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Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date: Location: !2j4 14i f <br />Start Time: O Address: <br />End Time: J C Contact Info: Justin Musser, Manager 249 -5216 <br />Mileage Start: s ly Z Mileage End: S- c -fl- <br />East End West End ROW /Gravel Pit Grant Funded Facilities USFS <br />BLM 8 CDOT fl Airport 8 Special Project B Other Gov. a Other Agency <br />Tank/Herbicide #: / <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. rr- �n.6cl� <br />Application Rate to the Acre <br />Tank/Herbicide #= <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate 9 n i* / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: _ <br />EPA Reg. #: 7 <br />Manufacturer: & <br />Application Rate YZ r�j?t / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate <br />/ to the Acre <br />Surfactant Applied: <br />Guardian Plus <br />Manufacturer: <br />Combelt <br />Application Rate: <br />1.5 quarts per /100 gal carrier <br />Surfactant Applied: <br />Premier 90 <br />Manufacturer: <br />Combeft <br />Application Rate: <br />I quart per /100 gal carrier <br />Dye Used: <br />Other <br />Other. <br />Target Species: [:] HC r-1 RKW [] SKW ❑ YST ❑ YTF E] PLS a Broadleaves JF Grasses <br />Other: <br />Application Type: 40 Truck ❑ UTV ❑ Argo ❑ Backpack ❑ Mechanical EJ Other <br />Transportation: E] 03 Chevy 1%08 Chevy [] Ford ❑ Dodge n Tandem Axle ❑ Single Axle <br />I Tank # I Total Herbicide I Acres Treated I Gallons Water I <br />Total Cost: <br />Labor: <br />Herbicide: <br />Adjuvant: <br />C f <br />/ `I <br />Applicator Name L11 12V <br />Total Acres Treated '�/�/ <br />NPDES Application <br />Vegetation Conditions M„/ x!� <br />Notes: <br />