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VEGETATION Vegetation Management, Inc. <br />"May all your Weeds be Wildflowers <br />ANAGEMENT and all your Trees be ]Healthy" <br />�CORPORATED p Box 162 303.674.1215 (0) <br />Evergreen, CO. 80437 -0162 1.877.467.1215 (t) <br />www.vnuweedsandtrees.com calexdlind(a�comcast.net <br />CHEMICAL DATA APPLICATION FORM <br />Date of Application <br />June 23, 2013 <br />Date Form sent to Client <br />June 23, 2013 <br />Time of Application <br />10:30 AM <br />Air Temperature <br />71 ° <br />Wind Speed <br />4 — 7 mph <br />Wind Direction <br />E - SE <br />Customer Name <br />City of Arvada <br />Customer Address <br />8101 Ralston Road <br />Arvada, CO 80002 <br />Location of <br />Pioneer North parcel <br />Application <br />Type of Application <br />Kawasaki Mule — Boom & Handgun spray <br />Target pest/s <br />Dalmation Toadflax, Mullein, Thistles, Kochia, Bindweed, Knapweed <br />Site, Crop, <br />Structure or <br />Commercial <br />Commodity Treated <br />Pesticides Applied <br />Hi -Dep, Escort and Banvel <br />EPA Reg. # <br />2217 -703, 352 -439, 51036 -289 <br />Amount of <br />1 Qt, 1 Oz, 1 Qt <br />TAmount of Dilutent <br />10 Gals <br />Pesticide <br />Size of Area Treated <br />21.50 Acres <br />Amount of Mixture applied <br />220 Gals <br />Re -entry Interval <br />When Dry <br />Name of Water in Proximity to <br />None <br />Treatment Area <br />Visual Monitoring <br />Area's are monitored 6 — 10 times annually <br />Notes <br />Treated copious amounts of Dalmation Toadflax with some heavy areas <br />of Mullein, Thistles, Knapweed and one large patch of Leafy Spurge in <br />Other Notes <br />Areas B, E, C, & F per Pioneer map as well as Kochia, Knapweed, and <br />Bindweed in Areas 1, 2, & 6 of the 224 Pattridge /Leyden parcel. <br />APPLICATOR NAME /S: Duane Lindmier, Christine Alexander <br />CERTIFICATE LICENSE # /S: VMI # = 10934, DL # = 01643, CA # = 07356 <br />All Equipment is calibrated regularly as well as inspected on a daily basis <br />