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Montrose County Weed Mitigation Department <br /> 161 S.Townsend Ave,Montrose,CO 81401 <br /> Date: Location: � ��, �Z f <br /> Start Time: Address: <br /> End Time: Contact Info: Justin Musser, Manager 249-5216 <br /> Mileage Start: Mileage End: <br /> East End West End ROW/Gravel Pit Grant Funded Facilities USFS <br /> BLM H CDOT Airport R Special Project B Other Gov. a Other Agency <br /> Tank/Herbicide#: TanklHerbicide #: <br /> Herbicide Applied: Herbicide Applied: <br /> EPA Reg.#:: EPA Reg.#: <br /> Manufacturer: Manufacturer: <br /> Application Rate /to the Acre Application Rate /to the Acre <br /> Tank/Herbicide.#: Surfactant Applied: Guardian Plus <br /> Herbicide Applied: Manufacturer: Combelt <br /> EPA Reg.#: Application Rate: 1.5 quarts per/100 gal carrier <br /> Manufacturer: <br /> Application Rate /to the Acre Surfactant Applied: Premier 90 <br /> Manufacturer: Cornbelt <br /> Tank/Herbicide #: Application Rate: 1 quart per/100 gal carrier <br /> Herbicide Applied: <br /> EPA Reg.#: Dye Used: <br /> Manufacturer: Other: <br /> Application Rate /to the Acre Other: <br /> Target Species: ❑ HC RKW EJ SKW YST YTF PLS rJ Broadleaves ;k Grasses <br /> Other: <br /> Application Type: Truck 7 UTV Argo Backpack Mechanical Other TC670/*\/ <br /> Transportation: 11 03 Chevy ❑ 06 Chevy Ford 11 Dodge Tandem Axle 11 Single Axle <br /> Tank# Total Herbicide Acres Treated Gallons Water Applicator Name <br /> Total Acres Treated <br /> NPDES Application <br /> Vegetation Conditions <br /> Notes: <br /> Total Cost: <br /> Labor: <br /> Herbicide: <br /> Adjuvant: <br />