A.02.01_Section_J_Attachment_3_Daily_Worksheet.pdf
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- Attached to
- BOUNDARY CLEARING/MAINTENANCE SERVICES
- Solicitation number
- W912DQ-16-R-1017
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Attachment 3 Daily Worksheet
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DAILY WORKSHEET
POMME DE TERRE BOUNDARY MAINTENANCE CONTRACT
CONTRACT NO.
DATE: _______________ TEMPERATURE _________ WIND SPEED/DIRECTION __________
SECTION: ____________ T __________ N R _________ W
COUNTY: ________________________
TOTAL NO. OF EMPLOYEES WORKING TODAY: ________________________
TOTAL MANHOURS WORKED TODAY: _________________________________
WORK PERFORMED TODAY: _________________________________________________________________
BOUNDARY CLEARING:
WORK BEGAN AT BOUNDARY MONUMENT NO. __________________
WORK ENDED AT BOUNDARY MONUMENT NO. __________________
TOTAL FEET OF BOUNDARY CLEARED ________________________
TOTAL NO. OF POSTS STRAIGHTENED OR REPLACED __________________
TOTAL SIGNS REPLACED __________________
PESTICIDE (TRADE NAME): ________________________
FORM APPLIED: Liquid
ACTIVE INGREDIENTS: _______________________________________________________________________
EPA REGISTRATION: __________________________ EPA CLASSIFICATION: _________________________
HOW THE PESTICIDE WAS MIXED: ____________________________________________________________
APPLICATION EQUIPMENT USED: ____________________________________________________________
DISPOSAL INFORMATION: Disposal per label directions____________________________________________
WEATHER CONDITIONS: _____________________________________________________________________
ENCROACHMENTS AND PROBLEMS NOTED:___________________________________________________
CONTRACTOR'S REPRESENTATIVE
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