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EGETATION Vegetation Management, Inc. <br />M ANAGEMENT "May gll your Weeds be W ldflowers <br />and all your Tims 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 calexdlindaa comcast.net <br />CHEMICAL DATA APPLICATION FORM <br />Date of Application <br />June 1, 2014 <br />Date Form sent to Client <br />June 1, 2014 <br />Time of Application <br />9:00 AM <br />Air Temperature <br />69 ° <br />Wind Speed <br />4 — 6 mph <br />Wind Direction <br />N — NW <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, Kochia, Knapweed, Redstem <br />Filaree <br />Site, Crop, <br />Structure or <br />Commercial <br />Commodity Treated <br />Pesticides Applied <br />Vanquish <br />EPA Reg. # <br />100 -884 <br />Amount of <br />Pesticide <br />1 Qt <br />Amount of Dilutent <br />10 Gals <br />Size of Area Treated <br />16.25 Acres <br />Amount of Mixture <br />165 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 />Area's are monitored 6 — 10 times annually <br />Notes <br />Other Notes <br />Treated copious amounts of Knapweed and other weeds in the following <br />areas: E, F, 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 />