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BackCountry Vegetation Management, LLC <br />Pesticide Application Record <br />Applicator &OY r GI y, d cO <br />Job /Customer Name en PrQi., / [-t e JS <br />Contact Person <br />Phone# <br />Date 5--/6-6 <br />Start Time <br />End Time <br />f / Total Work Hours `* <br />Job Location I) /` i r / &J t1d X-A <br />Target Species Bay Pgl(-bU �--O( <br />Herbicides /Adjuvants Used/Application Rate <br />_ 2.4-D <br />34704 -120 <br />✓ GlyStar Plus <br />42750 -61 <br />_ Garlon 3A <br />62719 -37 Strike 3 14774 -2 <br />_ Banvel <br />51036 -289 <br />✓ Krovar I DF <br />352 -505 <br />_ Rile <br />_ <br />34704 -861 Transline 62719 -259 <br />_ Curtail <br />62719 -48 <br />_ M@lestoue <br />62719419 <br />_ Rodeo <br />_ <br />62719324 Arsenal 241431 <br />_ EscortXP <br />352-439 <br />_ Oust XP <br />352 -622 <br />_ Telar DF <br />_ <br />352 -522 <br />Chemical <br />llaut:nn Rata <br />na.,i� . . <br />Yb ct <br />$ <br />/ O <br />/O st <br />Total Gallons of Mix Used_ <br />lethod of Application <br />UTV -Hand UTV- Broadcast Truck -Hand t- Truck - Broadcast Back -Pack Road Side -Boom <br />lrmellem /Weatner, U,- r/(; -C W,n0 OectionlWindSpeed <br />Time o2.'Z;.� Temp_ Weather Wind Direction LJ Wind Speed - 3 <br />Time Temp Weather Wind Direction <br />Time Temp Weather Wind Direction <br />Applicator's Signature ! J _ ccy <br />Wind Speed <br />Wind Speed, <br />BCVM Office Use Only <br />-s ` q <br />Ab <br />ASK <br />