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A Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />i <br />Date: 5 Location: ZIC, I / (- <br />StartTime: Address: <br />End Time: tl•-e;0 Contact Info: Justin Musser, Manager 249-5216 <br />Mileage Start: GI D q l' Mileage End: _-Q (c & <br />BEast <br />End <br />LM 8 C/DOT <br />est End ROW8Airport <br />Tank/Herbicide #: l mak-, :)( <br />Herbicide Applied: 3LAe-can <br />EPA Reg. #: 10.__. <br />Manufacturer. fir ,- <br />Application Rate 4' ;S /to the Acre <br />Tank/Herbicide Surfactant Applied: <br />Herbicide Applied: y- D <br />EPA Reg. #: Application Rabe: <br />Manufacturer. orr <br />Application Rate 3 / to the Acre <br />Tank/Herbicide Application Rate: <br />Herbicide Applied: I, _ <br />EPA Reg. #: <br />A <br />g <br />Manufacturer. 76> <br />Application Rate ov / to the Acre <br />Grant Funded Facilities USFS <br />Special Project 8 Other Gov. Other Agency8 <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate to the Acre <br />Surfactant Applied: Guardian Plus <br />Manufacturer. Combelt <br />Application Rabe: 1.5 quarts per/100 gal carrier <br />Surfactant Applied: Premier 90 <br />Manufacturer. Combelt <br />Application Rate: 1_quart per/100 gal carrier <br />Dye Used: <br />Other. <br />Other. <br />Target Species: HC E] RKW [:] SKW E] YST E] YTF M PLS ® Broadleaves a Grasses <br />Other. qo -e n <br />Application Type: []Truck FUTV E] Argo Backpack Mechanical Other <br />Transportation: 03 Chevy [-] 06 Chevy ® Ford []Dodge 0 Tandem Axle E] Single Axle <br />Tank # Total Herbicide Acres Treated Gallons Water <br />15- <br />Total Cost: <br />Labor: <br />Herbicide: <br />Adjuvant: <br />Applicator Name 1co-Al R - <br />Total Acres Treated Lf <br />NPDES Application <br />Vegetation Conditions AiL <br />Notes: w <br />0 <br />U.. 6