath) 17,700 Sq Ft

(3) 23 Portable Toilets (2’ perimeter) 1,200 Sq Ft

Subtotal: 49,700 Sq Ft

e. Fire Breaks:

(1) Overlook (10’ perimeter) 100 Sq Ft

(2) Hogback / Bonanza 10,500 Sq Ft

(3) Longs Cove 19,500 Sq Ft

(4) Longs Point 13,000 Sq Ft

(5) Rocky Bluff 9,600 Sq Ft

(6) Singles / Shadyside 12,000 Sq Ft

(7) Boston Bar / Upper Boston 30,000 Sq Ft

(8) Cherokee 9,400 Sq Ft

(9) Bucks Beach 9,500 Sq Ft

(10) Dixon Hill 10,200 Sq Ft

(11) Point Defiance 14,000 Sq Ft

(12) Lower Missouri 9,800 Sq Ft

(13) Missouri Bar 23,800 Sq Ft

(14) Sunnyside 7,200 Sq Ft

(15) Rice’s Crossing 1,600 Sq Ft

Subtotal: 180,200 Sq Ft

Grasses and Weeds Service Grand Total: 360,000 Sq Ft

2. Poison Oak Service Areas:

a. Recreation Areas:

(1) Narrows and Joe Miller Recreation Area Roadsides and Paved 1,100 Sq Ft

Parking Lot Borders, 10’ Each Side (1,062,200 x 0.1%)

(2) Narrows-Joe Miller Fishing Access Trail, 10’ Each Side 300 Sq Ft

(3) Boat-in Campgrounds (239,546 x 0.1%) 200 Sq Ft

(25’ radius around 102 Campsites, 1 Group Camp Shelter and 23 Portable Toilets)

(4) 5 Oaks Nature Trail, 10’ Each Side (176,000 x 0.2%) 400 Sq Ft

(5) Boat-in Campground Foot Paths, 10’ Each Side (540,000 x 0.1%) 500 Sq Ft

Subtotal: 2,500 Sq Ft

b. Operational Areas:

(1) Shop Storage Yard Area 800 Sq Ft

(2) Water Treatment Plant/Lift Station Road 100 Sq Ft

(3) Path from Lift Station to Park Office 100 Sq Ft

Subtotal: 1,000 Sq Ft

Poison Oak Service Grand Total: 4,500 Sq Ft

3. Special Spraying: (Only by request of the Park Manager)

a. Various Recreation and Operation Areas:

1) Trip #1 Spraying 10,000 Sq Ft

2) Trip #2 Spraying 10,000 Sq Ft

3) Trip #3 Spraying 10,000 Sq Ft Special Spraying Grand Total: 30,000 Sq Ft

ATTACHMENT 7

Englebright Lake Pesticide / Herbicide Application Record

(Date) (Time) (Temp) (Wind)

(Location Pesticide / Herbicide Applied) (Acres)

(Target Pest)

(Trade Name / Manufacturer) (EPA Class) (EPA Number) (Solution %)

(Application Rate) (Application Quantity) (Application Unit)

(Application Equipment Used) (Form Applied) (Dilution)

(Formula # 1) (Formula # 2)

Description:

(Signature & Date of Sprayer) (Signature & Date of Contract Monitor)

Feb 2018