PestControlAnticipatedApplicationRecord.pdf

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Operation and Maintenance of Federally Mandated Wildlife Habitat at Lake Sacajawea, Lake Herbert G. West and Lake Wallula.
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W912EF-16-R-0016
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PestControlAnticipated Application Record

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PEST CONTROL ANTICIPATED APPLICATION RECORD

ATTENTION: This record must be completed prior to January 15th, and a separate record completed for each pest control category or change in formulation. It must be forwarded electronically via email to the assigned Corps of Engineers Pest Manager.

Page of Page of

1. Pesticide Application Sponsor Trade Name Active Ingredient (AI) Pounds of AI Biological Control Mechanical Control

3. Target Species Pest Category Pest Name

INSTRUCTIONS

Pest Control Anticipated Application Record Notes:

- Fields with an asterisk (*) are mandatory.

- Selecting 'Other' in any field requires supplemental information in the Comments field.

- The 'Reset all but Applicator Data' button may be used to clear the record while preserving applicator information.

- The 'Email Data' button may be used to return record data to the assigned Corps of Engineers Pest Manager.

1. Pesticide Application Sponsor: Include contact information for the entity sponsoring the application.

2. Pest Control Category:

Chemical Control (if applicable): Use the 'Add Row' and 'Delete Row' buttons as required to describe all chemicals including adjuvants (buffer, spreader, sticker, surfactant, etc.) to be used in the year. The trade name is found on the pesticide label.

Biological Control (if applicable): select the biological control(s) used.

Mechanical Control (if applicable): select the mechanical control(s) used.

3. Target Species: Describe the pest that is being controlled.

Pest Control Anticipated Application Record Proponent: Operations Division November, 2012 Previous edition is obsolete.

8.2.1.4029.1.523496.503679 NWW_pest_mgmt_reports@usace.army.mil USACE NWW District Pest Control Anticipated Application Record

FakeEmailButton:
RealEmailButton:
ResetButton:
CurrentPage:
PageCount:
ImageField1:
Grantee:
OutgrantNo:
ForYear:
PestAppSponsorFirmName:
PestAppSponsorFirstName:
PestAppSponsorLastName:
PestAppSponsorStreet:
PestAppSponsorCity:
PestAppSponsorState:
PestAppSponsorZIP:
PestAppSponsorTelephone:
PestControlCategory:
Button:
ChemControlName:
ChemActiveIngredient:
ChemActiveIngredient_lbs:
BiologicalControls:
MechanicalControls:
Comments:
PestCategory:
PestName:

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