(WNC) Attachment 6 - Herbicide Application Data Sheet.pdf
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- Solicitation number
- 36C78623B50261
About this file
This document is an herbicide application data sheet template for the Willamette National Cemetery National Shrine Project. The template collects details about the application site location and size, plant condition and types, soil conditions, surrounding sensitive areas, previous herbicides used, target weed species and severity, herbicides used including formulation and rates, application details such as equipment, weather, personnel, and follow up information including effectiveness and non-target impacts. The related federal contract opportunity is a multiple award solicitation from the Department of Veterans Affairs National Cemetery Administration for shrine projects at the National Memorial Cemetery of the Pacific and Willamette National Cemetery. The solicitation number is 36C78623B50261 and it is for cemetery renovation and maintenance services.
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Text version
Willamette National Cemetery National Shrine Project – FY23 Cemetery Section Renovation - Phase 4 Project No.: 907-Mill-FY23-001
A T T A CHM E N T 6: H E RB I CI D E A PP L IC A T IO N D A T A SHE E T
Date: Applicator:
APPLICATION
SITE
Location:
Size of Treatment Area: Plant Age and Condition:
Description (Turf, Bed etc.): Soil Conditions:
Surrounding Sensitive Areas:
Previous Herbicides Used:
TARGET WEED
(TURF)
SPECIES
Primary Weed (Turf): Damage Observed:
Other Weeds (Turf) Present: Location of Damage:
Other Weeds (Turf) Present:
Severity of Weed Problem:
HERBICIDE(S)
USED
Herbicide(s):Formulation:
(1)
Rate: Total Amount Used:
(2) (3) Adjuvants Type: Amount: Total Gallons of Diluted
Spray Used:
Surfactant Type: Amount:
APPLICATION Date(s) of Application: Weather Conditions
Temperature:
Equipment used: Cloud Cover:
Wind Speed:
Equipment Calibrated By: Wind Direction:
Rain:
Travel Speed:
Total Hours for Application:
Persons Notified or Spoken to Regarding Application:
(1) (2) (3)
FOLLOW UP Effectiveness of Application: Beneficials Present: Pest Resurgence Noted:
Injury to Non-Target Plants or Surfaces:
COMMENTS
Signature & Date
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