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Olathe Spray Service, Inc. <br />P.O. Box 40 <br />Olathe, CO 81425 / 970 - 323 -5580 <br />Pest Appl # 00335 Pest Lic # 00075 <br />Gary & Jackie Cooper <br />11554 6450 Rd <br />Montrose, CO 81401 <br />Custom Application 34619 <br />Invoice# 18755 <br />Farm ID: Date: 09/12/2013 <br />Description: Time: 8:06 AM <br />Field ID: CooG -j / Open5 Crop: Open <br />Description: Lindsay Trail- Shavano Valley Acre: 5 <br />County /Township: / Placement: Air <br />.71 V-4'+V -01340 <br />mangeiaecnon: i <br />,snip via: <br />Product <br />Active Ingredient <br />EPA Registration # <br />Rate /Acre <br />Total <br />Aerial Application (Helicopter) <br />1.000 Acre <br />5 Acre <br />Gly Star Plus <br />Glyphosate <br />42750 -61 <br />2.000 Pts <br />10 Pts <br />Albaugh, Inc. <br />Dicamba HD <br />019Wemineul1o13.6tichbmo -e ercno <br />42750 -209 <br />.500 Pts <br />2.5 Pts <br />Albaugh, Inc. <br />Optima <br />Polyethoxylated Alkylamines <br />5905 - 50075 -AA <br />2.000 Ozs <br />10 Ozs <br />Helena <br />Water <br />3.000 Gal <br />15 Gal <br />C� <br />Lbs N P K S LID <br />Blend. 0 0 0 <br />Analysis 0 0 0 0 0.00 <br /># of Batches: 1 Plan: Zone: <br />Applicator: Leonard Felix <br />Samples: <br />Comments: <br />Target Pest(s): Broadleaf Weeds <br />REI: 24 hrs. Salesman: <br />Unit: Bell 47 Soloy - N1770S <br />Date Applied: 09/13/2013 <br />Start Time: Temp: Wind Speed /Direction: / <br />End Time: 11:45 AMTemp: 67 Wind Speed /Direction: 1/E <br />Humidity: Application Speed /Direction: / <br />Nozzle: Spacing: PSI: <br />Wind Meter? If Yes, Brand: <br />Grower Notification: If Yes, Date: Time: <br />Product Supplied By: <br />Previous Chem /Job: <br />Previous Grower: <br />Product Remaining? If Yes, Explain: <br />Field Condition: Cloddy / Trashy / Mellow / <br />Soil Condition: Wet / Dry / Normal / <br />Soil Texture: Fine / Medium / Coarse / <br />Do crop rotation restrictions exist for pesticides applied? _Yes _No <br />Lat / Lon: <br />Ca Mg Zn Fe Mn Cu B <br />0.00 0.00 0.00 0.00 0.00 0.00 0.00 <br />Lbs /Acre: 29.1 Lbs /Gal: Gal /Acre: Gal /Batch: Acre /Batch: 5.000 <br />Directions: <br />Applicator Signature / License # / Exp Date: <br />Received by: <br />Date: <br />Actual Applied: <br />