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*wwi <br />1%..r <br />UNITED STATE DEPARTMENT OF THE INTERIOR <br />BUREA U OF LAND MANAGEMENT <br />PESTICIDE APPLICATION RECORD <br />Project Name: <br />Operator. ���,F�v a"k2 _ <br />Pesticide Use Proposal Number: <br />NEPA Reference Number: <br />r.■.■ rr■ errrrrrrrr■r rrrrrrrrrrrrrurrrrrrrrrrrrr■■ ■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrr <br />1. APPLICATOR: <br />a. Name of Applicator or Employee(s) Making the Application: <br />2. APPLICATION: <br />a. Application Dates: _ g - 3 - I `1 <br />b. Time Frame of Application: 3"oc) <br />c. Location: W k j11� : <br />d. Application Equipment•. '(���,� �Q, t, 1A <br />3. PESTICIDE INFORMATION: <br />a. Trade Name: (1 4 N v 2,' LAS C�i k Y-1 <br />b. Company /Manufacturer /Formulator's Name: pA-, Gv,, F(o ; b <br />c. Pesticide Formulation Type: j: ti . • J otv -Qxo w a� 4 <br />d. Rate of Application — Per Acre: <br />i. Formulated Product <br />ii. Active IngredientlAcid Equivalent: 1 I -6_ 0i c a+ti.4� D. o5J, (.b. rAQ-4 <br />iii. Total Spray Solution Amount: �5 qG t Wt� kZ►Y <br />4. APPLICATION CONDITIONS: <br />a. Wind Speed: 2 - 7� <br />b. Air Temperature: 19 <br />c. Wind Direction: 5 W <br />d. Surface Conditions: <br />