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BackCountry Vegetation Management,LLC <br /> Pesticide Application Record <br /> Applicator �(_ ✓ C�_r�. A Date " 3" 14 <br /> Job/Customer Name G i/t O Q J j Start Time <br /> Contact Person End Time��'. <br /> Phone# Total Work Hours <br /> Job Location /�G� / N I — VAa.tA-&t y w� <br /> Target Species <br /> Herbicides/Adjuvants Used/Application Rate <br /> D 34704-120 _ GlyStar Plus 42750-61 — Garton 3A 6271937 —Strife 3 14774-2 <br /> Banvel 51036-289 _ Krovar I DF 352-505 Rifle 34704-861 Transline 62719-259 <br /> ,Curtail 6271" _ Milestone 62719419 _ Rodeo 62719-324 _Arsenal 241-431 <br /> EseortXP 3M-439 _ Oust XP 352-622 _ Telar DF 352-522 <br /> Chemical Dilution Rate QtyAcre <br /> 1 �� .,o2 1. o2r <br /> Ar <br /> Total Gallons of Mh Used S <br /> Mdhod of AMicatim <br /> UW-Hand Truck-Broadcast Bade-Pack Road Side-Boom <br /> Timelf tether Cfr-P/C *Direction/WiM Speed <br /> Time1-1_ Temp_ Weather 1° C,- Wind Direction �%� Wind Speed_C? 3 <br /> Time Temp Weather Wind Direction Wind Speed <br /> Time Temp Weather Wind Direction Wind Speed <br /> BCVM Office Use ON& <br /> Applicator's Signature (� <br /> �rrr <br />