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EGETATION Vegetation Management, Inc. <br />MANAGEMENT "May all your Weeds be Wildflowers <br />W-OwPM,,TLO and all your Tim be Healthy" <br />P.O. Box 162 303.674.1215 (0) <br />Evergreen, CO. 80437 -0162 1.877.467.1215 (1) <br />www.vmiweedsandhv.es.com calexdlindna,comcast.net <br />CHEMICAL DATA APPLICATION FORM <br />Date of Application <br />July 1, 2014 <br />Date Form sent to Client <br />July 1, 2014 <br />Time of Application <br />12:20 PM <br />Air Temperature <br />66 ° <br />Wind Speed <br />3-5 mph <br />Wind Direction <br />S <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 & handgun spray <br />Target pest/s <br />Dalmation Toadflax, Thistles, Mullein, Kochia, Knapweed <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. ! Oz <br />Amount of Dilutent <br />10 Gals <br />Size of Area Treated <br />21.75 Acres <br />Amount of Mixture <br />220 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 in Areas 6, C B, A & E. <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 />