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U EGETATION <br />11 1_7 <br />Vegetation Management, Inc. <br />"May all your Weeds be Wildflowers <br />and all your Trees be Healthy" <br />P.O. Box 162 303.674.1215 (0) <br />Evergreen, CO. 80437 -0162 1.877.467.1215 (F) <br />www.vmiweedsandtrees.com calexdlindna,comcast.net <br />CHEMICAL DATA APPLICATION FORM <br />Date of Application <br />Sept. 7, 2014 <br />Date Form sent to Client <br />Sept. 8, 2014 <br />Time of Application <br />10:15 AM <br />Air Temperature <br />76 ° <br />Wind Speed <br />2 — 5 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, Canada, Musk & Scotch Thistles, Mullein, <br />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, 1 Oz <br />Amount of Dilutent <br />10 Gals <br />Size of Area Treated <br />22.25 Acres <br />Amount of Mixture <br />225 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 />Treated in Pioneer parcel Areas C B, E & F and in 224 parcel Areas 4, 5 <br />& 6. Scoped out Tamarisk in Pioneer D, E & F found several hundred <br />Other Notes <br />plants located in central section of Area E to be treated next time. <br />Note: Prairie Dog population located in the south central section of Area <br />F continues to increase. <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 />