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Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date: a `f Location: �'ld d AaA &O �.� ,.n to {- <br />Start Time: Address: <br />End Time: Contact Info: Justin Musser Manager 249 -5216 <br />Mileage Start: 9 Mileage End: <br />EastEnd West End ROW /Gravel Pit Grant Funded Facilities 8 USFS <br />BLM CDOT Airport B Special Project 8 Other Gov. Other Agency <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate 2 / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate / 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 />Cornbelt <br />Application Rate: <br />1 quart per /100 gal carrier <br />Dye Used: <br />Other: <br />Other: <br />Target Species: HC ❑ RKW ❑ SKW F-1 YST [-] YTF ❑ PLS E] Broadleaves El Grasses <br />Other: ( Q <br />v <br />Application Type: ❑ Truck 00 UTV Argo E] Backpack r-� Mechanical: ❑ Other <br />Transportation: 11 03 Chevy [-] 06 Chevy 0 Ford [] Dodge [] Tandem Axle E] Single Axle <br />Total Cost: <br />Labor: <br />Herbicide: 1.31 y 7.33 <br />Adjuvant . S'q <br />WOR <br />no <br />Applicator Name <br />Total Acres Treated <br />NPDES Application <br />Vegetation Conditions <br />Notes: <br />