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VEGETATION Vegetation Management, Inc. <br />ANAAGEMENT "May all your Weeds be Wildflowers <br />\(:ORPoRATED And a your Tix= be Healthy" <br />P.O. Box 162 303.674.1215 (0) <br />Evergreen, CO. 80437 -0162 1.877.467.1215 (F) <br />www.vmiweedsandhws.com calexdlind@a,comcast.net <br />CHEMICAL DATA APPLICATION FORM <br />Date of Application <br />Oct. 4 & 5, 2014 <br />Date Form sent to Client <br />Oct. 5, 2014 <br />Time of Application <br />9:15 & 9:00 AM <br />Air Temperature <br />65 & 67 ° <br />Wind Speed <br />6 — 9 & 4 — 9 mph <br />Wind Direction <br />N — NW both days <br />Customer Name <br />City of Arvada <br />Customer Address <br />8101 Ralston Road <br />Arvada, CO 80002 <br />Location of <br />Pioneer North parcel <br />Application <br />Type of Application <br />Kawasaki Mule — Boom spray <br />Target pest/s <br />Dalmation Toadflax, Thistles, Mullein, Knapweed & Tamarisk <br />Site, Crop, <br />Structure or <br />Commercial <br />Commodity Treated <br />Pesticides Applied <br />Hi- Dep, Vanquish, Escort <br />EPA Reg. # <br />2217 -703, 228 -397, 352 -439 <br />Amount of <br />Pesticide <br />1 Qt, 1 Qt, 1 Oz <br />Amount of Dilutent <br />10 Gals <br />Size of Area Treated <br />20.3 Acres <br />Amount of Mixture <br />200 Gals <br />applied <br />Re -entry Interval <br />When Dry <br />Name of Water in Proximity to <br />None <br />Treatment Area <br />Visual Monitoring <br />Notes <br />Areas monitored multiple times throughout the growing season <br />Other Notes <br />Treated Areas E, G, H, & I. <br />APPLICATOR NAME /S: Duane Lindmier, Christine Alexander <br />CERTIFICATE LICENSE # /S: VMI # = 10934, DL # = 01643, CA # = 07356 <br />All Equipment is calibrated regularly as well as inspected on a daily basis <br />