Attachment_6_(PAR).pdf

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Attached to
Vegetation Control
Solicitation number
W9128F-16-T-0036
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Pesticide Application Record

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Amendment_0002.pdf PDF
Amendment_0001.pdf PDF
Solicitation.pdf PDF
Attachment_4_(Aggregate_Stockpile_Overview_Map).pdf PDF
Attachment_5_(Form_PPQ-0).pdf PDF
Attachment_2_(Operations_Post-Emergent_Overview_Map).pdf PDF
Attachment_3_(Rip-Rap_Overview_Map).pdf PDF
Attachment_1_(Operations_Pre-Emergent_Overview_Map).pdf PDF

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FORT RANDALL PROJECT

PESTICIDE APPLICATION RECORD (PAR)

GENERAL INFORMATION

Landowner: USACE Fort Randall Project, 399 Powerhouse Road, Pickstown, SD 57367-0199

Application Area/Location:______________________________________________________________________

Targeted Weed(s)/Pest(s):_______________________________________________________________________

Date:________________ Start Time:___________ __AM __PM Stop Time:___________ __AM __PM

WEATHER CONDITIONS

Air Temp:__________*F Sky Conditions: __Sunny __Partly Cloudy __Mostly Cloudy __Overcast

Wind Direction:__________ Wind Speed:__________mph Humidity: __Low __Medium __High

PESTICIDE INFORMATION

Trade/Brand Name:___________________________________________________________________________

Common Name:______________________________________________________________________________

Company Name/Manufacturer:_________________________________________________________________

EPA Registration No:__________________________________________________________________________

Chemical Formulation (liquid, powder, etc.):_______________________________________________________

Application Rate (oz., lbs., etc.) per Acre or Square Feet:_____________________________________________

Total Amount of Actual Chemical Applied (oz., lbs., etc.):____________________________________________

Total Area Treated (acres, sq. feet, etc.):___________________________________________________________

Comments:___________________________________________________________________________________

Total Chemical Cost: $_________________________

Total Labor Cost: $_________________________

Total: $_________________________

Firm Who Applied Pesticide:____________________________________________________________________

Name of Applicator(s):_________________________________________________________________________

Applicator License Numbers(s):__________________________________________________________________

Applicator Signature(s):________________________________________________________________________

Contract Number:_____________________________________________________________________________ g6opxmsh Text Box Attachment 6

Application AreaLocation:
Targeted WeedsPests:
Date:
Start Time:
Stop Time:
Air Temp:
Wind Direction:
Wind Speed:
TradeBrand Name:
Common Name:
Company NameManufacturer:
EPA Registration No:
Chemical Formulation liquid powder etc:
Application Rate oz lbs etc per Acre or Square Feet:
Total Amount of Actual Chemical Applied oz lbs etc:
Total Area Treated acres sq feet etc:
Firm Who Applied Pesticide:
Name of Applicators:
Applicator License Numberss:
Comments:
Total Chemical Cost:
Total Labor Cost:
Total Cost: 0
Contract Number:
Start AM: Off
Start PM: Off
End AM: Off
End PM: Off
Sunny: Off
Partly Cloudy: Off
Mostly Cloudy: Off
Overcast: Off
Low: Off
Medium: Off
High: Off

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